[18F] Experiencing neck lumps, cough, and throat discomfort

Patient Description

An 18-year-old female presents with a dry cough and itchy throat that started a day ago, described as an itch that cannot be scratched, and a tingle that prompts coughing. She has also noticed lumps in her neck that appeared a month ago, which were initially painful but are no longer causing discomfort. Additionally, she has observed little lumps on the back of her tongue, resembling swollen taste buds, noticed today. She reports a sensation of something clogged in her throat and experiences tightening in her throat every few breaths, particularly at night and in the morning, which has been occurring for the past 3 days. She has a history of mild asthma, hypothyroidism, and two anxiety disorders, with a family history of thyroid disease and cancer. She is currently on azithromycin (started 3 days ago), hydroxyzine, and Zoloft (both for a year), and is allergic to penicillin. No recent injuries, fever, chills, difficulty swallowing, or unintentional weight loss have been reported, although she does experience night sweats.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Upper Respiratory Infection (URI): This is a common cause of cough, throat discomfort, and feeling of something stuck in the throat. It's usually caused by a virus and can cause a variety of symptoms, including a dry cough, throat discomfort, and sometimes swollen lymph nodes in the neck.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help with symptoms. Antibiotics are not typically needed unless a bacterial infection is suspected.
  • Thyroid Nodules: Given your history of hypothyroidism and the presence of lumps in your neck, it's possible that you could have thyroid nodules. These are growths that form in or on the thyroid gland. They're usually noncancerous and don't cause symptoms, but in some cases, they can cause a feeling of tightness in the throat or difficulty breathing.

    • Treatment depends on the size and type of the nodules. Some nodules may not require treatment, while others may need medication or surgery.
  • Asthma: Your history of asthma and current symptoms of coughing and wheezing could suggest an asthma flare-up. This could be triggered by an upper respiratory infection or other factors.

    • Treatment involves using prescribed inhalers and avoiding triggers. If your symptoms are worsening, you should seek medical attention.
  • Anxiety: Anxiety can sometimes cause physical symptoms such as difficulty breathing, feeling of something stuck in the throat, and even coughing. Given your history of anxiety disorders, it's possible that some of your symptoms could be related to anxiety.

    • Treatment involves a combination of medication, therapy, and lifestyle changes.

What you can do

  1. Monitor your symptoms closely. If your cough or breathing difficulties worsen, seek medical attention immediately.
  2. Continue taking your prescribed medications as directed by your doctor.
  3. Try to stay hydrated and get plenty of rest to help your body recover.
  4. If your symptoms persist or worsen, make an appointment to see your doctor. They may need to adjust your medication or perform further tests to determine the cause of your symptoms.

What you should look out for

  • Difficulty breathing or shortness of breath that is getting worse
  • Severe coughing fits or coughing up blood
  • High fever (temperature over 100.4°F)
  • Severe or worsening pain in your neck or throat
  • Any new or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of a dry cough and itchy throat?

A dry cough and itchy throat are often caused by upper respiratory infections, allergies, or irritants like smoke or pollution. Viral infections are a common cause and usually resolve on their own with rest and hydration.


How can thyroid nodules affect my health, and what are the treatment options?

Thyroid nodules are growths on the thyroid gland that are usually benign. They can cause symptoms like a feeling of tightness in the throat or difficulty breathing if they are large. Treatment depends on the size and type of the nodules and may include monitoring, medication, or surgery.


Can anxiety cause physical symptoms like a feeling of something stuck in the throat?

Yes, anxiety can manifest as physical symptoms, including a sensation of something stuck in the throat, known as globus sensation. It can also cause difficulty breathing and coughing. Managing anxiety through therapy, medication, and lifestyle changes can help alleviate these symptoms.


What should I do if I experience an asthma flare-up?

During an asthma flare-up, it's important to use your prescribed inhalers as directed and avoid known triggers. If symptoms worsen or do not improve, seek medical attention promptly to adjust your treatment plan.


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