[63F] Experiencing a range of symptoms including flatulence, chills, and joint pain

Patient Description

A 63-year-old female presents with a variety of symptoms that started approximately two weeks ago with cold-like symptoms. She reports frequent chills that originate from her core and often lead to hot flushes, particularly after activity or in the evening. The patient experiences joint pain in her legs, left hip, and knee, described as an aching sensation rated 6 out of 10, which sometimes improves with exercise. Additionally, she has a blocked sinus, mouth ulcers, and a tender swelling at the back of her skull. She also experiences weakness and dizziness, with a notable episode of breathlessness. The patient has a history of polio at age 3 and is currently taking 1mg Minipress at bedtime for nightmares. She has an adverse reaction to Risperdal. There is no known family history of autoimmune or rheumatologic conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Viral Infection: Your symptoms of a head cold, blocked sinuses, and joint pain could be due to a viral infection. Viral infections can also cause fatigue, weakness, and chills. The tender spot at the back of your head could be due to swollen lymph nodes, which often occur with infections.

    • Treatment for a viral infection usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Post-Polio Syndrome: As a polio survivor, you may be experiencing post-polio syndrome, which can cause muscle weakness, fatigue, and joint pain. However, this typically occurs decades after the initial polio infection.

    • Treatment for post-polio syndrome often involves physical therapy and assistive devices to manage symptoms.
  • Menopause: As a woman in your 60s, the hot flushes and chills you're experiencing could be related to menopause. However, this wouldn't explain all of your symptoms.

    • Treatment for menopause symptoms can include hormone replacement therapy and lifestyle changes.
  • Post-Traumatic Stress Disorder (PTSD): PTSD can cause physical symptoms like fatigue and dizziness, and can worsen with stress or anxiety. However, it wouldn't typically cause the range of symptoms you're experiencing.

    • Treatment for PTSD often involves therapy and medication.

What you can do

Given the range and severity of your symptoms, it's important that you seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor as soon as possible. They can perform a physical examination and order tests to help determine the cause of your symptoms.
  2. In the meantime, try to rest and stay hydrated. Over-the-counter medication may help manage some of your symptoms.
  3. Keep a symptom diary. Note when each symptom occurs, its severity, and any potential triggers. This can help your doctor in their assessment.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe headache or neck stiffness
  • High fever
  • Confusion or difficulty speaking
  • Sudden vision changes
  • Difficulty breathing

Remember, I'm an AI and this advice is based on the information you've given me. It's important to consult with a healthcare professional who can assess your symptoms in person.

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9 mo ago


People Also Ask


What are the common symptoms of a viral infection and how can they be managed?

Common symptoms of a viral infection include fever, chills, fatigue, muscle aches, and congestion. Management typically involves rest, staying hydrated, and using over-the-counter medications to relieve symptoms.


What is post-polio syndrome and how does it affect individuals who had polio in the past?

Post-polio syndrome is a condition that affects polio survivors years after recovery, causing symptoms like muscle weakness, fatigue, and joint pain. Management often includes physical therapy and lifestyle modifications.


Can menopause cause symptoms like hot flushes and chills in women over 60?

Yes, menopause can cause symptoms such as hot flushes and chills, even in women over 60. These symptoms are due to hormonal changes and can be managed with hormone replacement therapy and lifestyle adjustments.


What are the potential side effects of taking Minipress for nightmares?

Minipress, used for nightmares, can cause side effects such as dizziness, headache, drowsiness, and weakness. It's important to discuss any side effects with a healthcare provider.

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