[23M] Experiencing persistent lower back pain with fever, congestion, and headache
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possibilities:
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Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.
- Treatment typically involves rest, hydration, and over-the-counter remedies. Antiviral medications may be prescribed in some cases.
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COVID-19: Given the current pandemic, this is a possibility given your symptoms of fever, chills, and body aches. COVID-19 can present with a wide range of symptoms, and some people may experience exacerbation of pre-existing conditions due to the systemic inflammation caused by the virus.
- Treatment is supportive and may include rest, hydration, and over-the-counter remedies. More severe cases may require hospitalization.
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Musculoskeletal Pain: Your chronic lower back pain and leg weakness could be due to a musculoskeletal issue, possibly exacerbated by your recent illness. This could be related to your previous martial arts injury.
- Treatment typically involves physical therapy, pain management (like the Tylenol and tramadol you're taking), and sometimes surgery.
What you can do
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Rest and hydrate: Regardless of the cause, your body needs energy to fight off the infection and recover. Make sure you're drinking enough fluids and getting plenty of sleep.
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Over-the-counter remedies: Continue taking Tylenol as directed for your fever and body aches.
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COVID-19 testing: Given your symptoms and the current pandemic, it would be a good idea to get tested for COVID-19.
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Back pain management: Continue with your pain management regimen. Once your acute illness resolves, if your back pain continues, consider consulting a physical therapist or a specialist for further evaluation and treatment.
What you should look out for
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
- Severe, persistent headache or dizziness
- Seizures
- Persistent vomiting
- Signs of dehydration (very dry mouth, no urination for 8 hours, noticeably dark urine).
Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.
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7 mo ago