[18F] Experiencing sore throat and near fainting episode

Patient Description

An 18-year-old female presented with a sharp, consistent sore throat that started today, which is exacerbated by swallowing. She finds temporary relief using cough drops. Additionally, she experienced a moderate, isolated near fainting episode characterized by dizziness and ringing in the ears after getting out of the bathtub. The patient also noticed a lump on one side of her throat without associated redness or white patches. She has been dealing with depression, feeling hopeless and sad, for the past 6 years. The patient recently began taking methylphenidate (5mg immediate-release, twice daily), has been on Cymbalta (50mg daily) for 4 months, and takes NAC. She also uses alcohol, cigarettes, vaping, and marijuana daily. There is no known family history of autoimmune conditions, and the patient does not have any known allergies or pre-existing conditions.

Show More

Arora's Assessment

What might be happening

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

  • Pharyngitis: This is inflammation of the back of the throat, which can cause a sore throat. It's often caused by a viral infection, such as a cold or the flu, but can also be caused by a bacterial infection. The lump you're feeling could be a swollen lymph node, which is common with this condition.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If a bacterial infection is suspected, antibiotics may be prescribed.
  • Side effects of medication: Both Cymbalta and methylphenidate can cause a sore throat as a side effect. The dizziness and ringing in your ears could also be side effects of these medications, or possibly a result of withdrawal from alcohol or marijuana.

    • If you suspect your symptoms are related to your medication, you should not stop taking them without first consulting your doctor. They can provide guidance on how to safely adjust your medication regimen.
  • Depression and Anxiety: The feelings of hopelessness and sadness you're experiencing are common symptoms of depression. Anxiety can also cause physical symptoms like dizziness and lightheadedness.

    • Treatment for these conditions often involves a combination of medication and therapy. It's important to discuss these symptoms with your doctor, as they can significantly impact your quality of life.

What you can do

  1. Continue to monitor your symptoms. If your sore throat worsens or persists for more than a week, or if you develop new symptoms like a high fever, severe headache, chest pain, or difficulty breathing, seek medical attention immediately.
  2. Stay hydrated and rest as much as possible to help your body recover.
  3. Avoid smoking and alcohol, as these can irritate your throat and exacerbate your symptoms.
  4. Continue taking your medications as prescribed, but discuss your symptoms with your doctor. They may want to adjust your dosage or try a different medication.
  5. Consider seeking help for your feelings of depression and anxiety. This could involve speaking to a mental health professional, joining a support group, or reaching out to trusted friends or family members.

What you should look out for

  • If your symptoms worsen or you develop new symptoms, seek medical attention immediately.
  • If you're feeling suicidal or thinking about harming yourself, reach out to a mental health professional immediately. You can also call a crisis hotline for immediate support.

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

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are common causes of a sore throat and how can it be treated?

Common causes of a sore throat include viral infections like the cold or flu, bacterial infections such as strep throat, and irritants like smoking or dry air. Treatment often involves rest, hydration, and over-the-counter pain relievers. If a bacterial infection is suspected, antibiotics may be prescribed.


Can medications like Cymbalta and methylphenidate cause dizziness or sore throat?

Yes, both Cymbalta and methylphenidate can cause side effects such as dizziness and sore throat. If you suspect your symptoms are related to your medication, consult your doctor before making any changes to your medication regimen.


How can depression and anxiety manifest physically, and what are some treatment options?

Depression and anxiety can cause physical symptoms such as dizziness, fatigue, and headaches. Treatment often involves a combination of medication and therapy. It's important to discuss these symptoms with a healthcare provider to find the most effective treatment plan.


What should I do if I experience a near fainting episode with dizziness and ringing in the ears?

If you experience a near fainting episode with dizziness and ringing in the ears, it's important to sit or lie down immediately to prevent falling. Stay hydrated and avoid sudden changes in position. If these episodes persist, consult a healthcare provider to rule out underlying conditions.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback