[48F] Experiencing upper respiratory symptoms with fever and chills

Patient Description

A 48-year-old female presents with a 3-day history of upper respiratory symptoms including a stuffy head, scratchy throat, sneezing, coughing, and mild phlegm. She describes her headache as achy and rated its severity as 7 out of 10, which she attributes to nasal congestion. The patient also reports body chills alternating with fever, which have been occurring randomly over the past 2 days, and last about an hour each time. The chills are accompanied by shaking but no other significant respiratory distress, except during coughing fits. She has a history of DVT & PE approximately 10 years ago but no chronic illnesses or known drug allergies. Current medications include ibuprofen, Benzonatate, D3/K2 drops, and a probiotic.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing:

  • Influenza (Flu): Your symptoms of body aches, chills, fever, cough, and headache are common symptoms of the flu. The flu is a viral infection that attacks your respiratory system.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medications may be prescribed in some cases.
  • Common Cold: The common cold is a viral infection of your nose and throat. It can cause a runny or stuffy nose, sneezing, body aches, and a headache.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause a headache, stuffy nose, and cough.

    • Treatment may involve antibiotics if the cause is bacterial, nasal decongestants, and pain relievers.

Please note that these are potential explanations for your symptoms based on the information you've provided, but only a healthcare provider can provide a definitive diagnosis.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of rest and staying hydrated can help your body recover.
  2. Over-the-counter remedies: Over-the-counter cold and flu remedies can help manage your symptoms.
  3. Seek medical attention: If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting
  • Flu-like symptoms that improve but then return with fever and worse cough

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of the flu?

Common symptoms of the flu include fever, chills, body aches, headache, cough, sore throat, and fatigue. Some people may also experience a runny or stuffy nose.


How can I differentiate between a common cold and sinusitis?

A common cold typically involves a runny or stuffy nose, sneezing, and a sore throat, while sinusitis often includes facial pain or pressure, a headache, and a persistent cough. Sinusitis symptoms may last longer and can sometimes require antibiotics if bacterial.


What over-the-counter remedies can help with upper respiratory symptoms?

Over-the-counter remedies for upper respiratory symptoms include decongestants, antihistamines, cough suppressants, and pain relievers like ibuprofen or acetaminophen. It's important to follow the instructions on the packaging and consult with a healthcare provider if needed.


When should I seek medical attention for flu-like symptoms?

You should seek medical attention if you experience difficulty breathing, chest pain, sudden dizziness, confusion, severe vomiting, or if your symptoms improve but then return with a worse fever and cough.


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