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Body Pain with Fever: Causes, Symptoms, and Effective Relief Strategies

What causes body aches when you’re sick. How can you alleviate full-body pain during illness. When should you seek medical attention for persistent body aches. What are the most effective home remedies for body pain with fever.

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Understanding the Connection Between Body Aches and Illness

When you’re struck by a cold, flu, or other viral infections, your body often responds with a familiar yet uncomfortable symptom: widespread aching. This full-body discomfort, often accompanied by fever, can quickly derail your daily routine. But why does illness cause such pervasive pain?

The root cause of body aches during sickness lies in your immune system’s response to infection. As your body detects the presence of harmful pathogens, it launches a complex defense mechanism. White blood cells are mobilized to combat the invaders, triggering inflammation throughout the body. This inflammatory response, while crucial for fighting off illness, can leave your muscles feeling sore and achy.

Interestingly, the severity of your body aches often correlates with the intensity of your immune response. A more robust immune reaction typically results in more pronounced achiness. While uncomfortable, this discomfort serves as a sign that your body is actively working to overcome the infection.

Common Symptoms Accompanying Body Aches During Illness

Body aches rarely occur in isolation when you’re sick. They’re often part of a constellation of symptoms that signal your body’s battle against infection. Some common companions to full-body pain include:

  • Fever: An elevated body temperature is your immune system’s way of creating an inhospitable environment for pathogens.
  • Weakness and fatigue: Fighting off an infection requires significant energy, often leaving you feeling drained.
  • Chills and sweating: These symptoms often accompany fever as your body attempts to regulate its temperature.
  • Respiratory symptoms: Coughing, sneezing, and congestion are common, especially with upper respiratory infections.
  • Gastrointestinal distress: Some illnesses may cause nausea, vomiting, or diarrhea alongside body aches.

Recognizing these associated symptoms can help you better understand the nature of your illness and take appropriate steps for relief and recovery.

Effective Home Remedies for Alleviating Body Aches

While the best approach to treating body aches is addressing the underlying cause, several home remedies can provide comfort as you recover. Here are some effective strategies to ease your discomfort:

Stay Hydrated

Proper hydration is crucial when you’re battling an illness. Fever, sweating, and other symptoms can lead to dehydration, which may exacerbate body aches. How can you ensure adequate hydration? Consider these options:

  • Water: The most straightforward and effective way to stay hydrated.
  • Herbal teas: Can provide both hydration and potential soothing effects.
  • Electrolyte drinks: Helpful for replenishing lost minerals, especially if you’re experiencing vomiting or diarrhea.
  • Clear broths: Offer hydration along with some nutritional benefits.

Apply Heat Therapy

Heat can be a powerful ally in relieving muscle tension and body aches. How can you incorporate heat therapy into your recovery? Try these methods:

  • Warm baths or showers: The gentle warmth can help relax tense muscles.
  • Heating pads: Apply to specific areas of discomfort for targeted relief.
  • Warm compresses: A simple yet effective way to soothe aching muscles.

Remember to use caution with heat therapy if you have a high fever, and always maintain a comfortable temperature to avoid overheating.

Prioritize Rest and Sleep

Adequate rest is essential for your body’s healing process. Sleep and the immune system are closely interlinked, with quality sleep bolstering your body’s defenses. How can you optimize your rest when you’re feeling under the weather?

  • Create a comfortable sleep environment: Ensure your bedroom is dark, quiet, and at a comfortable temperature.
  • Maintain a consistent sleep schedule: Try to go to bed and wake up at the same times each day.
  • Limit screen time before bed: The blue light from devices can interfere with your sleep quality.
  • Consider short naps during the day: Brief periods of rest can help combat fatigue without disrupting nighttime sleep.

Over-the-Counter Pain Relief Options

When home remedies aren’t providing sufficient relief, over-the-counter (OTC) pain medications can be an effective option. Which OTC medications are most suitable for body aches associated with illness?

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are often the go-to choice for body aches and fever. These medications work by reducing inflammation and blocking pain signals. Common NSAIDs include:

  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Aspirin

NSAIDs not only help alleviate pain but can also reduce fever, making them particularly useful when body aches are accompanied by an elevated temperature.

Acetaminophen

Acetaminophen (Tylenol) is another effective option for pain relief and fever reduction. While it doesn’t have the anti-inflammatory properties of NSAIDs, it can be gentler on the stomach and is often recommended for those who can’t take NSAIDs due to certain medical conditions.

Always follow the recommended dosage instructions on the packaging and consult with a healthcare professional if you have any concerns about using OTC pain relievers.

When to Seek Medical Attention for Body Aches

While most cases of body aches associated with common illnesses resolve on their own with home care, there are situations where medical attention may be necessary. How can you determine if your body aches warrant a visit to the doctor?

Duration of Symptoms

If your body aches persist for more than 3-5 days without improvement, it’s advisable to consult your primary care physician. Prolonged discomfort could indicate a more serious underlying condition or a complication of the initial illness.

Severity of Pain

Severe pain that significantly impacts your daily activities or is unresponsive to OTC pain relievers may require medical evaluation. Your doctor can assess the cause of the intense discomfort and recommend appropriate treatment.

Associated Symptoms

Certain symptoms accompanying body aches should prompt immediate medical attention:

  • High fever (above 103°F or 39.4°C) that doesn’t respond to fever-reducing medications
  • Difficulty breathing or chest pain
  • Severe headache, especially if accompanied by neck stiffness
  • Unusual rashes or skin discoloration
  • Confusion or altered mental state

Recent Tick Bite

If your body aches appear following a tick bite, especially if accompanied by a bull’s-eye rash, seek medical attention promptly. This could be a sign of Lyme disease or other tick-borne illnesses that require specific treatment.

Chronic Body Aches: Potential Underlying Causes

While acute body aches are often associated with temporary illnesses, persistent or recurring body pain may signal a more complex health issue. What are some potential causes of chronic body aches?

Fibromyalgia

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, often accompanied by fatigue, sleep disturbances, and mood changes. The exact cause is unknown, but it’s believed to involve how the brain processes pain signals.

Chronic Fatigue Syndrome

Also known as myalgic encephalomyelitis, this condition causes extreme fatigue that doesn’t improve with rest. Body aches are a common symptom, along with cognitive difficulties and sleep problems.

Autoimmune Disorders

Various autoimmune conditions can cause persistent body aches, including:

  • Rheumatoid arthritis
  • Lupus
  • Multiple sclerosis
  • Polymyalgia rheumatica

These conditions occur when the immune system mistakenly attacks healthy tissues, leading to inflammation and pain throughout the body.

Vitamin D Deficiency

Low levels of vitamin D have been associated with generalized muscle pain and weakness. This deficiency is particularly common in areas with limited sunlight exposure or in individuals with certain dietary restrictions.

Preventive Measures to Reduce the Risk of Illness-Related Body Aches

While it’s not always possible to avoid getting sick, there are steps you can take to boost your immune system and potentially reduce the severity of illness-related body aches. How can you fortify your body’s defenses?

Maintain a Healthy Lifestyle

A strong immune system starts with healthy daily habits:

  • Balanced diet: Focus on fruits, vegetables, lean proteins, and whole grains to provide your body with essential nutrients.
  • Regular exercise: Moderate physical activity can boost immune function and improve overall health.
  • Adequate sleep: Aim for 7-9 hours of quality sleep each night to support immune health.
  • Stress management: Chronic stress can weaken the immune system, so incorporate stress-reduction techniques like meditation or yoga into your routine.

Practice Good Hygiene

Reducing your exposure to pathogens can lower your risk of illness:

  • Wash your hands frequently with soap and water, especially before eating and after being in public spaces.
  • Avoid touching your face, particularly your eyes, nose, and mouth.
  • Clean and disinfect frequently touched surfaces in your home and workspace.

Stay Up-to-Date on Vaccinations

Vaccines can provide protection against various illnesses that may cause body aches. Consult with your healthcare provider to ensure you’re current on recommended vaccinations, including annual flu shots.

Boost Your Vitamin D Levels

Given the potential link between vitamin D deficiency and muscle pain, ensuring adequate vitamin D intake may help prevent body aches. Consider these strategies:

  • Safe sun exposure: Spend short periods in sunlight, following skin cancer prevention guidelines.
  • Dietary sources: Incorporate vitamin D-rich foods like fatty fish, egg yolks, and fortified dairy products into your diet.
  • Supplements: Discuss with your doctor whether vitamin D supplementation is appropriate for you.

By implementing these preventive measures, you may be able to reduce the frequency and severity of illness-related body aches, supporting overall health and well-being.

Why your whole body aches when you’re sick (and what you can do about it)

Coming down with a cold, virus or the flu is never fun. But sometimes you can push through if the symptoms aren’t too bad. Have a sore throat? Gargle. Feeling congested? Take a steam shower. Mild fever? Take fever-reducing medicine. It’s bearable, though not ideal.

But once full-body aches set in (often accompanied by a fever), you may quickly find yourself out of commission. Unlike the muscle aches that can come on after one too many squats, body aches from an illness tend to cause dull pain and discomfort everywhere.

The good news is you can find some relief from full-body aches right in the comfort of your home. Here’s what you need to know:

What causes body aches when you’re sick?

When you have the flu, a common cold, a virus or a bacterial infection, your immune system jumps into action. It reacts by releasing white blood cells to fight off the infection. The reaction causes inflammation, which can leave your muscles feeling achy.

The good news is that your achiness is a sign that your body is fighting off the illness. But the harder your body works, the more severely the body might ache.

Full-body aches are also often accompanied by other symptoms including:

  • Fever
  • Weakness
  • Fatigue
  • Shivering or body temperature changes
  • Cold and flu-like symptoms

What helps body aches

The best way to diminish full-body aches is to treat the underlying cause of the aching. But as you’re waiting for treatment to kick in — or just waiting for a virus to run its course — try to:

Stay hydrated

Some symptoms of cold and flu — such as sweating, vomiting and diarrhea — can leave you dehydrated. But water is essential to your body’s normal functioning and its ability to fight infection. Drink plenty of water, broth, tea or electrolyte drinks. Soup is also a great way to stay hydrated, especially if you are struggling to eat solid foods.

Use heat to relax your muscles

Heat can loosen muscles and provide relief from body aches. If you don’t have a severe fever, a warm bath or shower can be relaxing. But avoid making the temperature too hot — keep the water just above lukewarm to maintain your body temperature. Heating pads or blankets can also offer some comfort, but avoid excessive heat and don’t use them if there is a chance you may fall asleep.

Regulate your body temperature

Full-body aches often go hand-in-hand with a fever. As a higher body temperature causes you to shiver, your muscles tense up and may begin to ache. To regulate your body temperature, reach for fever-reducing pain medicine, take a cool bath and use only a thin blanket or sheet.

Rest

Research shows that the immune system and sleep are closely connected. Sleep strengthens the body’s defense system. And when the body is fighting infection, it craves more sleep. The problem is that when you are sick, other symptoms often make it hard to sleep soundly. Try to rest as much as possible — it will relax your muscles and speed up the healing process.

Take over-the-counter pain medication

Common pain relievers may help you feel better but be sure to choose non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. NSAIDs have anti-inflammatory properties and block the body’s production of inflammation-causing chemicals. As a bonus, NSAIDs also help reduce fever to regulate body temperature.

When to see your doctor about full-body aches

Body aches from a viral illness typically clear up in a couple of days and improve with home remedies. But if your body aches haven’t gotten better after 3-5 days, check in with your primary care physician (PCP).

See a doctor sooner if your body aches:

  • Appear after a tick bite
  • Accompany severe redness or swelling
  • Occur with a rash

If you don’t have a fever or other symptoms, and you experience body aches often or for prolonged periods of time, make an appointment with your PCP. It could be a sign of a drug reaction or a more severe and chronic underlying medical condition, such as an autoimmune disease.

If you have body aches that aren’t improving, reach out to your primary care physician.

Body Aches: 17 Possible Causes

Body aches occur with many health conditions, including arthritis and the flu. If the pain lasts more than a few days, is severe, or occurs with other symptoms, you may need medical attention.

Often, rest and home treatment can relieve body aches. However, persistent or severe pain may have an underlying cause that needs medical attention.

A doctor can help you work out a treatment plan to relieve your aches and other associated symptoms.

Keep reading to learn more about 17 causes for body aches and pains and other symptoms of each, to help you work out what’s happening.

We often think of stress as a mental health condition, but it can also impact the body on a cellular level.

In times of stress, the body can become more susceptible to infection and inflammation, and it may lead to aches and pains.

Other symptoms of stress and anxiety include:

  • an increased heart rate and blood pressure
  • sweating
  • hyperventilating
  • trembling
  • headache

Get some tips for relieving stress here.

Water is an essential ingredient for the body’s normal and healthy functioning. Without it, you can become dehydrated, which can lead to muscle cramps.

Other symptoms of dehydration include:

  • dark urine
  • dizziness or disorientation
  • exhaustion
  • extreme thirst

What’s the best way to rehydrate?

Adults aged 18 and over need to sleep at least 7 hours in every 24 hours.

Having too little sleep can make you more sensitive to pain. It can also worsen existing pain symptoms.

Around 25% of your sleep should be the deepest sleep. During this time, the body repairs itself and releases essential hormones, among other functions.

Not getting enough quality sleep also increase the risk of various chronic conditions, such as:

  • diabetes
  • cardiovascular disease
  • obesity
  • depression

How much deep, light, and REM sleep do we need, and how can we get enough good quality sleep?

A cold, the flu, COVID-19, and other infections can cause inflammation as your immune system works to remove them. This can cause aches and pains.

Here are some common symptoms of these conditions.

A coldThe fluCOVID-19
sneezing
stuffy nose
sore throat
slight aches
fever and chills
aches
chest discomfort
cough
headache
fever or chills
muscle or body aches
cough and possibly breathing difficulty
new loss of taste or sense of smell
fatigue
headache
congestion or runny nose

Cold symptoms are usually milder than those of flu. The severity and types of COVID-19 symptoms vary widely, but they can become life threatening if a person finds it hard to breathe.

What’s the difference between cold and flu symptoms?

Anemia happens when your body doesn’t have enough properly functioning red blood cells, so your body tissues can’t get enough oxygen.

Some people who live with chronic conditions have anemia of inflammation. Experts believe this may result when a chronic condition affects how the body works, including how it uses iron.

Possible symptoms include:

  • body pain
  • a rapid heart rate
  • dizziness or light-headedness
  • weakness and fatigue
  • pale skin
  • shortness of breath

What are some signs of iron deficiency anemia?

Hypocalcemia, or a low blood calcium level, can happen when you don’t have enough calcium in your diet and vitamin D (calciferol) in your body from sunshine or your diet.

Your bones and muscles need calcium and vitamin D to stay healthy.

Low vitamin D levels can lead to:

  • bone pain and unusual bone shape in children and teens
  • muscle pain and weakness
  • muscle cramps

How can I get more vitamin D?

Mononucleosis, mono, or “kissing disease” is an infection caused by the Epstein-Barr virus (EBV).

It’s very contagious, and symptoms include head and body aches.

Other symptoms are:

  • fatigue
  • fever
  • a sore throat
  • swollen lymph nodes
  • an enlarged liver, spleen, or both
  • a rash

What treatments can you use for mono?

Pneumonia is a lung infection that can affect your whole body.

It can cause chest and muscle pain, as well as:

  • a cough, which may be dry or produce green, yellow, or blood-tinged mucus
  • headache
  • fever and chills
  • breathing difficulty
  • fatigue
  • low appetite
  • confusion
  • nausea and vomiting, especially in children

Can home remedies support medical treatment for pneumonia?

Fibromyalgia is a chronic condition where your entire body feels exhausted, achy, and sensitive.

Why is happens is unclear, but older age and having lupus or rheumatoid arthritis seem to increase the risk.

Symptoms include:

  • pain and stiffness throughout the body
  • fatigue
  • depression and anxiety
  • sleep problems
  • difficulty thinking, focusing, and remembering
  • headaches and migraine

Fibromyalgia diet: Can it help?

Chronic fatigue syndrome (CFS), also called myalgic encephalomyelitis (ME), can cause you to feel exhausted and weak, no matter how much rest or sleep you get.

Possible causes include previous infection with the EBV or other viruses, genetic factors, and changes in the immune system.

Symptoms of CFS include:

  • aches in the muscles and joints throughout your body
  • fatigue that does not improve with rest
  • a general feeling of being unwell
  • headaches
  • sleep disturbances and daytime drowsiness
  • difficulty thinking and remembering

Get some diet hacks to reduce chronic fatigue

Arthritis happens when your joints become inflamed. There are different types of arthritis, and symptoms can vary, but they all include joint pain.

Examples include:

  • osteoarthritis, which happens when the cartilage around your joints breaks down
  • autoimmune conditions that wear away the lining around your joints, such as rheumatoid arthritis (RA)
  • gout, when a buildup of uric acid crystals causes pain, swelling, and inflammation
  • psoriatic arthritis, which can occur with psoriasis and often involves swelling in the fingers

Other symptoms of arthritis include:

  • stiffness in your joints
  • swelling, warmth, or redness around the joint
  • not being able to move a joint all the way

Can Ayurvedic treatment help with arthritis?

Lupus, including systemic lupus erythematosus (SLE), happens when your immune system attacks the tissues around your body, including blood vessels, organs, and joints.

The damage and inflammation that can lead to pain in the joints due to arthritis.

Other symptoms include:

  • skin lesions and rashes
  • anemia
  • headache
  • heart, lung, and kidney problems
  • ear and eye problems

What are some diet tips for lupus?

Lyme disease is a bacterial infection that spreads through tick bites.

Symptoms develop in stages and include:

  • a rash
  • muscle pain
  • eye pain
  • joint pain, especially in the knee, ankle, and wrist joints
  • facial palsy, or weakness in the facial muscles

Without treatment, Lyme disease can lead to neuromuscular and joint conditions, such as arthritis and facial paralysis. It can also cause heart problems.

What is the Lyme disease antibody test?

Histoplasmosis is a fungal infection caused by airborne spores from the soil or the droppings of bats or birds, especially in river valleys.

Possible symptoms include:

  • flu-like symptoms
  • chills and fever
  • chest pain
  • joint pain, in some cases
  • headaches
  • coughing

How can histoplasmosis affect the eyes?

Multiple sclerosis (MS) is an autoimmune condition that affects the nervous system. It causes the myelin coverings around nerves to break down because of constant inflammation. As a result, the nerves cannot transmit messages effectively.

As a result, a person with MS will experience body aches and pain.

They may also experience:

  • vision changes
  • fatigue
  • weakness
  • tingling
  • trouble walking or staying balanced
  • trouble remembering or thinking

What are the treatments for MS?

Sepsis is an extreme response to an infection. It happens when an infection in the lungs, skin, or elsewhere triggers an immune reaction throughout the body. It is a life-threatening emergency.

The symptoms of sepsis include:

  • severe pain
  • a rapid heart rate or weak pulse
  • confusion
  • fever or chills
  • difficulty breathing
  • clammy skin

Anyone with these symptoms needs urgent medical treatment, especially if they have a weakened immune system or already have an infection. It can quickly lead to septic shock, which can be fatal.

Cancer can cause general body pain if it spreads throughout the body or if a person has bone cancer. As late-stage cancer progresses, the pain will increase, and the person will need strong pain relief medication.

Depending on where cancer has spread, other late-stage symptoms may include:

  • bone pain and fractures if cancer is in the bones
  • shortness of breath, if cancer is in the lungs
  • headaches and dizziness if cancer has reached the brain
  • abdominal swelling and jaundice, which give a yellow tinge to the eyes, if cancer has spread to the liver

Some cancer treatments can also cause bone pain.

Anyone with cancer or a previous diagnosis of cancer should speak with a doctor if they notice an onset of general pain or bone pain.

What are the stages of cancer?

Why do I have joint pain in the morning?

Joint pain and stiffness that is present when you wake up and lasts 30 minutes or longer may be a sign of RA. RA usually affects more than one joint, and it occurs in corresponding joints on both sides of the body, for instance, both knees.

What does it mean when you have body aches but no fever?

Body aches often happen with an infection, and you may also have a fever and chills. However, they also can occur without a fever, for instance, if you have been exercising more than usual, if you are not sleeping well, or if you are lacking nutrients, such as vitamin D or calcium.

How do you stop body aches?

This will depend on the cause. If it is due to exercise, you will have to wait until they resolve. Some underlying conditions, such as a cold or the flu, respond to rest and home treatment. Other causes will need medical attention. In the case of sepsis, the person will need immediate help.

Seek emergency medication attention if you have body pain with the following symptoms:

  • trouble breathing
  • trouble eating or drinking
  • a high fever
  • confusion
  • seizures
  • extreme fatigue or exhaustion
  • a bad cough that doesn’t go away after a few days

If other, milder symptoms last for more than 2 weeks, see your doctor. They can examine you for a possible underlying condition. They will then work with you on a treatment plan to reduce the pain and treat the cause.

If you don’t already have a primary care doctor, you can browse doctors in your area through the Healthline FindCare tool.

Body aches and pains can happen for many reasons, ranging from stress to sepsis. Many of these causes are not serious and will resolve without treatment, but some may need urgent medical treatment.

If so, a doctor will consider the aches and pains along with other symptoms and carry out various tests before making a diagnosis.

Read this article in Spanish.

Breaks the body at a temperature, what to do?

The cause of pain in muscles, joints and bones during fever often lies in intoxication, that is, poisoning of the body 1 . As “poisons” are bacterial toxins, products of inflammation and decay of tissues in the affected areas, substances that appear in the body due to metabolic disorders against the background of the disease 1 . At the same time, the severity of symptoms of intoxication primarily depends on the type of infectious agent and the body’s ability to resist it 1 .

Infectious diseases are more commonly caused by:

  • viruses, such as influenza, parainfluenza, adenoviruses, hepatitis viruses, infectious mononucleosis, measles, varicella, and others;
  • bacteria: staphylococcus, streptococcus, salmonella, tubercle bacillus, etc.;
  • protozoa: amoeba and giardia;
  • mushrooms 2 .

The vast majority of all infections are acute respiratory viral diseases 2.3 . Their pathogens can be:

  • influenza viruses – about 15% of cases;
  • parainfluenza – up to 50%;
  • adenoviruses – up to 5%,
  • respiratory syncytial virus – about 4%;
  • enteroviruses – 1%;
  • viral associations – about 23%;
  • other viruses 4 .

All of these viruses can infect the mucous membrane of the upper respiratory tract. They penetrate the epithelial cells of the nasal cavity and pharynx, causing local inflammation and death of these cells 3.4 . Absorption into the bloodstream of inflammation and decay products leads to the development of an intoxication syndrome, accompanied by body aches and fever, weakness, headache and other symptoms 3.4 .

Intoxication is most pronounced in influenza 4.5 . Its appearance precedes the symptoms of respiratory tract damage.

  • Body temperature rises to 39-40 °C 4 chills occur.
  • Starts to have a headache in the forehead and temples.
  • Sudden sounds and movements aggravate headache.
  • There is pain and pain in the eyes, aggravated by the movement of the eyeballs and pressure on them.
  • Eyes become red and watery.
  • Aches and pains in muscles and joints.
  • Acute weakness and lethargy seizes the whole body 5 .

According to statistics, muscle pains accompany influenza in 40% of cases. Muscle weakness occurs in 87% of patients 4 .

Additional manifestations of intoxication may be vomiting, sometimes occurring in children, dizziness and fainting, which are more common in adolescents and elderly patients. Possible sleep disturbance in the form of insomnia 5 .

The manifestations of SARS caused by other respiratory viruses (not the influenza virus) are similar to each other 4 . According to the severity of the intoxication syndrome, these diseases are an order of magnitude inferior to influenza 4 .

So, rhinovirus infection , although it begins acutely, with sneezing and the appearance of copious watery discharge from the nose, is almost never accompanied by body aches and fever – the temperature rarely rises to 38 ° C, and sometimes even remains normal 4 .

With parainfluenza from the first day, sore throat, dry hacking cough, hoarseness are disturbed, and manifestations of intoxication are limited to a rise in temperature to 37. 5 ° C, mild weakness and headache 4 .

Adenovirus infection is characterized by high and prolonged fever, runny nose, conjunctivitis, sore throat associated with damage to the pharyngeal tonsils, swollen lymph nodes. However, despite the impressive set of symptoms and high temperature, the muscles and joints do not hurt – some weakness and heaviness in the head are possible 4 .

Respiratory syncytial infection also occurs with moderate intoxication: weakness, lethargy, headache, discomfort in the muscles of the body – but the resulting discomfort is not comparable to what happens with the flu. Along with the intoxication syndrome, there is a cough with shortness of breath, wheezing and viscous sputum 4 .

Fever and chills – features of the course

High fever accompanied by chills is often a symptom of influenza or SARS

High body temperature accompanied by chills is a symptom of influenza or SARS 1. 2 and helps to identify this disease.

Features of the course

Bacterial and viral infections, such as influenza or SARS, may be accompanied by symptoms such as fever and chills. 1.2

An increase in body temperature is part of the body’s defense response to an active infection. 3 The anterior hypothalamus in the brain increases body temperature 4 up to 38°C or more, which gives the effect that we perceive as a fever. 5

Fever should not be confused with hyperthermia, which occurs when the body generates more heat than it can dissipate. 3 Hyperthermia is most often the result of wearing excess clothing that is inappropriate in hot weather or high humidity, or after strenuous physical activity. 4

Chill manifests itself in the form of rapid muscle contraction and relaxation, visually perceived as a shiver. Chills are often observed before the onset of fever. 2

  • Questions you can ask your patient

    Ask the patient the following questions: 6

    • What are the main and accompanying symptoms?
    • What are the characteristics of these symptoms?
    • What was the treatment for fever and chills?
    • Have you ever had a fever and chills?
    • When did the problem occur?
    • What makes fever/chills worse and what makes them better?
    • Do you have other diseases? Are you taking other medications?
  • The patient should be referred to a doctor for medical attention in the following cases

    The patient should be referred to a physician immediately if the pharmacy staff or caregiver observes the following:

    • Paleness; patchy skin lesions; skin, lips or tongue turned blue or ashy
    • No response to social cues
    • Patient has difficulty walking or staying awake
    • Decreased activity
    • Signs of acute respiratory distress syndrome such as nasal flaring, increased respiratory rate, wheezing in the chest, groaning and moderate or severe chest retraction
    • Palpitations
    • Reduced skin turgor
    • Body temperature above 39°C in children aged 3-6 months or body temperature above 38°C in children <3 months of age 7
    • Fever with rash
    • Flu-like symptoms that improve but then recur with fever and worse cough 8

Etiology

Learn about the causes of fever and chills.