[40M] Experiencing severe body aches, chills, and hot flashes

Patient Description

A 40-year-old male has been suffering from severe body aches described as sharp shooting pains and sensations of bones being bent in the wrong direction. These symptoms have been worsening over the past four days, escalating from a pain level of 3 to 8 out of 10. The patient reports that the body aches intensify with the onset of extreme chills. Additionally, the patient experiences sudden and intense hot flashes that last approximately 40 minutes, accompanied by profuse sweating. The patient also notes significant fatigue and shortness of breath but no chest pain or fever. There is no history of recent injuries, vaccinations, COVID-19 (recent test was negative), substance use, or known allergies. The patient has been taking 600mg of Ibuprofen every four hours since the onset of body aches and Nyquil. No other medications or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms include body aches, chills, fatigue, and fever. However, you mentioned that you have not measured your temperature.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antiviral medication might be prescribed by your doctor if the flu is caught early.
  • Other Viral Infections: There are many viruses that can cause symptoms of body aches, chills, hot flashes, and fatigue. Even though your COVID-19 test was negative, it is still possible that you have another viral infection.

    • Treatment usually involves rest, hydration, and symptom management.
  • Autoimmune Conditions: These are conditions where the body's immune system mistakenly attacks healthy cells. Some autoimmune conditions can cause body aches, chills, hot flashes, and fatigue.

    • Treatment typically involves medication to manage symptoms and control the autoimmune response.
  • Drug-induced fever: This is a fever that is caused by taking medication, such as ibuprofen, especially at high doses. It's rare, but possible.

    • Treatment involves stopping the medication and managing symptoms.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover from whatever is causing your symptoms.

  2. Over-the-counter remedies: Continue taking ibuprofen for the body aches, but be aware of the maximum daily dosage. You should not exceed 1,200 mg per day unless directed by a healthcare provider.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. This can be helpful information for your doctor.

  4. Seek medical attention: Given the severity and duration of your symptoms, it would be best to consult a healthcare provider. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Reasons to seek urgent medical attention:

  • If your symptoms worsen or do not improve after a week
  • If you develop a high fever (temperature over 100.4°F)
  • If you experience severe shortness of breath or chest pain
  • If you become confused or have difficulty thinking clearly

Please remember that while I strive to provide accurate and helpful medical information, I am not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing severe body aches and chills without a fever?

Severe body aches and chills without a fever could be caused by viral infections such as the flu or other viruses, autoimmune conditions, or even drug-induced reactions. It's important to monitor symptoms and consult a healthcare provider for an accurate diagnosis.


Can taking too much ibuprofen cause symptoms like hot flashes and sweating?

While ibuprofen is generally safe when taken as directed, taking it in high doses can lead to side effects, including gastrointestinal issues and, rarely, drug-induced fever. It's important to adhere to recommended dosages and consult a doctor if unusual symptoms occur.


What are some common viral infections that cause body aches and fatigue?

Common viral infections that can cause body aches and fatigue include influenza, the common cold, and other respiratory viruses. These infections often come with additional symptoms like chills, cough, and sore throat.


When should I seek medical attention for symptoms like these?

You should seek medical attention if your symptoms worsen, do not improve after a week, if you develop a high fever, experience severe shortness of breath or chest pain, or if you become confused or have difficulty thinking clearly.


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