[44F] Experiencing severe cold-like symptoms with vertigo and weakness

Patient Description

A 44-year-old female has been experiencing severe cold-like symptoms since last Saturday, including a runny nose, cough producing thick yellow or green phlegm, and a headache with a severity of 7 out of 10, located in the upper neck with significant pressure. The patient has been feeling extremely weak and lightheaded, with difficulty standing due to a sensation of faintness and leg weakness. Vertigo, described as feeling off-balance, occurs when sitting or standing up. Chest pressure, rated 7 to 8 out of 10 in severity, occurs upon standing and coughing, described as a sensation of someone pushing on the chest, making it difficult to breathe. Additional symptoms include body aches, hot and cold flashes, and a low-grade fever. The patient has been sleeping extensively since the onset of symptoms. There's also an itchy sensation in the ears accompanied by pressure and a sore throat. The patient has a history of anemia diagnosed 18 years ago but is not currently on any medications. There has been recent close contact with someone displaying similar symptoms. No use of tobacco, alcohol, or recreational drugs has been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Influenza (Flu): Your symptoms of severe cough, body aches, fever, chills, and fatigue are common symptoms of the flu. The flu is a viral infection that attacks your respiratory system and can cause complications if not treated properly.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medications can also be prescribed by a doctor if the flu is caught early.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs, which may fill with fluid. Your symptoms of severe cough with phlegm, chest pain, fatigue, and fever could be indicative of pneumonia.

    • Treatment usually involves antibiotics, rest, and hydration. Severe cases may require hospitalization.
  • COVID-19: Given the current pandemic, it's important to consider COVID-19. Your symptoms of cough, fever, body aches, and fatigue are common symptoms of COVID-19. Some people also report gastrointestinal symptoms, loss of taste or smell, and difficulty breathing.

    • Treatment involves rest, hydration, and managing symptoms. In severe cases, hospitalization may be required.
  • Mononucleosis: Also known as "mono" or "the kissing disease," this is a viral infection that can cause fatigue, sore throat, fever, and swollen lymph nodes. It's less likely given your symptoms, but still a possibility.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. Here are a few steps you can take:

  1. Contact your healthcare provider: Given your symptoms and their severity, it's important to reach out to a healthcare professional who can provide a proper diagnosis and treatment plan.

  2. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.

  3. Over-the-counter remedies: Over-the-counter cold and flu remedies may help manage your symptoms. However, it's important to follow the instructions on the packaging and to consult with a healthcare professional if you have any questions.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face
  • Any other severe or concerning symptoms

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for a proper diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of influenza and how is it treated?

Common symptoms of influenza include fever, chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter medications to relieve symptoms. Antiviral medications may be prescribed if the flu is diagnosed early.


How can I differentiate between pneumonia and a severe cold?

Pneumonia often presents with symptoms such as a severe cough with phlegm, chest pain, fever, and fatigue, which can be more intense than a typical cold. A healthcare provider can perform a physical exam and possibly order a chest X-ray to confirm pneumonia.


What should I do if I suspect I have COVID-19?

If you suspect you have COVID-19, it's important to get tested as soon as possible. Isolate yourself from others to prevent spreading the virus, and follow public health guidelines. Seek medical advice for managing symptoms and monitor for any severe symptoms that may require medical attention.


What are the signs that I should seek immediate medical attention for my symptoms?

You should seek immediate medical attention if you experience difficulty breathing, persistent chest pain or pressure, new confusion, inability to wake or stay awake, or bluish lips or face. These could be signs of a serious condition requiring urgent care.


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2 Comments


Leo#3962

9 mo ago

How are you doing now? Did you get treated with antibiotics?

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Anonymous#4464

9 mo ago

Never got any antibiotics. Chicken soup and broth were my life savers. It took me at least 2 weeks to feel 100 percent again. The first week I slept more than I've ever slept. Then I noticed that as long as I kept myself moving and up, I was good. But if I was to sit or lay down, that I couldn't get back up again. I always felt better after drinking some broth tho and it helped with my cough as well. Thank u for asking.

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