[18F] Experiencing cough with mucus and white tongue

Patient Description

An 18-year-old female has been experiencing a cough that fluctuates from mild to moderate for approximately 4 days. The cough worsens when bending over or taking deep breaths. She has also been experiencing fever, chills, and excessive sweating. Additionally, she reports a stuffy nose that has recently improved, and a change in her voice, suggesting she sounds sick. The patient has a white coating on her tongue, which is not a new symptom for her. She has a history of anxiety and depression, diagnosed at age 15, and has been prescribed Zoloft for social anxiety, but is currently not taking it. She has taken antidepressants in the past. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and resolves on its own. Symptoms can include a runny or stuffy nose, sneezing, coughing, mild headache, and mild body aches.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment can involve rest, hydration, and over-the-counter remedies. In some cases, antiviral medication may be prescribed.
  • Tonsillitis: This is an inflammation of the tonsils, which are two masses of tissue at the back of your throat. This condition can cause a sore throat, difficulty swallowing, and a white or yellow coating on the tonsils.

    • Treatment can involve rest, hydration, and over-the-counter pain relievers. In some cases, antibiotics or a tonsillectomy may be necessary.
  • Oral Thrush: This is a condition in which the fungus Candida albicans accumulates on the lining of your mouth, causing white lesions, usually on your tongue or inner cheeks.

    • Treatment typically involves antifungal medications.

Please note that these are possible conditions based on the symptoms you've described. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that might help you feel better:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body fight off infections and recover more quickly.

  2. Over-the-counter remedies: Over-the-counter cold remedies can help manage symptoms like a runny nose, congestion, and body aches.

  3. Oral hygiene: Brush your teeth and tongue regularly. If you have oral thrush, this can help remove any buildup of fungus.

  4. Seek medical attention: If your symptoms persist or worsen, please consult with a healthcare professional. They can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Severe pain or discomfort
  • Symptoms that persist for more than a week or get worse
  • High fever (over 102°F or 38.9°C)
  • Difficulty swallowing or opening your mouth
  • Blood in your saliva or phlegm

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of the flu and how can it be treated?

Common symptoms of the flu include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter remedies. In some cases, antiviral medication may be prescribed.


How can I differentiate between a common cold and tonsillitis?

A common cold usually presents with a runny or stuffy nose, sneezing, coughing, mild headache, and mild body aches. Tonsillitis, on the other hand, often causes a sore throat, difficulty swallowing, and a white or yellow coating on the tonsils. A healthcare professional can provide a more accurate diagnosis.


What is oral thrush and how is it treated?

Oral thrush is a condition where the fungus Candida albicans accumulates on the lining of the mouth, causing white lesions, usually on the tongue or inner cheeks. It is typically treated with antifungal medications.


How can anxiety and depression affect physical health symptoms?

Anxiety and depression can exacerbate physical health symptoms by affecting the immune system and increasing the perception of pain or discomfort. They can also lead to behaviors that might worsen physical symptoms, such as poor sleep or neglecting self-care. It's important to manage mental health alongside physical health.


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