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What Causes Severe Body Aches, Fatigue, Nausea And Sore Throat?

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Posted on Fri, 29 Jul 2016
Question: I have had 7 days with SEVERE body aches, terrible exhaustion, and tender glands. I also have mild nausea and sore throat. I went to urgent care where they told me it's probably viral, see you later. I'm very worried because I can't live my life like this, and I can't miss work indefinitely. I understand the antibiotics can't help with a viral infection, but the "It'll go away sometime" answer doesn't help me after a week. If I'm not better in the next week or so, my life is going to unravel. What can I do? Thank you.
doctor
Answered by Dr. Ralph Chambers (1 hour later)
Brief Answer:
Hello. I understand your concern here

Detailed Answer:
Assuming this isn't a bacterial pharyngitis, while it may be the flu, it sounds to me like mononucleosis and, unfortunately, there is no specific medication for that and one has to ride it out. That might take several weeks.

Another possibility would be Lyme disease and I would screen you for both that and mono.

If it were Lyme, three weeks of doxycycline usually treats it effectively.

You need either to go back to the urgent care or see a different doctor

Please let me know if you need any more information here
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ralph Chambers (2 hours later)
Is mono contagious? If today is day 7, do I have any likelihood of being better in another week?
doctor
Answered by Dr. Ralph Chambers (4 minutes later)
Brief Answer:
Hi again

Detailed Answer:
Usually mono is contagious for a month after the symptoms start, but it's transmitted through kissing and close contact with others and not by just being in the same room.

If this is only the flu you should be better in a week's time
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ralph Chambers (11 minutes later)
Is mono likely without a fever?
doctor
Answered by Dr. Ralph Chambers (6 minutes later)
Brief Answer:
Hi again

Detailed Answer:
Usually there's a fever with mono, but not always.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ralph Chambers (24 hours later)
Sorry to bother you again. Last night I went to sleep with layers on, woke up this morning sweating and feeling a lot better. That did not last, and it got worse than ever. Took a nap today the same way with the same result, and back to feeling terrible again. Is that a sign of improvement?
doctor
Answered by Dr. Ralph Chambers (10 minutes later)
Brief Answer:
Hi again

Detailed Answer:
That makes it sound more like the flu rather than mono. Overall it does sound like you're on the way to getting better--maybe in another few days
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ralph Chambers (46 minutes later)
Can it be flu with no fever and a regular appetite?
doctor
Answered by Dr. Ralph Chambers (1 minute later)
Brief Answer:
Hi

Detailed Answer:
Yes indeed it can
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ralph Chambers (44 hours later)
Every time I sleep AND sweat, I feel better when I wake up for a while, then right back to miserable. Does that make any sense?
doctor
Answered by Dr. Ralph Chambers (27 minutes later)
Brief Answer:
Hi again

Detailed Answer:
Yes--that is what's known as the fever breaking. When the fever returns, we all feel lousy. This is sounding more and more like the flu.

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ralph Chambers (58 minutes later)
Does that idea pertain even though I have not had any fever? And thank you for being patient with my many questions.
doctor
Answered by Dr. Ralph Chambers (1 hour later)
Brief Answer:
Hello

Detailed Answer:
Even if you don't think there's a fever, the sweats are indicative of one.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ralph Chambers

General & Family Physician

Practicing since :1976

Answered : 2130 Questions

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What Causes Severe Body Aches, Fatigue, Nausea And Sore Throat?

Brief Answer: Hello. I understand your concern here Detailed Answer: Assuming this isn't a bacterial pharyngitis, while it may be the flu, it sounds to me like mononucleosis and, unfortunately, there is no specific medication for that and one has to ride it out. That might take several weeks. Another possibility would be Lyme disease and I would screen you for both that and mono. If it were Lyme, three weeks of doxycycline usually treats it effectively. You need either to go back to the urgent care or see a different doctor Please let me know if you need any more information here