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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue, Muscle Aches, Cough And Fever?

I have had flu like symptoms over the past 5 days including severe fatigue, muscle aches, productive cough, low grade fever. My concern is despite taking tylenol and motrin around the clock my heart rate is persistently 110-120 s even at rest. I did get the flu shot 2 weeks ago from the time my symptoms started. I am otherwise a healthy 31 year old woman with no health problems should I be concerned or let this run it s course?
Tue, 28 Jun 2016
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General & Family Physician 's  Response
Hi welcome to HCM...

According to history you can have acute bronchitis or pneumonia like infection ...
In which due to infection heart rate can be high....

I would suggest you to get your chest x ray done ....
If pneumonia is there consolidation will be seen....
You might need cefixime like antibiotic for 7 days....
Steam inhalation useful....

Drink more fluids...
Excess spicy food , oily food like irritants avoided....

For cough ambroxol syrup can be taken...
Auscultation done to heard for rales or rhonchi ....

If bronchoconstriction present because of bronchitis then bronchodilator needed....

For congestion relief antihistaminic drug needed....

With keeping my answer in mind consult pulmonologist ....

Take care
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General Surgeon Dr. Mukund Savaskar's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Viral flue with accompanied Bacterial infection of Upper Respiratory Tract.
Thats why though with flu shot you are protected from flu attack,tylenol with motrin, is not able to control your heart rate at 110-120,as though fever is kept under control,the bacterial toxins,pyrogens are not controlled and would need -Antibiotic cover to control bacterial infection causing tachycardia.
So this fatigue,cough,fever is to be concerned,and antibiotics needs to be added to control bacterial infection.
Rule out TB Lung,before starting antibiotic,by IGRA and by LCr on sputum AFB.
Hope this would help you to plan further of this complex illness of yours.

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Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Fatigue, Muscle Aches, Cough And Fever?

Hi welcome to HCM... According to history you can have acute bronchitis or pneumonia like infection ... In which due to infection heart rate can be high.... I would suggest you to get your chest x ray done .... If pneumonia is there consolidation will be seen.... You might need cefixime like antibiotic for 7 days.... Steam inhalation useful.... Drink more fluids... Excess spicy food , oily food like irritants avoided.... For cough ambroxol syrup can be taken... Auscultation done to heard for rales or rhonchi .... If bronchoconstriction present because of bronchitis then bronchodilator needed.... For congestion relief antihistaminic drug needed.... With keeping my answer in mind consult pulmonologist .... Take care