[37F] Experiencing severe body pain and headaches with fever and chills

Patient Description

A 37-year-old female reports waking up with severe body pain described as burning muscles, rating it an 8 out of 10 in severity. Additionally, she started experiencing sharp headaches this afternoon, involving her whole head, jaw, and neck, rated 6 out of 10, which worsen with rapid movement and lying down but are somewhat alleviated by an ice pack. She also mentions a low-grade fever and chills. The patient has a history of fibromyalgia diagnosed six years ago. She is currently not taking any medications and has allergies to Cipro and Tramadol, both causing shortness of breath.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Influenza (Flu): Your symptoms of body aches, headache, fever, and chills are common symptoms of the flu. The flu is a respiratory illness caused by the influenza virus. It can cause mild to severe illness and at times can lead to death.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral drugs may be prescribed in some cases.
  • Common Cold: Your symptoms could also be due to a common cold, which is a viral infection of your nose and throat. Although many types of viruses can cause a common cold, rhinoviruses are the most common culprit.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • COVID-19: Given the current pandemic, it's also important to consider COVID-19, which can present with similar symptoms to the flu and common cold. COVID-19 is caused by the SARS-CoV-2 virus.

    • If you suspect you might have COVID-19, you should get tested as soon as possible. Treatment depends on the severity of symptoms and may range from self-care at home to hospitalization.
  • Fibromyalgia Flare-Up: As you have a history of fibromyalgia, your body pain and headaches could be due to a fibromyalgia flare-up. Flare-ups can be triggered by a variety of factors, including stress, changes in weather, and poor sleep.

    • Treatment typically involves a combination of medications, exercise, stress management, and healthy habits.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are important for recovery.
  2. Over-the-counter remedies: Over-the-counter pain relievers, decongestants, and cough suppressants may help alleviate your symptoms.
  3. Get tested for COVID-19: If you suspect you might have COVID-19, you should get tested as soon as possible.
  4. Monitor your symptoms: If your symptoms worsen or persist for more than a week, seek medical attention.

What you should look out for

  • Difficulty breathing: If you experience difficulty breathing, seek medical attention immediately.
  • Persistent high fever: A high fever that doesn't improve with over-the-counter remedies can be a sign of a more serious infection.
  • Severe headache or neck stiffness: These could be signs of a more serious condition, such as meningitis, and warrant immediate medical attention.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of a fibromyalgia flare-up?

Common symptoms of a fibromyalgia flare-up include widespread muscle pain, fatigue, sleep disturbances, and cognitive difficulties, often referred to as 'fibro fog.' Stress, weather changes, and lack of sleep can trigger flare-ups.


How can I differentiate between the flu and COVID-19 based on symptoms?

Both the flu and COVID-19 can present with fever, body aches, and headaches. However, COVID-19 may also include symptoms like loss of taste or smell, shortness of breath, and a dry cough. Testing is the most reliable way to differentiate between the two.


What are some effective home remedies for managing body aches and headaches?

Effective home remedies for managing body aches and headaches include rest, staying hydrated, applying ice packs or warm compresses, and using over-the-counter pain relievers like ibuprofen or acetaminophen. Gentle stretching and relaxation techniques can also help.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe and sudden, accompanied by neck stiffness, confusion, or difficulty speaking, or if it is persistent and does not improve with over-the-counter medications. These could be signs of a more serious condition.


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