[54F] Experiencing body aches, temperature dysregulation, and weakness

Patient Description

A 54-year-old female reports feeling general body aches, having a sensation of a hot body with cold hands and feet, and experiencing weakness and nausea. These symptoms began a few hours ago and have been constant, leading to significant tiredness with movement or physical activity. The patient rates the weakness as 4 out of 10 in severity and states that it affects her ability to perform daily activities. She does not report having a fever, recent injuries, or accidents that could be related to the weakness. The patient has been taking Motrin, which may suggest an attempt to manage pain or discomfort. No other symptoms such as shortness of breath or difficulty breathing were reported. No recent Covid test has been done since the onset of symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Viral Infection: Symptoms such as body aches, feeling hot, cold hands and feet, weakness, and nausea can be indicative of a viral infection. This could be a common cold, the flu, or even COVID-19.

    • Testing: A doctor may recommend a COVID-19 test or a flu test to confirm the diagnosis.
    • Treatment: Rest, hydration, and over-the-counter medication to manage symptoms are typically recommended. If it's the flu, antiviral medication may be prescribed.
  • Anemia: This is a condition where your body lacks enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause weakness, fatigue, and cold hands and feet.

    • Testing: A blood test can confirm this diagnosis.
    • Treatment: Depending on the cause of the anemia, treatment could involve dietary changes, supplements, or medication.
  • Thyroid issues: Hypothyroidism, or an underactive thyroid, can cause fatigue, weakness, and cold hands and feet.

    • Testing: A blood test can confirm this diagnosis.
    • Treatment: Synthetic thyroid hormone is usually prescribed.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration can help your body recover.
  2. Over-the-counter medication: Over-the-counter medication like Motrin can help manage symptoms like body aches.
  3. Seek medical attention: If your symptoms persist or worsen, seek medical attention. A healthcare provider can perform tests to confirm a diagnosis and recommend appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Chest pain or pressure
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

Please 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 accurate information.

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11 mo ago

People Also Ask


What could be causing my body aches and feeling of being hot with cold hands and feet?

Body aches and the sensation of being hot with cold extremities can be caused by a viral infection, anemia, or thyroid issues. Each condition has distinct characteristics, but overlapping symptoms can occur.


How can I differentiate between a viral infection and other conditions like anemia or thyroid issues?

To differentiate between these conditions, consider additional symptoms: viral infections often include fever and respiratory symptoms, anemia may cause fatigue and pale skin, and thyroid issues can lead to weight changes and mood swings. A healthcare provider can help with diagnosis.


What steps should I take if my symptoms persist or worsen?

If your symptoms persist or worsen, it's important to seek medical attention. A healthcare provider can perform necessary tests and recommend appropriate treatment based on the diagnosis.


Are there any specific tests I should consider to determine the cause of my symptoms?

Consider tests such as a COVID-19 or flu test for viral infections, a complete blood count (CBC) for anemia, and thyroid function tests to check for thyroid issues. These tests can help pinpoint the cause of your symptoms.


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