Fatigue and Symptoms During a Cold: What to Know - Family Medicine

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Feeling weak all over with a cold?


Hello doctor, my cold symptoms started appearing yesterday afternoon.
Initially, I felt dizzy and nauseous, which later turned into a headache.
I went to see a doctor, who prescribed medication that I have been taking.
My temperature was 37.4°C, but after going out today and taking a nap at home, I started to tremble.
When I got up and checked my temperature again, it was 38.8°C, and I feel completely weak and lethargic.
I would like to ask, is it normal for a cold to present these symptoms? Because I have had severe colds before and did not experience these symptoms.
Thank you, doctor :)

Hsuan, 10~19 year old female. Ask Date: 2017/01/26

Dr. Wu Fangcan reply Family Medicine


Based on your description, a viral infection cannot be ruled out.
If it is influenza, it typically starts with a sore throat, body aches, and fever.
It is advisable to consult a family medicine or internal medicine specialist for further evaluation.
Thank you.

Reply Date: 2017/01/26

More Info


When experiencing symptoms of a cold, such as dizziness, nausea, headaches, and fatigue, it is essential to understand that these can be common manifestations of viral infections. Your symptoms, which began with dizziness and nausea and progressed to headaches and fever, indicate that your body is responding to an infection. The fever of 38.8°C (102°F) suggests that your body is fighting off the illness, which is a normal immune response.

Fatigue during a cold is also prevalent. The body expends a significant amount of energy to combat the virus, leading to feelings of weakness and lethargy. This can be exacerbated by dehydration, poor sleep, and the overall stress that an illness places on the body. The shaking or trembling you experienced could be due to several factors, including fever-induced chills, muscle fatigue, or even anxiety related to feeling unwell.

It's important to note that while colds typically present with mild symptoms, they can vary significantly from person to person. Some individuals may experience more severe symptoms, including high fever, significant fatigue, and muscle aches. These variations can be influenced by factors such as your overall health, immune system status, and whether you have any underlying conditions.

In your case, the progression of symptoms and the high fever could indicate that you might be dealing with more than just a common cold. Conditions such as influenza or other viral infections can present with similar symptoms but may require different management strategies. If your symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They may recommend further evaluation, including blood tests or imaging, to rule out other potential causes of your symptoms.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Rest: Your body needs energy to fight off the infection, so ensure you get plenty of sleep and rest.

2. Hydration: Drink plenty of fluids, such as water, herbal teas, and broths, to stay hydrated. This can help alleviate some symptoms and support your immune system.

3. Nutrition: Eating a balanced diet rich in vitamins and minerals can help support your immune function. Foods high in vitamin C, such as citrus fruits, and zinc, found in nuts and seeds, can be particularly beneficial.

4. Over-the-counter medications: Depending on your symptoms, over-the-counter medications may help alleviate discomfort. For example, acetaminophen or ibuprofen can help reduce fever and relieve headaches.

5. Monitor symptoms: Keep track of your symptoms, including fever, and note any changes. If you experience difficulty breathing, chest pain, or if your fever persists for more than a few days, seek medical attention promptly.

6. Consult your doctor: Since you have already seen a doctor and received medication, it’s essential to follow their advice. If you feel that your symptoms are not improving or are worsening, don’t hesitate to reach out for further evaluation.

In summary, while your symptoms are consistent with a cold, the severity and progression warrant close monitoring. Fatigue and fever are common during viral infections, but if you have concerns about your health or if your symptoms are unusual for you, consulting a healthcare professional is always the best course of action.

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