Flu Symptoms and When to Seek Medical Help

Suspected influenza, symptoms include generalized weakness and fatigue?

A family member began experiencing symptoms (cough, fever, body aches) starting on November 24.
They went to the hospital for testing for influenza and COVID-19, both of which were negative.
They were prescribed medications for thirst, anti-inflammatory drugs, and antibiotics.
However, despite taking the medications, by November 26, the symptoms worsened (in addition to the previous symptoms, they also began experiencing weakness, low blood pressure, and diarrhea).
The family member has a history of chronic illness and is on antihypertensive and lipid-lowering medications.
I would like to ask:
1.
Regarding the low blood pressure mentioned, on November 28, the highest blood pressure measured was 74 and the lowest was 47, with a pulse of 112.
Should this value prompt immediate medical attention (the family member insists on finishing the medications first)? Should the chronic illness medications continue to be taken during this period (concerned about drug interactions)?
2.
In the past few days, the family member has had pale skin and lips, slurred speech, hand tremors, excessive sleepiness (lying down for three days), and overall weakness (difficulty walking alone).
I am very worried; should they go to the emergency room, or is this a common situation for illness?
3.
Could taking multiple medications (the aforementioned anti-inflammatory, cough suppressants, antibiotics, antihypertensive, and lipid-lowering medications) lead to kidney strain and cause acute kidney injury?
4.
Are there any dietary recommendations? I have many questions due to my concerns, and I appreciate your help, doctor.
Thank you.

Huang Lian, 30~39 year old female. Ask Date: 2023/11/29

Dr. Liao Yaopan reply Family Medicine

Hello, based on your description, if your symptoms do not improve, it is advisable to seek medical evaluation.
Online consultations are not equivalent to in-person visits and cannot provide diagnostic or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2023/11/29

More Info

When it comes to understanding flu symptoms and determining when to seek medical help, it is crucial to recognize the signs of a potentially serious condition, especially in individuals with chronic health issues. Based on the symptoms you described, your family member's situation warrants immediate attention.

1. Blood Pressure Concerns: The blood pressure readings you provided (74/47 mmHg) indicate hypotension, which is significantly lower than normal. Normal blood pressure is generally considered to be around 120/80 mmHg. Such low readings can lead to inadequate blood flow to vital organs, potentially resulting in shock or organ failure. Given these numbers, it is highly advisable to seek medical attention immediately, regardless of your family member's insistence on finishing the medication. The risks associated with low blood pressure, especially in someone with a chronic illness, far outweigh the benefits of waiting. Additionally, it is essential to continue taking prescribed medications for chronic conditions unless directed otherwise by a healthcare professional. Stopping these medications abruptly can lead to further complications.

2. Worsening Symptoms: The symptoms you mentioned—pale complexion, white lips, slurred speech, hand tremors, excessive sleepiness, and overall weakness—are concerning. These could indicate a serious underlying issue, such as dehydration, electrolyte imbalance, or even a severe infection. The combination of these symptoms suggests that your family member may not be responding well to the current treatment and could be experiencing complications. Therefore, I strongly recommend taking them to the emergency department for evaluation. It is better to err on the side of caution when it comes to health.

3. Medication Interactions and Kidney Health: Taking multiple medications, especially antibiotics, anti-inflammatory drugs, and medications for chronic conditions like hypertension and hyperlipidemia, can indeed place a strain on the kidneys. This is particularly true if there is dehydration or if the individual has pre-existing kidney issues. Monitoring kidney function is essential, especially in the context of acute illness. If there are concerns about kidney health, a healthcare provider may recommend blood tests to assess kidney function, such as serum creatinine and blood urea nitrogen (BUN) levels.

4. Dietary Recommendations: While your family member is experiencing these symptoms, it is crucial to maintain hydration. Encourage them to drink clear fluids, such as water, broth, or electrolyte solutions, to prevent dehydration. If they can tolerate it, light, easily digestible foods like toast, rice, bananas, and applesauce may be beneficial. However, if they are experiencing significant gastrointestinal symptoms like diarrhea, it may be wise to avoid dairy and high-fiber foods until their condition stabilizes.

In summary, given the concerning symptoms and low blood pressure readings, it is imperative to seek immediate medical attention for your family member. Their health status indicates that they may require further evaluation and possibly more aggressive treatment. It is always better to be proactive in such situations, especially when dealing with chronic health conditions. Please prioritize their health and well-being by consulting healthcare professionals as soon as possible.

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