[45F] Experiencing chills, nausea, facial sweating, and pelvic pain

Patient Description

A 45-year-old female has been experiencing severe chills occurring three times a week, accompanied by fever, for the past four months. The chills and associated nausea, rated a 4 out of 10 in severity, are exacerbated by cold weather and relieved by external warmth. She also reports facial sweating on the nose and chest, which is not time-specific, and sudden onset of high fever and severe pelvic pain. The patient has a known medical history of an ovarian cyst diagnosed two years ago, skin pigmentation issues, and joint pain. She is currently taking calcium, magnesium, zinc, vitamin D3, copper supplements, and Panadol daily, sometimes twice a day, with no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you provided, the following conditions could be causing your symptoms:

  • Ovarian Cyst: Given your history of ovarian cysts, it's possible that your current symptoms are related. Ovarian cysts can cause pelvic pain, especially if they rupture or cause the ovary to twist. They can also cause nausea and fever. However, they are not typically associated with chills or facial sweating.

    • Treatment for ovarian cysts depends on the size and type of the cyst, as well as your age and overall health. In some cases, watchful waiting is recommended. In other cases, surgery may be necessary.
  • Infection: Your symptoms of chills, fever, and pelvic pain could be due to an infection, such as a urinary tract infection or pelvic inflammatory disease. These conditions can also cause nausea.

    • Treatment for infections typically involves antibiotics. It's important to get treated promptly to prevent the infection from spreading.
  • Menopause: Although you're a bit young for it, the onset of menopause can cause symptoms like hot flashes (which could be perceived as chills), sweating, and changes in menstrual cycle. However, it would not typically cause pelvic pain or fever.

    • Treatment for menopause symptoms can include hormone replacement therapy, lifestyle changes, and medications to manage specific symptoms.

What you can do

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

  1. Schedule an appointment with your healthcare provider. They can perform a physical examination and order tests to determine the cause of your symptoms.
  2. Keep track of your symptoms. Note when they occur, how long they last, and any factors that make them better or worse. This information can help your healthcare provider make a diagnosis.
  3. Stay hydrated and eat a balanced diet. This can help your body fight off infection and recover from illness.

What you should look out for

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

  • Severe or worsening pelvic pain
  • High fever (over 100.4°F)
  • Difficulty urinating or painful urination
  • Unusual vaginal discharge
  • Severe nausea or vomiting
  • Signs of shock, such as cold and sweaty skin, rapid heartbeat, or fainting

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


Can ovarian cysts cause symptoms like chills and facial sweating?

Ovarian cysts typically cause pelvic pain, nausea, and fever, but they are not usually associated with chills or facial sweating. These symptoms might indicate another underlying condition.


What are common symptoms of a pelvic infection?

Common symptoms of a pelvic infection include pelvic pain, fever, chills, nausea, and sometimes unusual vaginal discharge. It's important to seek medical attention for proper diagnosis and treatment.


Could these symptoms be related to menopause?

Menopause can cause symptoms like hot flashes, sweating, and changes in menstrual cycles, but it usually does not cause pelvic pain or fever. It's best to consult a healthcare provider to explore other possible causes.


What should I do if I experience severe pelvic pain and high fever?

If you experience severe pelvic pain and high fever, it's crucial to seek immediate medical attention. These could be signs of a serious condition that requires prompt treatment.

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