Body Tingling and Tremors After Fever: A Neurology Perspective - Neurology

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About body numbness?


Hello, doctor.
A few days ago, I suddenly had a fever.
After taking antipyretics, the fever subsided, but it returned later.
However, I do not have any cold symptoms.
For the past two days, I have been feeling slight tremors and numbness in all four limbs, including my body.
What could be the cause?

Niming, 10~19 year old female. Ask Date: 2015/12/28

Dr. Lan Shengxing reply Neurology


I’m sorry, this description is not easy to interpret.
However, intermittent fever itself needs to be properly addressed.
Symptoms like shivering or numbness also require a hospital examination.
It is advisable to consult a family medicine or infectious disease specialist.

Reply Date: 2015/12/28

More Info


Experiencing body tingling and tremors after a fever can be concerning, and it's important to understand the potential underlying causes from a neurological perspective. Fever itself is a common response to infection or inflammation, and it can lead to various physiological changes in the body. When you mention that you had a fever without accompanying cold symptoms, it raises the possibility of several conditions that could be affecting your nervous system.

Firstly, the tremors and tingling sensations you are experiencing could be related to post-viral syndromes. After a viral infection, some individuals may experience lingering symptoms, including muscle weakness, fatigue, and neurological symptoms such as tingling or tremors. This is sometimes referred to as post-viral fatigue syndrome or myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The exact mechanism is not fully understood, but it is believed that the immune response to the virus may trigger changes in the nervous system.

Another possibility is that the fever and subsequent symptoms could be related to electrolyte imbalances. Fever can lead to dehydration, especially if you are not adequately hydrating during your illness. Electrolytes like sodium, potassium, and calcium are crucial for normal muscle function and nerve signaling. An imbalance can lead to muscle twitching, cramps, and tingling sensations. It would be beneficial to ensure you are drinking enough fluids and possibly consider electrolyte-replenishing solutions if you suspect dehydration.

Additionally, anxiety and stress can also manifest physically in the form of muscle tension, tremors, and tingling sensations. If you have been feeling anxious about your health or the fever itself, this could exacerbate the physical symptoms you are experiencing. The body’s stress response can lead to increased muscle tension and even hyperventilation, which can cause tingling in the extremities.

From a neurological standpoint, it is essential to rule out any serious conditions that could be causing these symptoms. For instance, conditions such as multiple sclerosis (MS) or peripheral neuropathy can present with similar symptoms, although they are less common. MS, for example, can cause a variety of neurological symptoms due to the demyelination of nerves, leading to tingling, tremors, and muscle weakness.

Given these possibilities, it is crucial to consult with a healthcare professional for a thorough evaluation. They may recommend blood tests to check for electrolyte levels, thyroid function, and other markers of infection or inflammation. A neurological examination may also be warranted to assess your muscle strength, reflexes, and sensory function.

In summary, while the symptoms of tingling and tremors after a fever can be attributed to several benign causes such as post-viral syndrome, dehydration, or anxiety, it is essential to seek medical advice to rule out any serious underlying conditions. Keeping a record of your symptoms, including their onset, duration, and any associated factors, can be helpful for your healthcare provider in making an accurate diagnosis and developing an appropriate treatment plan.

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