Body aches, chills and no fever? What could it be?

body aches, chills, sore throat with or without fever
Medically reviewed by Richard Honaker M.D.

Overview

Body aches and chills can occur with or without a fever. They can result from a multitude of causes, including inflammation in the body and muscle tension. Chills are a phenomenon in which the body warms itself by contracting and relaxing its muscles. Infection, inflammation, allergies, cold weather, and stress are common causes of body aches and chills. Fever, chills, body aches, headache, fatigue, and no cough are easy enough to identify and blame on a cold/flu. However, a sore throat, a stuffy nose, and no fever can be confusing and may be caused by other conditions. Let us explore the causes behind these symptoms. 

How to differentiate between cold and flu symptoms?

Fever, body aches, and headaches can indicate the start of a cold or flu. Cough and fever, or fatigue and cough, are symptoms that often go hand in hand. No wonder the terms “cold” and “flu” are used interchangeably, but they are actually different. The common cold and the flu are caused by different viruses. Moreover, influenza sets in suddenly and is usually worse. A cold develops gradually, and symptoms include a stuffy nose, sneezing, a sore throat, and fever.

Symptoms of influenza include fever, chills, muscle and body aches, fatigue, and headaches. Sore throat and nasal congestion are likely symptoms of influenza. A common cold tends to resolve without serious health implications, but influenza may lead to pneumonia or heart inflammation in the elderly or those with weakened immune systems.

What are the causes of chills but no fever?

Experiencing body aches and chills, but no fever, can be brought on simply by the cold weather:

Some other causes include:

  • Stress
  • Allergies 
  • Dehydration
  • Infections
  • Chronic health conditions or autoimmune conditions
  • Medications

Similarly, a sore throat, cough, and fever can be caused by these conditions.

1. Stress

Persistent stress can cause the body to release adrenaline, initiating the fight-or-flight response. 

‘‘Fight-or-flight causes the heart to beat faster and increases muscle tension. The increased muscle tension can cause body aches and even chills as stress alters the temperature control mechanism of the body,’’ says Dr Richard, a physician at Your Doctors Online.

2. Allergies

Nasal congestion, sneezing, or watery eyes are symptoms attributed to seasonal allergies. Less commonly, allergies can cause body aches, chills, and headaches, as the allergen typically triggers an inflammatory response.

3. Dehydration

Drinking insufficient fluids can result in dehydration. Moreover, the body can lose fluid too quickly in case of excessive vomiting or diarrhea, excessive sweating, urination, infections, malnutrition, or intensive burns.

Water is a requirement for most body functions and is an important component of tissues, including muscle tissue. Hence, dehydration leads to body aches. Additionally, it affects the body’s temperature-regulation mechanisms, leading to chills.

4. Infections

Cough, fever, headache, or sore throat, and body aches are symptoms of viral or bacterial Infection. As the immune system fights off the invader, inflammatory chemicals are released, raising the body’s temperature, resulting in fever, chills, or both.
Bacterial Infection, including strep throat, pneumonia, or Lyme disease, may or may not be accompanied by a fever but can present with a sore throat and body aches or chills.
Chills are again caused by the activation of the inflammatory response as the body attempts to kill the bacteria.

5. Chronic Conditions

Several chronic and autoimmune conditions that could cause these body aches and chills without an accompanying fever include:

  • Fibromyalgia
  • Diabetes
  • Pancreatitis
  • Chronic fatigue syndrome
  • Multiple sclerosis
  • Kidney disease
  • Liver disease
  • Hypothyroidism 
  • Polymyalgia rheumatica

6. Medications

Examples of medications that can cause body aches or chills include:

  • Certain antibiotics
  • Opiate pain medication 
  • Statins 
  • Diuretics
  • Serotonin-reuptake inhibitors (SSRIs)
  • Chemotherapy

How to get rid of fever, chills, and body aches?

Prescription Medications:

Medical treatment is initiated depending on the cause of the illness. For example,  medications are prescribed to treat an underlying bacterial infection or a chronic disease.

Immediate Relief Available

Get Diagnosed If Symptoms Persist

If your symptoms suggest a bacterial infection, a doctor can prescribe medications within minutes.

Telehealth doctors are available 24/7 for acute illness assessment. They can provide you with an online prescription to help address your symptoms.

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Over-the-counter Medications

Over-the-counter painkillers, including Tylenol (acetaminophen) or Nonsteroidal anti-inflammatory drugs (NSAIDs), mainly ibuprofen, can help alleviate inflammation and pain. If allergies are the potential culprit, OTC allergy medications such as loratadine and cetirizine can be used. 

Home Remedies

Heat Therapy 

Running a warm bath or shower, or using heating pads, can help warm you up and relax your muscles. Adding Epsom salt to the bath can further help relieve muscle pain.

Hydration

Consuming enough fluids and tracking your fluid intake can help you recover from dehydration. Lemon water, herbal teas, or clear broths are good choices in the absence of a fever.

Light Exercise

Gentle stretches, yoga, or walking may help reduce muscle aches and help manage stress. However, strenuous exercise can worsen muscle strain and body aches.

Relaxation and Stress Management

Practicing stress management techniques and deep breathing exercises helps calm the mind and body, which is helpful for stress-induced symptoms. 

When to consult a doctor?

If you have had flu symptoms for three weeks now or body aches and chills without a fever, it is vital to discuss your case with a doctor. Causes can range from infections or illnesses to cold exposure, allergies, stress, dehydration, or medications. The treatment depends on the underlying cause. Home treatment does not always resolve symptoms; speak to our professionals at Your Doctors Online. Our telehealth providers are available 24/7 to provide medical care without any appointments.

FAQs about the fever, body aches, and headache

Can you have the flu without a cough?

Yes, it is possible to have the flu without a cough. A sore throat or cough may not always accompany the flu, and you may experience only fever, chills, body aches, and nasal congestion.

Why do I have a fever and body aches but no other symptoms?

Different infections present with various symptoms. Even when you have a cold or the flu, you may not have the same symptoms each time. You can get a cough without a fever, or you may have a fever and body aches but no other symptoms.

Should I be worried if I have chills?

Chills can simply result from cooler temperatures, but other conditions that can lead to chills include stress, allergies, Infection, or inflammation in the body.

Why do I feel feverish but have no fever?

The body has a mechanism in place to regulate temperature. The body can raise the temperature in response to an inflammatory reaction or exposure to an infection, causing you to feel feverish.

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