Internal Medicine

There are several factors to consider. After 60, persistent chilliness is commonly due to normal aging changes like reduced skin blood flow, loss of muscle and fat, and a slower metabolism, but treatable issues such as hypothyroidism, anemia, diabetes or peripheral artery disease, medication side effects, poor nutrition, inactivity, smoking, and sometimes liver disease can also play a role. See below for practical ways to warm up, how to review meds and lifestyle, and the warning signs that should guide your next steps and prompt medical care when needed.

Common causes include gallbladder disease, biliary infections, liver problems, kidney stones or infection, musculoskeletal strain or rib fracture, lung or pleural issues like pneumonia or pulmonary embolism, heart attack, gastrointestinal conditions such as ulcers or pancreatitis, and early shingles. In adults over 65, symptoms can be atypical and complications are more likely. Seek urgent care for severe or persistent pain, fever, jaundice, breathing trouble, fainting, or blood in vomit or stool. There are several factors to consider; see the details below for specific warning signs, diagnostic tests, and treatments to guide your next steps.

There are several factors to consider for sudden right rib pain in adults over 65; even minor falls can cause multiple rib fractures and complications. Go to the ER immediately if you have severe shortness of breath, chest pain that radiates, coughing blood, high fever or confusion, faintness or a very rapid heartbeat, signs of shock, persistent vomiting or abdominal swelling, or pain so intense you cannot breathe deeply or lie flat. If symptoms are mild without red flags, short-term rest, ice, and over-the-counter pain relievers may be reasonable, but arrange prompt doctor follow-up; see below for specific causes, added warning signs, and the right next steps.

Persistent thirst can result from dehydration, salty/high‑protein diets, dry mouth or medications, caffeine/alcohol, or conditions like diabetes (mellitus or insipidus), kidney disease, or liver-related low sodium. Worry if it persists despite adequate fluids or comes with frequent urination, weight loss, fatigue, vision changes, dizziness/confusion, chest pain, or very dry mouth—track intake, cut salt/caffeine, review meds, check blood sugar, and seek care. There are several factors to consider; important nuances, red flags, and step‑by‑step next actions are detailed below.

Yes, muscle strain or poor posture can cause pain under the left ribs, especially in athletes or those with certain muscle tears.

Pain on the left side under the ribs in women can be caused by conditions like twelfth rib syndrome or slipping rib syndrome, where the ribs move and cause discomfort.

Long-term use of sleep medications can be risky and should be carefully managed with a healthcare provider.

Some sleep disorders can be prevented by practicing good sleep habits and focusing on overall sleep health.

Yes, diet and nutrition can affect sleep disorders. Eating habits and the types of food you consume may influence how well you sleep.

Taking naps can sometimes affect nighttime sleep, but it depends on the length of the nap and individual differences.

Melatonin can help with sleep disorders, especially in older adults, by regulating sleep-wake cycles. It is most effective for people over 55 years old or those with disrupted circadian rhythms.

Recurring fevers at night in adults may be caused by many different things like cancers, infections and autoimmune diseases.

Chronic sleep disorders can be treated with therapy, lifestyle changes, and sometimes medication. It's important to find the right approach for each person.

Alcohol might help you fall asleep faster, but it can make your sleep worse by waking you up during the night.

Yes, sleep disorders can increase the risk of accidents, especially when driving or working with machines.

Untreated sleep disorders can lead to long-term health problems, including issues with the heart and brain.

People wake up at night for several reasons, including sleep disorders, menopause, and conditions like sleep apnea that can cause frequent urination.

Yes, sleep apnea can come back after treatment or surgery, even if you don't gain weight.

Yes, sleep apnea can make other health problems worse, like heart and lung issues, and can also be linked to conditions like diabetes.

If sleep apnea is left untreated, it can lead to serious health problems like heart disease, high blood pressure, and daytime sleepiness.