[29F] Experiencing warm chills, neck pain, and faintness

Patient Description

A 29-year-old female has been experiencing daily warm chills originating from the neck and spreading to the arms, face, and legs for over a year. These chills are triggered by fast movements and sometimes by stress or emotional events. The patient also reports severe aching and sore neck pain, rated 10/10 in intensity, which worsens at night. There is no recent history of injury. Along with these symptoms, the patient feels dizzy and faint, which is alleviated by laying down. There is tingling in the arms and legs, severe headaches, visual disturbances, and mucus in the throat. The patient has a history of Lyme disease diagnosed over six years ago and is not currently on any medications. No known drug allergies or use of recreational drugs have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

  • Chronic Lyme Disease: This is a condition that can occur in people who have been infected with Lyme disease and have completed treatment but remain symptomatic. It can cause a wide range of symptoms, including chills, neck pain, and faintness.

    • Treatment typically involves a prolonged course of antibiotics, although this can vary depending on the individual and the severity of their symptoms.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It can also cause tingling in the arms and legs.

    • Treatment typically involves a combination of medications, exercise, stress-reduction measures, and cognitive behavioral therapy.
  • Anxiety Disorders: These are a group of mental disorders characterized by significant feelings of anxiety and fear. Symptoms can include chills, faintness, and tingling in the arms and legs.

    • Treatment typically involves a combination of psychotherapy, behavioral therapy, and medication.

What you can do

While it's important to seek medical attention for a formal diagnosis, here are some things you can do in the meantime:

  1. Keep a symptom diary: This can help you and your doctor identify any patterns or triggers related to your symptoms.
  2. Practice good sleep hygiene: This includes maintaining a regular sleep schedule, creating a restful environment, and promoting habits that aid in sleep.
  3. Stay hydrated and maintain a balanced diet: This can help manage your symptoms and promote overall health.
  4. Try relaxation techniques: This can include deep breathing, yoga, or meditation. These techniques can help manage symptoms related to anxiety.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden, severe headache
  • Difficulty speaking or understanding speech
  • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, or loss of balance or coordination

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of chronic Lyme disease?

Common symptoms of chronic Lyme disease include fatigue, joint pain, muscle aches, headaches, and neurological symptoms such as tingling or numbness. Some people may also experience cognitive difficulties and mood changes.


How is fibromyalgia typically treated?

Fibromyalgia is typically treated with a combination of medications (such as pain relievers and antidepressants), physical therapy, exercise, stress-reduction techniques, and sometimes cognitive behavioral therapy to help manage symptoms.


Can anxiety disorders cause physical symptoms like chills and tingling?

Yes, anxiety disorders can cause a range of physical symptoms, including chills, tingling in the arms and legs, dizziness, and a feeling of faintness. These symptoms are often related to the body's stress response.


What are some effective relaxation techniques for managing anxiety symptoms?

Effective relaxation techniques for managing anxiety symptoms include deep breathing exercises, progressive muscle relaxation, yoga, meditation, and mindfulness practices. These techniques can help reduce stress and promote a sense of calm.


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