[31F] Experiencing bone chills and muscle pain

Patient Description

A 31-year-old female reports experiencing bone pain, muscle pain, and chills for approximately one week. The chills occur intermittently throughout the day and began suddenly. The patient associates stress, particularly from work, as a potential contributing factor. Muscle pain is described as intense, especially when sedentary, and feels as though the muscles are trying to burst through the skin. The patient also reports restlessness affecting sleep and daily activities. She has a history of chronic back pain, arthritis, diabetes diagnosed in 2023, childhood asthma, and borderline anemia. Recent medication adjustment includes an increased dose of Ozempic, though restlessness began prior to this change. Current medications include Ozempic (1mg weekly), Jardiance (25mg daily), aspirin (81mg daily), and simvastatin (20mg daily). No recent injuries or new environments noted. Allergies include latex, strawberries, and band adhesive. No known medication allergies. The patient is considering starting over-the-counter supplements.

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Arora's Assessment

What might be happening

Your symptoms could be related to several factors:

  1. Stress and Anxiety: Stress can cause physical symptoms like muscle pain, restlessness, and chills. It might be contributing to your discomfort.

  2. Fibromyalgia: This condition can cause widespread muscle pain, fatigue, and restlessness. It often occurs without a fever.

  3. Medication Side Effects: Although you haven't experienced side effects before, changes in medication dosage can sometimes lead to new symptoms.

  4. Anemia: Being borderline anemic can cause fatigue and chills, as your body might not be getting enough oxygen.

Typical treatments or tests might include stress management techniques, blood tests to check for anemia, and a review of your medications with your healthcare provider.

What you can do

For Stress and Anxiety:

  • Practice relaxation techniques like deep breathing or meditation.
  • Consider speaking with a mental health professional for support.

For Muscle Pain:

  • Gentle stretching and regular movement can help alleviate discomfort.
  • Over-the-counter pain relief, like acetaminophen, may be helpful.

For Chills and Restlessness:

  • Keep warm with layers and blankets.
  • Try to establish a calming bedtime routine to improve sleep quality.

General Health:

  • Ensure a balanced diet rich in iron to support your borderline anemia.
  • Use MDandMe to journal your symptoms and track any changes over time.

What you should look out for

Seek medical attention if you experience:

  • Worsening pain or new symptoms.
  • Significant changes in your health or well-being.
  • Any signs of severe anemia, like extreme fatigue or dizziness.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

Can stress and anxiety cause physical symptoms like muscle pain and chills?

Yes, stress and anxiety can manifest physically, leading to symptoms such as muscle pain, restlessness, and chills. Managing stress through relaxation techniques and professional support can help alleviate these symptoms.

What is fibromyalgia and could it be causing my symptoms?

Fibromyalgia is a chronic condition characterized by widespread muscle pain, fatigue, and restlessness. It can occur without a fever and might be a potential cause of your symptoms. A healthcare provider can help diagnose and manage this condition.

Could my recent medication changes be causing these new symptoms?

Changes in medication dosage can sometimes lead to new side effects, even if you haven't experienced them before. It's important to discuss any new symptoms with your healthcare provider to determine if they are related to your medication.

How does borderline anemia contribute to symptoms like fatigue and chills?

Borderline anemia means your body might not be getting enough oxygen, which can lead to symptoms like fatigue and chills. Ensuring a diet rich in iron and consulting with your healthcare provider for appropriate management can help address these symptoms.

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