Unexplained Symptoms: A Guide for Family Health Concerns - Family Medicine

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Please help me?


I'm sorry to bother you for a moment.
I live in Taichung City.
Actually, my mother has been experiencing some strange symptoms.
She is 51 years old and generally healthy, but over the past month, she has started to have fevers, body aches, and chills.
Last night was the third episode, each time occurring acutely (she was fine before 10 PM, but ended up in the emergency room at midnight).
The doctors have not been able to identify the cause each time.
My mother hasn't gone out at night, and she says it's unlikely she has a cold.
I'm really worried and don't know which specialty clinic to take her to.
Could you please advise what this might be? I appreciate your response.

Zi Ye Xue, 20~29 year old female. Ask Date: 2004/12/15

Dr. Hong Chuanqi reply Family Medicine


Hello Ziye Xue, your mother's symptoms resemble those of menopause.
You may take her to see a gynecologist, and if the issue persists, then consult a family physician.
Best of luck.
Hong Chuanqi, 93.12.17

Reply Date: 2004/12/15

More Info


It sounds like you are experiencing a very challenging situation with your mother's unexplained symptoms, and it's understandable that you are feeling worried and uncertain about what to do next. Your mother's recent health issues, including fever, body aches, and chills, can be concerning, especially when medical professionals have not been able to identify a clear cause.
First and foremost, it's important to recognize that unexplained symptoms can sometimes be indicative of underlying health issues that may not be immediately apparent. In your mother's case, the acute nature of her symptoms—especially the recurring fevers and body aches—could suggest several possibilities. Some potential causes could include viral infections, autoimmune disorders, or even conditions like fibromyalgia, which can manifest with similar symptoms.
Given that her symptoms have been persistent and acute, it would be advisable to ensure that she receives a thorough evaluation. Here are some steps you can take:
1. Consult a Specialist: Since her symptoms are not resolving and have led to emergency visits, it may be beneficial to consult a specialist. A rheumatologist could be helpful if there is a suspicion of an autoimmune condition, while an infectious disease specialist could provide insights if there is an underlying infection that has not been diagnosed.

2. Keep a Symptom Diary: Documenting her symptoms, including when they occur, their severity, and any other associated factors (like diet, stress levels, or recent activities), can provide valuable information to healthcare providers. This can help in identifying patterns that may lead to a diagnosis.

3. Consider Comprehensive Testing: If not already done, comprehensive blood tests, imaging studies (like X-rays or MRIs), and possibly even tests for specific infections could be warranted. Sometimes, conditions like Lyme disease or other tick-borne illnesses can present with vague symptoms and may require specific testing.

4. Monitor for Other Symptoms: Pay attention to any additional symptoms that may arise, such as changes in appetite, weight loss, fatigue, or gastrointestinal issues. These can provide further clues to her healthcare provider.

5. Explore Mental Health Factors: Sometimes, physical symptoms can be exacerbated by stress or emotional factors. If your mother has been under significant stress or has a history of anxiety or depression, it may be worth discussing these aspects with her doctor as well.

6. Seek a Second Opinion: If you feel that her current healthcare providers are not addressing your concerns adequately, seeking a second opinion from another physician may provide new insights or alternative approaches to her care.

7. Support and Communication: Ensure that your mother feels supported during this time. Encourage open communication about her feelings and concerns regarding her health. Emotional support can be just as crucial as physical care.

In conclusion, while it can be frustrating and frightening to deal with unexplained health issues, taking proactive steps to seek further evaluation and support can help you and your mother navigate this challenging situation. Remember, you are not alone in this, and there are resources and professionals available to assist you both.

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