[22M] Experiencing cough, congestion, fatigue, loss of appetite, and temperature dysregulation

Patient Description

A 22-year-old male presents with a cough, congestion, fatigue, loss of appetite, and episodes of profuse sweating with hot skin to the touch, particularly at night when lying down to rest. This has been occurring for the last 3-4 days. The patient reports a sensation of being both hot and cold simultaneously, which is most bothersome and does not improve with any measures. The patient has not been able to eat full meals for 2-3 days, preferring only small snacks, with no specific aversions noted. There has been no change in weight. The hot skin sensation is specific to when the patient lays down and occurs immediately.

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Arora's Assessment

What might be happening

Based on the information you provided, you may be experiencing:

  • Influenza (Flu): This is a common viral infection that can cause fever, chills, cough, congestion, fatigue, and loss of appetite. The fever can cause your skin to feel hot to the touch and result in sweating, especially at night.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed by a doctor in some cases.
  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can be similar to the flu and include fever, cough, fatigue, and loss of appetite. Night sweats and feeling hot to the touch are also reported symptoms.

    • Treatment involves managing symptoms, rest, and hydration. In severe cases, hospitalization may be required.
  • Other Viral Infections: There are many other viruses that can cause similar symptoms. These can often be managed with rest, hydration, and over-the-counter medication.

What you can do

You should seek medical attention to get a formal diagnosis. In the meantime, you can:

  1. Rest and stay hydrated. This can help your body fight off the infection.
  2. Monitor your symptoms. If they worsen, seek medical attention immediately.
  3. Avoid contact with others to prevent spreading the potential infection.

What you should look out for

You should seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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9 mo ago


People Also Ask


What are common symptoms of the flu and how can they be managed?

Common symptoms of the flu include fever, chills, cough, congestion, fatigue, and loss of appetite. Management typically involves rest, staying hydrated, and using over-the-counter medications to alleviate symptoms. In some cases, antiviral medications may be prescribed by a doctor.


How can I differentiate between COVID-19 and the flu based on symptoms?

Both COVID-19 and the flu can present with similar symptoms such as fever, cough, and fatigue. However, COVID-19 may also include symptoms like loss of taste or smell, and it can lead to more severe respiratory issues. Testing is the most reliable way to differentiate between the two.


What are night sweats and why do they occur during viral infections?

Night sweats are episodes of excessive sweating during sleep, often associated with fever. They occur because the body's temperature regulation is affected during infections, leading to fluctuations that cause sweating.


When should I seek medical attention for symptoms like cough and fatigue?

You should seek medical attention if you experience severe symptoms such as difficulty breathing, persistent chest pain, new confusion, or bluish lips or face. If your symptoms worsen or do not improve with home care, it's important to consult a healthcare provider.


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