Cold Sensitivity and Fatigue in Elderly Patients

Chills and lack of energy?

Hello Dr.
Hong: My mother (in her seventies) mentioned feeling discomfort in her abdomen the night before last.
Yesterday, she experienced chills and felt cold even while wearing heavy clothing, and she was shivering.
She occasionally coughed, but it was infrequent, about 2-3 times.
She has been very sleepy and lacking energy, resting in bed and not eating much, saying she wasn't hungry.
She has been unsteady on her feet.
Today, she ate a little but later vomited some phlegm.
She still feels cold and wants to drink hot soup.
Her abdomen is not uncomfortable, but she still lacks energy.
I am very worried about my mother and am unsure if her condition is a cold or if there are other underlying issues.

amy, 40~49 year old female. Ask Date: 2021/01/28

Dr. Hong Yuanbin reply Internal Medicine

Hello, it is recommended to check her temperature and blood pressure.
If she has diabetes, it is also important to measure her blood glucose levels.
Based on your description, she may have an infection, which could be a respiratory tract infection, urinary tract infection, or gastrointestinal infection.
It is advisable to send her to the hospital for treatment, as she may need to be hospitalized and receive antibiotics.
Thank you for your inquiry.

Reply Date: 2021/01/28

More Info

Understanding cold sensitivity and fatigue in elderly patients is a multifaceted issue that can arise from various underlying health conditions. In the case of your mother, who is in her seventies and exhibiting symptoms such as chills, fatigue, decreased appetite, and occasional cough, it is essential to consider several factors that could contribute to her condition.

Firstly, the elderly are generally more susceptible to infections, particularly respiratory infections, which can manifest with symptoms like chills, cough, and fatigue. The presence of chills, even when dressed warmly, could indicate an underlying infection, such as pneumonia or a urinary tract infection (UTI). These infections can often present with atypical symptoms in older adults, making it crucial to monitor for any additional signs of infection, such as fever or changes in mental status.

The fatigue and lack of appetite your mother is experiencing may also be linked to her body’s response to illness. When the body is fighting an infection, it often redirects energy towards the immune response, leading to feelings of exhaustion and a decreased desire to eat. This is particularly concerning in older adults, as malnutrition can exacerbate existing health issues and lead to further complications.

Additionally, the symptoms of unsteadiness while walking and the desire to sleep more than usual could indicate a decline in her overall physical condition. This could be due to a combination of factors, including dehydration, electrolyte imbalances, or even the side effects of medications she may be taking for other chronic conditions. It is also important to consider the possibility of heart-related issues, especially given her age and the presence of any pre-existing conditions such as hypertension or heart disease.

In terms of immediate steps, it is advisable to monitor her vital signs, including temperature, blood pressure, and heart rate. If she has a history of diabetes, checking her blood sugar levels would also be prudent. Given her symptoms, a thorough evaluation by a healthcare professional is warranted. This may include blood tests, imaging studies, and possibly a referral to a specialist if an infection or other serious condition is suspected.

Furthermore, her desire for warm soup and the feeling of coldness could be her body’s way of seeking comfort and warmth, which is a natural response to feeling unwell. Encouraging her to stay hydrated and consume easily digestible foods can help support her recovery.

In conclusion, while your mother’s symptoms may initially appear to be related to a common cold or flu, the combination of chills, fatigue, and decreased appetite in an elderly patient warrants a comprehensive medical evaluation. It is essential to rule out any serious underlying conditions and ensure she receives appropriate care. If her symptoms persist or worsen, seeking immediate medical attention is crucial to prevent potential complications.

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