[18F] With severe sore throat and difficulty swallowing

Patient Description

An 18-year-old female is experiencing a severe sore throat described as feeling like 'swallowing razor blades' for the past 5 days. The pain is particularly intense upon waking up and worsens again in the evening. The patient has been managing the pain with Tylenol and cough drops. There are associated symptoms of body aches, but no fever or chills have been reported. The patient notes difficulty swallowing liquids and a raspy voice, but no difficulty breathing. There is a possibility of swollen tonsils, but no red or white spots have been observed. No drooling or neck stiffness has been reported. The patient has not mentioned any other symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Strep Throat: This is an infection caused by a type of bacteria called Streptococcus. The symptoms can include a severe and sudden sore throat, pain when swallowing, fever, red and swollen tonsils, sometimes with white patches or streaks of pus, tiny red spots on the roof of the mouth, and swollen lymph nodes in the front of the neck.

    • Treatment typically involves antibiotics to clear the infection and prevent complications.
  • Viral Pharyngitis: This is inflammation of the pharynx (the part of the throat between the tonsils and the larynx) usually caused by a virus. It can cause a sore throat, cough, and body aches.

    • Treatment is usually supportive, meaning it aims to relieve symptoms rather than treat the cause. This can include rest, hydration, and over-the-counter pain relievers.
  • Mononucleosis (Mono): This is a viral infection often caused by the Epstein-Barr virus. Symptoms can include a severe sore throat, swollen lymph nodes, and fatigue.

    • Treatment is also supportive, focusing on relieving symptoms and allowing the body to recover.

What you can do

  1. Continue taking over-the-counter pain relievers as directed on the packaging to help with the sore throat and body aches.
  2. Stay well hydrated. Warm liquids such as tea or soup can be soothing and help with hydration.
  3. Rest as much as possible to allow your body to recover.
  4. Avoid sharing drinks or personal items to prevent spreading any potential infection.
  5. Schedule an appointment with a healthcare provider for a proper diagnosis and treatment plan.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • A high fever (over 101°F)
  • Symptoms that last longer than a week or get worse
  • A rash
  • Joint pain
  • Blood in your saliva or phlegm
  • Frequently recurring sore throat
  • A lump in your neck
  • Hoarseness lasting over two weeks

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of a severe sore throat without fever?

Common causes of a severe sore throat without fever include viral infections like viral pharyngitis, bacterial infections such as strep throat, and other conditions like allergies or dry air. It's important to monitor other symptoms to help identify the cause.


How can I differentiate between strep throat and viral pharyngitis?

Strep throat often presents with a sudden severe sore throat, pain when swallowing, and swollen lymph nodes, sometimes with white patches on the tonsils. Viral pharyngitis may include a sore throat with cough and body aches, and it usually resolves on its own. A throat swab test can confirm strep throat.


What home remedies can help alleviate a sore throat?

Home remedies for a sore throat include staying hydrated, drinking warm liquids like tea with honey, using throat lozenges, gargling with salt water, and using a humidifier to keep the air moist. Over-the-counter pain relievers can also help manage pain.


When should I see a doctor for a sore throat?

You should see a doctor if you experience difficulty breathing or swallowing, a high fever, symptoms lasting longer than a week, a rash, joint pain, blood in saliva or phlegm, frequently recurring sore throats, a lump in your neck, or hoarseness lasting over two weeks.


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2 Comments


Anonymous#18490

8 mo ago

I’m having the same problem but I am 12

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Anonymous#18490

8 mo ago

SAAAAAAmE

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