[31F] Experiencing acute insomnia and flu-like symptoms

Patient Description

A 31-year-old female is experiencing acute insomnia, which began concurrently with the onset of flu-like symptoms two days ago. Despite feeling exhausted, she has been unable to fall asleep and estimates getting approximately three hours of sleep last night. Attempts to alleviate insomnia with melatonin have been unsuccessful. The patient is also suffering from a fever, chills, body aches, a dull throbbing headache located at the base of the skull, a sore throat, runny nose, and nasal congestion. She reports a slight shortness of breath and a feeling of fogginess but no confusion or altered mental status. The patient has no known allergies and is currently taking Eltroxin (100mg) and bupropion (125mg) daily. No recent changes in medication or the introduction of new drugs have been reported. There is no significant past medical history, and no chronic illnesses or conditions were noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing:

  • Influenza (Flu): This is a common viral infection that can cause fever, chills, body aches, headache, sore throat, runny nose, and nasal congestion. Insomnia can also occur due to discomfort from these symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medication may be prescribed if the flu is diagnosed within the first 48 hours of symptom onset.
  • Common Cold: This is another viral infection that can cause similar symptoms to the flu, but is usually less severe.

    • Treatment involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • COVID-19: Given the ongoing pandemic, it's important to consider COVID-19, which can cause a wide range of symptoms similar to those you're experiencing.

    • Testing is necessary to confirm this diagnosis. If you test positive, you should isolate and follow local health guidelines.

Please remember, this is not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of rest and staying hydrated can help your body recover.

  2. Over-the-counter remedies: Over-the-counter cold and flu remedies can help manage your symptoms.

  3. COVID-19 test: Given your symptoms, it would be a good idea to get a COVID-19 test.

What you should look out for

If your symptoms worsen or you experience difficulty breathing, chest pain, confusion, or inability to stay awake, seek medical attention immediately. These could be signs of a more serious condition.

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1 yr ago

People Also Ask


Can insomnia be a symptom of the flu or a cold?

Yes, insomnia can occur with the flu or a cold due to discomfort from symptoms like fever, body aches, and congestion, which can make it difficult to fall asleep.


How can I differentiate between the flu, a common cold, and COVID-19 based on symptoms?

While the flu, common cold, and COVID-19 share many symptoms, the flu often comes on suddenly with high fever and severe body aches, while a cold is usually milder. COVID-19 can include symptoms like loss of taste or smell and may cause more severe respiratory issues. Testing is necessary to confirm COVID-19.


What are some effective over-the-counter remedies for managing flu-like symptoms?

Over-the-counter remedies such as acetaminophen or ibuprofen can help reduce fever and body aches. Decongestants and antihistamines can relieve nasal congestion and runny nose. Always follow the instructions on the label and consult with a healthcare provider if needed.


When should I seek medical attention for flu-like symptoms?

You should seek medical attention if you experience difficulty breathing, chest pain, confusion, or an inability to stay awake, as these could be signs of a more serious condition.


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