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    What causes intermittent fever, joint pain, fatigue and fullness in the chest?

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Posted on Tue, 8 Aug 2017 in Brain and Spine
Question: Hi,

I have a question. I'm a little worried about something that happened last night but I don't want to overreact so I'd like some advice before seeing a doctor.

I've been suffering from flu like symptoms for the last 5 days. Off and on fever, joint pain, fatigue, fullness in chest. I didn't go to see a doctor because I feel like it's just viral. I've been taking paracetomal the last few days (recommended dose) last night I took Panadol XXXXXXX in fizzy drink form and I doubt it's related but 15-20 minutes later as I was preparing for bed, my vision got really blurry, I was seeing double in the dark or having tunnel vision, and I felt super weak and faint. I tossed and turned for a while and was having shortness of breath. The right side of my body went completely numb and I couldn't even lift my arm. My boyfriend was in bed with me and asked what was wrong and I started just crying uncontrollably and telling him I felt weird. My words were all slurred and I could hardly get them out or explain what was happening. Every noise hurt my ears and being touched felt so weird. It was like sensory overload and this extreme fatigue with numbness on my right side. I let it go and thought maybe it was just a medication reaction but I didn't take more than the recommended dose and something has been nagging me on the inside all day. When I looked up the symptoms they seemed very consistent with XXXXXXX stroke. Should I be worried? Do I need to see a doctor today? I don't want to be a hypochondriac but what happened last night was incredibly scary and I can't think of what else it might be. All in all my symptoms lasted maybe 30-45 minutes.

Thanks.
doctor
Answered by Dr. Sudhir Kumar 1 hour later
Brief Answer:
I agree symptoms are suggestive of XXXXXXX stroke (TIA)

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, we need to exclude a diagnosis of transient ischemic attack (TIA), which is also referred to as XXXXXXX stroke. This occurs due to lack of blood supply to a part of brain. In your case, the symptoms can be explained by reduction in blood flow to left side of brain.

Even though you have recovered, it is important to see a doctor and if possible, get a brain scan done.

These symptoms (side effects) are unlikely to be due to the medication that you took.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sudhir Kumar 1 hour later
Dear Dr. XXXXXXX

Thank you very much for your response. I am still feeling unwell now so I am headed to the hospital to get checked out.

I have another couple of questions: what else could these symptoms be suggestive of? And if a TIA, why would I be suffering from this at such a young age and as a relatively active and healthy person?

XXXX
doctor
Answered by Dr. Sudhir Kumar 8 hours later
Brief Answer:
Causes in young are different from the old.

Detailed Answer:
Thank you for getting back.
XXXXXXX strokes or strokes can occur at any age, including children. The underlying causes are different in different age groups.

In a 20 year old, the common underlying causes are vasculitis (inflammation of blood vessels), thrombotic disorders (where the blood becomes thicker), antiphospholipid antibody syndrome and heart diseases.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Sudhir Kumar 12 hours later
Dear Dr. XXXXXXX

One last follow up. I went to the A & E in a small hospital in XXXXXXX They did an ECG which came back normal, chest x ray, and monitored me over night. Today I did a CT of the brain and the results were fine. Tomorrow they want me to have an MRI. What can the MRI detect that the CT scan cant? Is it worth doing both?

I suffer from POTS and I have a Chiari 1 Malformation. All of this was considered by the doctors. Is it possible the Chiari or POTS could have mimicked TIA like symptoms?


What would you advise me to do next?


XXXX
doctor
Answered by Dr. Sudhir Kumar 1 hour later
Brief Answer:
I agree with the plan of MRI.

Detailed Answer:
Thank you for getting back.

CT scan could have been avoided as it does not provide much information in a patient with TIA. On MRI, we can pick up any small infarcts (areas of reduced blood flow in brain). We can also look for any narrowing of brain arteries.

Chiari and POTS can not explain your symptoms.

So, MRI with MR angiogram should be done.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

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