The Chills, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes The Chills, Diagnosis and Treatment and Related Diseases

This book was written because a patient recently 1 month ago consulted me about feeling cold all the time for almost 6 months.

It was the first time any patient has approached me about the feeling of cold or chills.

I was taken by surprise.

It was the first any patient have approached me for treating such a symptom.

It may understandable if Singapore has winter but Singaporeans enjoy the sun every day of the year.

“Chill man”!

“Stay cool man”!

Chill can be a descriptive slang term that means calm, relaxed, easy going, cool and not in-your-face, or can be a way to ask someone to relax.

What is the symptom ‘Chills’?

The symptom ‘Chills’ refers to feeling cold after being in a cold environment.

I have a patient who recently came to see me after 6 months of feeling chills.

He said that he did not understand why he should be getting chills and feeling cold suddenly.

He has seen most of the doctors and specialists and even traditional Chinese medicine doctors around his residence and did not improve.

All the blood tests and investigations did not showed any abnormalities.

He was recommended to see me by a friend.

I asked him to drink more warm water, wear warmer clothes and avoid taking any things that is too cold and stay away from air conditioned areas.

I decided to place him on anti-cholinergics which are basically antispasmodic but have the side effect of causing warmth and flushing of the skin.

So far he has responded well to the treatment.

The symptom can also indicate an episode of shivering together with paleness and feeling cold.

Chills (shivering) are caused by the rapid fluctuation between muscle contraction and relaxation.

These muscle contractions produce a way the body tries to warm itself up when a person is cold.

Chills are often, though not always, linked with fever.

Occasionally, they happen before the onset of fever, particularly if the fever is produced by an infection.

Chills may or may not be serious, dependent on the underlying cause.

Causes

A person with severe chills feels extremely cold and may be shivering, even when enclosed in blankets.

Chills are often linked to fever (where the body temperature is truly high), but may also be produced by low body temperature (hypothermia).

A walk down a cold, windy street can send a shivery tingle up and down the body, but so can some health disorders, like the flu, kidney stones, or an under active thyroid.

A person gets chills when the muscles in the body squeeze and relax to try to make heat.

This occasionally happens because a person is cold but it can also be an attempt by the immune system (the body's defense against germs) to fight off an infection or illness.

Chills linked with fever are normally produced by an infection attacking the body:

The most common of these infections are:
Common cold
Influenza
Pneumonia including Covid-19
Malaria
Lyme Disease
Infectious Arthritis
Sepsis

Chills without fever can be produced by a number of disorders.
Exposure to cold
Medicine side effect
Reaction to extreme physical activity
Hypothyroidism (under active thyroid)
Hypoglycemia
Hypothermia
Malnutrition
Anemia
Urinary tract infection (Cystitis)
Infection Due to a Kidney Stone
Emotional reaction such as fear and anxiety
Insomnia (Lack of sleep)
Rheumatoid arthritis
Cancer such as lymphoma or leukemia

Chills are sensations of coldness linked with shivering.

They may occur with or without fever.

Investigations involve blood tests for infections, immune disease and cancer.

Low blood sugar and thyroid are important

Treatment is keeping warm and anticholinergic

TABLE OF CONTENT
Introduc

• Language: English
• Publisher: Kenneth Kee
• Release date: Nov 16, 2020
• ISBN: 9780463544242

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

The Chills,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2020 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes The Chills, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Chills)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Chills

Chill man!

Stay cool man!

Chill can be a descriptive slang term that means calm, relaxed, easy going, cool and not in-your-face, or can be a way to ask someone to relax.

What is the symptom ‘Chills’?

The symptom ‘Chills’ refers to feeling cold after being in a cold environment.

I have a patient who recently came to see me after 6 months of feeling chills.

He said that he did not understand why he should be getting chills and feeling cold suddenly.

He has seen most of the doctors and specialists and even traditional Chinese medicine doctors around his residence and did not improve.

All the blood tests and investigations did not showed any abnormalities.

He was recommended to see me by a friend.

I asked him to drink more warm water, wear warmer clothes and avoid taking any things that is too cold and stay away from air conditioned areas.

I decided to place him on anti-cholinergics which are basically antispasmodic but have the side effect of causing warmth and flushing of the skin.

So far he has responded well to the treatment.

The symptom can also indicate an episode of shivering together with paleness and feeling cold.

Chills (shivering) are caused by the rapid fluctuation between muscle contraction and relaxation.

These muscle contractions produce a way the body tries to warm itself up when a person is cold.

Chills are often, though not always, linked with fever.

Occasionally, they happen before the onset of fever, particularly if the fever is produced by an infection.