[34O] Experiencing numbness and tingling in extremities with fever and chills

Patient Description

A 34-year-old individual, sex assigned at birth as other, reports experiencing numbness and a pins-and-needles sensation in the wrists, hands, ankles, and arms. These symptoms have been present for approximately one week and occur throughout the day, coming and going rather than being constant. The numbness and tingling are exacerbated by cold weather, with similar symptoms having occurred last winter and lasting until spring. The patient also reports experiencing fever and chills. Movement seems to provide some relief from the numbness. There have been no recent injuries or changes in activity that might have contributed to these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms of numbness and tingling in your wrists, hands, ankles, and arms, along with sore muscles, fever, and chills, there are a few possible explanations:

  1. Peripheral Neuropathy: This condition involves damage to the nerves outside of your brain and spinal cord, which can cause numbness, tingling, and pain in your extremities. It can be triggered by various factors, including infections, metabolic problems, or exposure to toxins. Given that your symptoms worsen in cold weather, it might be related to circulation issues or nerve sensitivity.

  2. Raynaud's Phenomenon: This condition causes some areas of your body, such as your fingers and toes, to feel numb and cold in response to cold temperatures or stress. It could explain why your symptoms worsen in the winter.

  3. Viral Infection: The combination of fever, chills, and muscle soreness could suggest a viral infection, which can sometimes lead to temporary nerve irritation or inflammation.

  4. Autoimmune Conditions: Conditions like rheumatoid arthritis or lupus can cause joint pain, numbness, and systemic symptoms like fever and chills. These conditions often have a pattern of worsening with cold weather.

It's important to consult with a healthcare professional for a proper diagnosis and treatment plan. They may recommend blood tests, nerve conduction studies, or imaging to better understand your symptoms.

What you can do

Numbness and Tingling:

  • Keep your extremities warm, especially in cold weather, by wearing gloves and warm socks.
  • Gentle stretching and movement can help improve circulation and reduce symptoms.
  • Consider using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

Fever and Chills:

  • Stay hydrated and rest as much as possible.
  • Over-the-counter medications like acetaminophen or ibuprofen can help reduce fever and alleviate muscle soreness.

General Tips:

  • Maintain a balanced diet rich in vitamins and minerals to support nerve health.
  • Avoid smoking and limit alcohol consumption, as these can exacerbate nerve issues.

What you should look out for

While your symptoms are concerning, they may not be immediately life-threatening. However, you should seek medical attention if you experience:

  • Severe or worsening symptoms
  • Difficulty breathing or chest pain
  • Sudden weakness or paralysis in any part of your body
  • Changes in vision or speech

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

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6 mo ago

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People Also Ask


What could be causing numbness and tingling in my extremities?

Numbness and tingling in the extremities can be caused by conditions such as peripheral neuropathy, Raynaud's phenomenon, or even autoimmune conditions. These involve nerve damage or circulation issues that affect sensation.


Why do my symptoms worsen in cold weather?

Cold weather can exacerbate symptoms due to conditions like Raynaud's phenomenon, where blood flow to certain areas is reduced, or due to increased nerve sensitivity in conditions like peripheral neuropathy.


Could a viral infection cause numbness and tingling?

Yes, a viral infection can sometimes lead to temporary nerve irritation or inflammation, which might cause symptoms like numbness and tingling, along with fever and chills.


What are some ways to manage fever and chills at home?

To manage fever and chills at home, stay hydrated, rest, and consider taking over-the-counter medications like acetaminophen or ibuprofen to reduce fever and alleviate muscle soreness.


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