[23F] Experiencing low body temperature, shivering, and headache

Patient Description

A 23-year-old female reports a low body temperature of 95°F, shivering throughout the day, and a constant headache with pressure behind the nose and eyes that worsens with crying. She also experiences muscle tension in her back, rating the discomfort as 6 out of 10, which intensifies with shivering. These symptoms have been occurring for a few hours, with the headache being a persistent issue that fluctuates in severity. The patient has a medical history of celiac disease diagnosed at age 9, and depression and anxiety diagnosed at age 14. Current medications include Venlafaxine, Buspirone, Vitamin D, Magnesium, Fish Oil, Iron, and Testosterone. There is no known drug allergy. The patient had a duo biopsy the day before but reports no redness, swelling, or warmth at the site. No recent illnesses, infections, or injuries were reported. No chest pain or difficulty breathing is present, and no confusion or trouble thinking clearly has been noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, you may be experiencing:

  • Hypothermia: Hypothermia is a medical emergency that occurs when your body loses heat faster than it can produce heat, causing a dangerously low body temperature. Shivering, slurred speech, slow and shallow breathing, weak pulse, and drowsiness are common symptoms.

    • Treatment: Hypothermia is a medical emergency. If you suspect you have hypothermia, seek immediate medical attention. While waiting for help, move to a warm location if possible, remove any wet clothing, and wrap yourself in blankets or coats.
  • Tension headache: This is a common type of headache characterized by a dull, aching sensation all around your head. It is often described as feeling like a tight band around your forehead or at the back of your head. It is often related to stress, depression, or anxiety.

    • Treatment: Over-the-counter pain relievers such as ibuprofen or aspirin may be helpful. Regular physical activity and stress management may also help prevent tension headaches.
  • Muscle tension: This could be due to physical factors such as poor posture or using your muscles incorrectly. Psychological factors such as stress, depression, and anxiety can also cause muscle tension.

    • Treatment: Regular physical activity, relaxation techniques, and stress management can help reduce muscle tension. Over-the-counter pain relievers may also be helpful.

Please note that this is not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Seek immediate medical attention if you suspect you have hypothermia.
  2. Try over-the-counter pain relievers for your headache and muscle tension.
  3. Regular physical activity, relaxation techniques, and stress management can help reduce muscle tension and prevent tension headaches.
  4. Stay hydrated and maintain a balanced diet.

What you should look out for

Seek immediate medical attention if:

  • Your body temperature doesn't improve or it drops even lower.
  • Your shivering is uncontrollable.
  • You have any difficulty breathing.
  • Your headache becomes severe or doesn't improve with over-the-counter pain relievers.
  • You have any changes in your level of consciousness, such as feeling drowsy or having difficulty waking up.

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for accurate information.

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1 yr ago

Top picked over-the-counter products for Orthostatic Hypotension: American Heart Association Guidelines

People Also Ask


What are the symptoms of hypothermia and how can it be treated?

Hypothermia symptoms include shivering, slurred speech, slow and shallow breathing, weak pulse, and drowsiness. It is a medical emergency, and immediate medical attention is necessary. While waiting for help, move to a warm location, remove wet clothing, and wrap yourself in blankets.


What causes tension headaches and how can they be managed?

Tension headaches are often caused by stress, depression, or anxiety and feel like a tight band around the head. They can be managed with over-the-counter pain relievers, regular physical activity, and stress management techniques.


How can muscle tension be relieved, especially when related to stress or anxiety?

Muscle tension can be relieved through regular physical activity, relaxation techniques, and stress management. Over-the-counter pain relievers may also help alleviate discomfort.


What should I do if my body temperature remains low or my symptoms worsen?

If your body temperature remains low or your symptoms worsen, seek immediate medical attention. It's important to monitor for uncontrollable shivering, difficulty breathing, severe headaches, or changes in consciousness.


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