[26M] Experiencing sudden chills and persistent upper back pain

Patient Description

A 26-year-old male reports sudden onset of chills approximately an hour ago, despite being under a blanket and next to a running heater. Additionally, the patient has been experiencing upper back pain for nearly 5 days. There is no fever, changes in urine, chest pain, or chest tightness reported. However, the patient is experiencing shortness of breath. No other symptoms have been noted. Further medical evaluation is recommended to determine the cause of these symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Viral Infection: Sudden onset of chills and shortness of breath could be due to a viral infection such as the flu or COVID-19.

    • Testing: A doctor may suggest a viral test to confirm the diagnosis.
    • Treatment: Rest, hydration, and over-the-counter medication to manage symptoms are typically recommended. If it is COVID-19, isolation is necessary to prevent spread.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Testing: A chest X-ray or blood tests could be done to diagnose pneumonia.
    • Treatment: Antibiotics, rest, and fluids are typically recommended.
  • Anxiety: Anxiety can cause physical symptoms like chills and shortness of breath. If you've been feeling more worried or stressed than usual, this could be a possibility.

    • Treatment: Therapy, medication, and stress management techniques are typically recommended.

Please note that this is not an exhaustive list and other conditions could also cause your symptoms.

What you can do

  1. If you have not yet been vaccinated or boosted against COVID-19, consider doing so as soon as possible.
  2. Rest and stay hydrated. Over-the-counter medication may help with symptoms.
  3. Monitor your symptoms. If they worsen, seek medical attention immediately.
  4. If you're feeling anxious, try some relaxation techniques such as deep breathing, meditation, or yoga.

What you should look out for

Seek immediate medical attention if you:

  • Have difficulty breathing or chest pain
  • Have a high fever
  • Feel confused or have difficulty staying awake
  • Have 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 recommendations.

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1 yr ago

People Also Ask


What could cause sudden chills without a fever?

Sudden chills without a fever can be caused by a variety of factors including viral infections, anxiety, or even environmental factors. It's important to monitor other symptoms and consult a healthcare provider for a proper diagnosis.


How can shortness of breath be related to anxiety?

Anxiety can lead to physical symptoms such as shortness of breath due to the body's fight-or-flight response, which can cause rapid breathing and a feeling of breathlessness. Managing stress and anxiety through therapy or relaxation techniques can help alleviate these symptoms.


What are the common symptoms of pneumonia?

Common symptoms of pneumonia include cough with phlegm or pus, fever, chills, and difficulty breathing. It is important to seek medical evaluation if these symptoms are present, as pneumonia can require specific treatments like antibiotics.


When should I seek medical attention for shortness of breath?

You should seek medical attention for shortness of breath if it is severe, accompanied by chest pain, a high fever, confusion, difficulty staying awake, or if you notice bluish lips or face. These could be signs of a serious condition requiring immediate care.


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