[23F] With dizziness, body aches, fatigue, and nausea

Patient Description

A 23-year-old female presents with sudden onset of fatigue and dizziness since today, describing the dizziness as a sensation that the room is moving, rated 7 out of 10 in severity. She also reports muscle pain in her legs and head, and has been experiencing nausea for the past two days. The patient recently had conjunctivitis (pink eye) but denies any recent eye injuries. She has not noticed any rash or bleeding symptoms and has not been bitten by mosquitoes recently. However, she has had consistent contact with her husband, who has been diagnosed with dengue fever. The patient has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Dengue Fever: Given your recent contact with someone diagnosed with dengue fever and the ongoing outbreak in your area, this is a strong possibility. Dengue fever is a mosquito-borne viral infection that can cause high fever, severe headache, pain behind the eyes, joint and muscle pain, rash, and mild bleeding (e.g., nose or gum bleeding). The symptoms you described, such as fatigue, dizziness, body aches, and nausea, are consistent with dengue fever.

    • Treatment: There is no specific antiviral treatment for dengue fever. Supportive care, including rest, hydration, and pain relief with acetaminophen (avoid aspirin and nonsteroidal anti-inflammatory drugs), is recommended. Severe cases may require hospitalization.
  • Viral Infection: Your symptoms could also be due to another viral infection, especially since you recently had conjunctivitis. Viral infections can cause a range of symptoms, including fatigue, dizziness, body aches, and nausea.

    • Treatment: Rest, hydration, and over-the-counter medications to relieve symptoms are typically recommended. Most viral infections resolve on their own.

What you can do

  1. Consult a Doctor: It is important to see a healthcare professional to get a formal diagnosis and appropriate treatment. They may order blood tests to confirm dengue fever or rule out other conditions.
  2. Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you have a fever or are experiencing nausea.
  3. Rest: Ensure you get plenty of rest to help your body recover.
  4. Symptom Management: Use acetaminophen for pain relief and fever reduction. Avoid aspirin and nonsteroidal anti-inflammatory drugs if dengue fever is suspected, as they can increase the risk of bleeding.
  5. Monitor Symptoms: Keep track of your symptoms and any changes. You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe abdominal pain or persistent vomiting
  • Bleeding from the nose or gums, or blood in vomit or stool
  • Difficulty breathing or rapid breathing
  • Severe headache or pain behind the eyes
  • High fever that does not respond to medication
  • Signs of dehydration, such as reduced urine output, dry mouth, or dizziness when standing

Remember, while I can provide information and suggestions, I am not a doctor. It is important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of dengue fever?

Common symptoms of dengue fever include high fever, severe headache, pain behind the eyes, joint and muscle pain, fatigue, nausea, vomiting, and sometimes a rash. Mild bleeding, such as nose or gum bleeding, can also occur.


How is dengue fever diagnosed?

Dengue fever is typically diagnosed through a combination of clinical evaluation and laboratory tests. Blood tests can detect the presence of the dengue virus or antibodies produced in response to the infection.


What should I do if I suspect I have dengue fever?

If you suspect you have dengue fever, it is important to consult a healthcare professional for a proper diagnosis. They may recommend blood tests and provide guidance on managing symptoms. Rest, hydration, and monitoring symptoms are crucial.


Can dengue fever be treated at home?

Yes, mild cases of dengue fever can often be managed at home with supportive care, including rest, plenty of fluids, and acetaminophen for pain and fever relief. However, it is important to avoid aspirin and nonsteroidal anti-inflammatory drugs, as they can increase bleeding risk. Severe cases may require hospitalization.


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