[26M] With chills, sore throat, and other symptoms

Patient Description

A 26-year-old male has been experiencing chills and a sore throat for the past week. The chills occur approximately 10 times a day and are exacerbated by cold temperatures and showers. The patient also reports night sweats, body aches, fatigue, headaches, and nasal congestion. There is no cough or shortness of breath. The patient has not measured his temperature, so it is unclear if he has a fever. He smokes cigarettes and uses meth daily. There is no recent weight loss, loss of appetite, travel, or exposure to sick individuals. The patient has no chronic medical conditions, history of recent surgeries, or current 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:

  • Viral Infection (e.g., Common Cold or Flu): Viral infections are common causes of chills, sore throat, nasal congestion, body aches, fatigue, and headaches. These symptoms typically resolve on their own within a week or two.

    • Treatment: Rest, hydration, over-the-counter medications like acetaminophen or ibuprofen for pain and fever, and throat lozenges for sore throat.
  • Bacterial Infection (e.g., Strep Throat): Bacterial infections can also cause sore throat, chills, and other systemic symptoms. Strep throat, for example, can cause a severe sore throat, fever, and chills.

    • Treatment: Antibiotics prescribed by a doctor if a bacterial infection is confirmed.
  • Substance Use Effects: Daily use of methamphetamine and cigarettes can contribute to a weakened immune system, making you more susceptible to infections. Meth use can also cause symptoms like chills, sweating, and body aches.

    • Treatment: Reducing or stopping substance use and seeking support for substance use disorder.
  • Other Infections: Other infections, such as sinusitis or bronchitis, could also cause similar symptoms, especially if you have nasal congestion and a sore throat.

    • Treatment: Depending on the cause, treatments may include rest, hydration, and possibly antibiotics if a bacterial infection is suspected.

What you can do

  1. Rest and Hydrate: Ensure you get plenty of rest and drink fluids to stay hydrated. This can help your body fight off the infection.
  2. Over-the-Counter Medications: Use over-the-counter medications like acetaminophen or ibuprofen to manage pain, fever, and body aches. Throat lozenges can help soothe a sore throat.
  3. Avoid Triggers: Try to avoid cold temperatures and showers that seem to worsen your chills.
  4. Monitor Symptoms: Keep track of your symptoms, including any changes or worsening. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
  5. Seek Support for Substance Use: Consider seeking support for your methamphetamine use, as it can have significant health impacts. There are resources and professionals who can help you with this.

What you should look out for

Seek medical attention if you experience any of the following:

  • High Fever: If you develop a high fever (temperature over 100.4°F) or if your fever persists.
  • Severe Symptoms: If your symptoms worsen or if you develop new symptoms such as difficulty breathing, chest pain, or severe headache.
  • Persistent Symptoms: If your symptoms do not improve after a week or if they continue to get worse.
  • Signs of Severe Infection: If you notice signs of a severe infection, such as difficulty swallowing, swollen lymph nodes, or a rash.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any concerns or your symptoms worsen, please seek medical care promptly.

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3 mo ago


People Also Ask


What are common symptoms of a viral infection like the flu or common cold?

Common symptoms of a viral infection like the flu or common cold include chills, sore throat, nasal congestion, body aches, fatigue, headaches, and sometimes fever. These symptoms usually resolve on their own within a week or two.


How can substance use, such as methamphetamine, affect my immune system and symptoms?

Substance use, such as methamphetamine, can weaken the immune system, making you more susceptible to infections. It can also directly cause symptoms like chills, sweating, and body aches, which can complicate the diagnosis and management of other conditions.


When should I seek medical attention for symptoms like chills and sore throat?

You should seek medical attention if you develop a high fever (over 100.4°F), if your symptoms worsen or new symptoms like difficulty breathing or severe headache appear, or if your symptoms persist beyond a week without improvement.


What are some effective home remedies for managing symptoms of a sore throat and nasal congestion?

Effective home remedies for managing a sore throat and nasal congestion include staying hydrated, using throat lozenges, gargling with warm salt water, using a humidifier, and taking over-the-counter medications like acetaminophen or ibuprofen to relieve pain and reduce fever.


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