HomeAnswersInfectious Diseasesrespiratory tract infectionsI am feeling unwell for the past three days. Please help.

What causes persistent fatigue, body aches, cough, and a high fever?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 30, 2024
Reviewed AtApril 30, 2024

Patient's Query

Hello doctor,

I am a 28-year-old male, and I have been feeling unwell for the past three days. I am becoming increasingly concerned about this overwhelming fatigue and body aches that persist. Additionally, I have a persistent cough and a high fever that does not seem to subside. I am afraid it might be a serious virus or influenza. Given my current situation, I cannot afford to be sick, and I am unsure about what steps to take. Is there any treatment that can help me feel better quickly? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Your symptoms strongly suggest a respiratory tract infection, possibly of viral origin with a bacterial superimposition. Potential viral causes may include influenza viruses such as influenza A (H1N1, H3N2, H5N1), influenza B, and respiratory syncytial virus (RSV). These can be identified through influenza panel tests. It is noteworthy that current influenza illnesses can result in prolonged morbidity. Given the ongoing presence of COVID-19, especially with the Omicron variant, an RT-PCR (real-time reverse transcriptase-polymerase chain reaction) test for COVID-19 is advisable using a nasopharyngeal swab specimen. Additional tests might be necessary for a more accurate determination of the causative agent.

Meanwhile, certain anti-inflammatory and antipyretic drugs can help reduce symptoms while awaiting the identification of the specific causative agent.

Hope this information helps you.

Thank you.

The Probable causes

Influenza viruses

Investigations to be done

1. Swab A)Nasopharyngeal - RT-PCR-based influenza panel tests and COVID-19 test. B) Throat swab- Bacterial culture for Streptococci. 2. X-ray chest - AP (anteroposterior)/ Lateral. 3. Urine culture and sensitivity. 4. Blood- CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein). 5. Renal and liver function tests.

Differential diagnosis

Bacterial respiratory tract infection.

Probable diagnosis

Viral influenza.

Treatment plan

Prescription for three days: 1. Tylenol complete day/night caplets: Daytime caplets (each yellow caplet): Dextromethorphan Hydrobromide 15 mg, Pseudoephedrine Hydrochloride 30 mg, Guaifenesin 100 mg, and Acetaminophen (Extra Strength) 500 mg. Nighttime caplets (each blue caplet): Pseudoephedrine Hydrochloride 30 mg, Acetaminophen (Extra Strength) 500 mg, and Diphenhydramine Hydrochloride 25 mg. Dosage: 1. One Daytime caplet every six hours (morning, afternoon after food) for three days. 2. Followed by one Nighttime caplet every six hours (evening and night after food) for the next three days. 2. Capsule Saccharomyces Boulardii 250mg: One capsule twice daily for three days. Note: Antiviral and/or antibiotic treatment will be determined based on the prescribed lab test reports. Please provide the test results for further guidance.

Preventive measures

1. Perform warm water saline gargles regularly. 2. Incorporate steam inhalation into your routine. 3. Ensure adequate hydration by consuming 12 to 16 cups of liquids per day. 4. Receive the influenza vaccine annually, particularly during the influenza season. 5. Following the resolution of the current infective episode, promptly take the COVID-19 vaccine, either as a booster or as a primary dose based on your vaccination status. 6. Opt for smaller, balanced meals every three to four hours, seeking guidance from a dietitian or nutritionist for a personalized approach.

Regarding follow up

Follow-up after getting the test results.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Infectious Diseases

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy