[34F] Experiencing hot and cold flashes with dry cough and fatigue

Patient Description

A 34-year-old female reports experiencing hot and cold flashes for the past two days, accompanied by a feeling of being feverish. She also has a dry, tickly cough that began three days ago, described as moderate in severity. Additional symptoms include fatigue, a sore throat, and intermittent shortness of breath. She has experienced chills or night sweats but denies any chest pain, wheezing, nasal congestion, or runny nose. The patient recently completed a course of antibiotics for cellulitis following arm surgery and is currently taking gabapentin for back pain. There have been no recent changes in appetite or weight loss, although she notes some weight gain. She has no known medication allergies and has not been in contact with anyone who is sick or traveled recently.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Viral Infection: Your symptoms, including feverish feelings, chills, sore throat, and cough, could be due to a viral infection like the common cold or flu. These infections often cause fatigue and can lead to hot and cold flashes.

    • Treatment: Viral infections typically resolve on their own. Rest, hydration, and over-the-counter medications can help manage symptoms.

  • Post-Surgical Recovery: Your body might still be recovering from the recent surgery and cellulitis, which can cause fatigue and temperature fluctuations.

    • Treatment: Continue to monitor your symptoms and ensure proper wound care.

  • Respiratory Infection: The cough and sore throat could indicate a respiratory infection, which may require medical evaluation if symptoms persist or worsen.

    • Treatment: If bacterial, antibiotics may be needed, but viral infections will resolve with supportive care.

What you can do

  1. Rest and Hydrate: Ensure you get plenty of rest and drink fluids to help your body recover.
  2. Monitor Symptoms: Keep track of your symptoms using MDandMe to journal and share with your healthcare provider.
  3. Over-the-Counter Relief: Consider using medications like acetaminophen or ibuprofen for fever and discomfort, and lozenges for your sore throat.
  4. Humidifier: Using a humidifier can help ease your cough and sore throat.

What you should look out for

Seek medical attention if you experience:

  • Persistent or high fever
  • Worsening shortness of breath
  • Chest pain or tightness
  • Any new or concerning symptoms

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

What could be causing my hot and cold flashes and feverish feeling?

Hot and cold flashes and a feverish feeling could be due to a viral infection like the common cold or flu. These symptoms can also be part of your body's recovery process from recent surgery.

Is it normal to feel fatigued and have a sore throat after surgery?

Yes, it is normal to feel fatigued and have a sore throat after surgery, especially if your body is still recovering from the procedure and any associated infections like cellulitis.

When should I seek medical attention for my cough and shortness of breath?

You should seek medical attention if you experience persistent or high fever, worsening shortness of breath, chest pain, or any new or concerning symptoms.

Can my recent course of antibiotics affect my current symptoms?

While antibiotics are used to treat bacterial infections, they can sometimes cause side effects that might affect your overall feeling of wellness. However, they are unlikely to directly cause your current symptoms unless there is an allergic reaction or side effect.

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