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Sore throat, shivering, drop in temperature, shallow breathing, headache, foggy thinking. Has asthma, hypertension. Suggest treatment

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General & Family Physician
Practicing since : 2012
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My daughter is 30 & has had sore throat for 3 days now is weak & shaking off & on, Temp has dropped to 94.5. Shallow breathing @ times, headache off & on, foggy thinking.
has had asthma but has used inhaler. has hypertension but blood pressure is 123 over 75 pulse 77. Ear has also been hurting off & on for last 3 days. What should I do?
Posted Wed, 1 May 2013 in Headache and Migraines
Answered by Dr. Achuo Ascensius 4 hours later
thanks for the query.

Sore throat and ear pain are symptoms associated with Weakness, chills, shallow breathing and headache are general symptoms that result in the case of an infection.

Asthma is a chronic disease with chronic inflammation of the respiratory tract. In advance forms, the patient may be weak but it starts firstly with expiratory wheezes before the patient becomes very weak with the wheezes not heard again. Since your daughter did not first have the wheezes before becoming too weak, its less likely that its her asthma.

Hypertension is a persistent elevated high blood pressure of more than or equal to 140/90. With your daughter's values it is less likely that she is hypertensive also giving her age unless its a secondary hypertension.

You should see a doctor, so that a throat examination should be done with a detailed physical examination and a throat swap test done to investigate the causative agent. Antibiotics such as amoxicilline or amoxicilline and clavulanic acid will be helpful together with paracetamol for pains and mouth wash sch as hextril or Drill pastille.

Hope this answers your query. If you have further query, i shall be ready to help.
Best regards
Above answer was peer-reviewed by
Follow-up: Sore throat, shivering, drop in temperature, shallow breathing, headache, foggy thinking. Has asthma, hypertension. Suggest treatment 9 hours later
What is causing the drop in body temperature? With an infection it usually causes a fever, No hypothermia.
Answered by Dr. Achuo Ascensius 1 hour later
thanks once more for the query.

Normal body temperature is an average of 98.6 degrees Fahrenheit although variations for up to a degree can be observed depending on the activity and time of the day.

94.5 is very low and it is XXXXXXX to the body. Circulation could fail with persistent and falling temperature. The causes vary and include;
-sepsis: due to infection accompanied by dropping blood pressure in advanced and severe forms of the infection.
-hyothyroidism: a metabolic condition involving the thyroid
-exposure to cold and
-a defective thermometer.

Given that she is having an infection, it is likely that she is suffering from a sepsis and effective antibiotics which your doctor could prescribed will be a corner stone of treatment. However, a careful examination is needed.

Hypothermia is a severe condition and is fatal, thus prompt action is needed.
Firstly, you should get her temperature retested rectally with a different thermometer; if its still low ( below 98.6 by greater than a degree) then prompt consultation should be made to your doctor meanwhile hot soups, thick dresses should be encouraged.

Hope this answers your query.If you do have further query, i will be glad to help. Meanwhile if you do not have further query, you could close the discussion and rate the answers.

Best regards.
Above answer was peer-reviewed by
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