[59F] Experiencing severe headache, body aches, fever, and gastrointestinal discomfort

Patient Description

A 59-year-old female presents with a severe headache localized to the temple area, described as a constant vice-like pain, exacerbated by light, sound, and movement. The headache began around 3:30 am and has not been relieved by any measures. The patient also reports body aches with a severity of 6/7, particularly painful leg movement and stinging eyes, starting around 9 pm the previous night. She is experiencing a low-grade fever of about 101 degrees with chills, which started last night, and an upset stomach with rumbling and discomfort without diarrhea since this morning. The patient feels eye fatigue and a desire to keep her eyes closed since waking up at 7:30 am. She has a history of migraines, lymphedema in both legs, and a recent arm injury requiring surgery. The patient is allergic to penicillin and is currently taking Acetaminophen/Codeine #3, Pregabalin, Levothyroxine, Nortriptyline, Amlodipine, Fluoxetine, Prazosin, and non-prescription supplements including iron, magnesium, B12, and D3.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms can include everything from fever, chills, and body aches, to nausea and vomiting.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antiviral medications may be prescribed in some cases.
  • Migraine: Given your history of migraines, it's possible that your severe headache could be a migraine. Migraines are often accompanied by other symptoms like sensitivity to light and sound.

    • Treatment typically involves medications to relieve symptoms and prevent future migraines.
  • Side effects of medication: Some of the medications you're taking can have side effects that include headache, body aches, and upset stomach. It's important to discuss these symptoms with your doctor.

  • Other viral illnesses: There are many viral illnesses that can cause fever, body aches, headache, and upset stomach. These usually resolve on their own with rest and hydration.

What you can do

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

  2. Over-the-counter remedies: Over-the-counter pain relievers can help with body aches and headache. Over-the-counter medications can also help with upset stomach.

  3. Consult your doctor: Given the severity of your symptoms and your medical history, it's important to consult your doctor. 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 persist or worsen
  • If you experience severe abdominal pain
  • If you have difficulty breathing
  • If you experience confusion or difficulty staying awake

Please remember that while I strive to provide accurate and helpful medical information, 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 appropriate examinations, treatment, testing, and care recommendations.

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11 mo ago

People Also Ask


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

Common symptoms of influenza include fever, chills, body aches, headache, fatigue, and sometimes nausea or vomiting. Treatment typically involves rest, hydration, and over-the-counter remedies. In some cases, antiviral medications may be prescribed.


How can I differentiate between a migraine and a regular headache?

Migraines are often characterized by a severe, throbbing headache, usually on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Regular headaches may not have these additional symptoms and are usually less severe.


What are the potential side effects of the medications I am taking?

Some potential side effects of the medications you are taking include headache, dizziness, upset stomach, and body aches. It's important to discuss any concerning symptoms with your doctor to determine if they are related to your medications.


When should I seek urgent medical attention for my symptoms?

You should seek urgent medical attention if your symptoms persist or worsen, if you experience severe abdominal pain, difficulty breathing, confusion, or difficulty staying awake.


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