[18F] With sore throat, barking cough, and loss of voice

Question

Me

Patient Description

An 18-year-old female presents with a sore throat, barking cough, and complete loss of voice. The throat pain has been present for 3 days, is sharp, located at the back of the throat, and rated as a 5 out of 10 in severity. The pain is worse in the mornings and at night. The patient also reports nasal congestion and some pressure in the head. There has been no fever, shortness of breath, or difficulty breathing. The patient had strep throat at the beginning of June, but the current symptoms started 3 days ago. DayQuil has not provided relief. The patient uses e-cigarettes and has a history of polycystic ovary disease (diagnosed a month ago), exercise-induced asthma (diagnosed 5 years ago), and IBS (diagnosed 7 years ago). The patient is allergic to the flu shot and bumble bees and is up to date with vaccinations, including the flu shot and COVID-19 vaccine. No current medications are being taken.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Laryngitis: This is an inflammation of the voice box (larynx) from overuse, irritation, or infection. It often results in a hoarse voice or loss of voice, sore throat, and a dry cough.

    • Treatment: Resting your voice, staying hydrated, and using throat lozenges can help. If it's caused by an infection, your doctor might prescribe antibiotics or antiviral medications.
  • Viral Upper Respiratory Infection (Common Cold): This can cause a sore throat, cough, nasal congestion, and sometimes a loss of voice.

    • Treatment: Rest, fluids, over-the-counter pain relievers, and decongestants can help manage symptoms.
  • Postnasal Drip: This occurs when excess mucus from the nose drips down the back of the throat, causing irritation and a sore throat.

    • Treatment: Decongestants, antihistamines, and nasal saline rinses can help reduce mucus production.
  • Acute Bronchitis: This is an inflammation of the bronchial tubes, often following a cold or respiratory infection, leading to a persistent cough and sometimes a sore throat.

    • Treatment: Rest, fluids, and over-the-counter medications to relieve symptoms. In some cases, a doctor may prescribe inhalers or other medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Rest Your Voice: Try to speak as little as possible to give your vocal cords a chance to heal.
  2. Stay Hydrated: Drink plenty of fluids like water, herbal teas, and broths to keep your throat moist and soothe irritation.
  3. Use a Humidifier: Adding moisture to the air can help soothe a dry, sore throat.
  4. Throat Lozenges and Warm Salt Water Gargles: These can provide temporary relief for a sore throat.
  5. Over-the-Counter Medications: Pain relievers like ibuprofen or acetaminophen can help reduce throat pain and inflammation.
  6. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can worsen your symptoms.
  7. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty Breathing: If you start having trouble breathing or wheezing, seek immediate medical attention.
  • High Fever: A fever over 100.4°F that doesn't go away with over-the-counter medications.
  • Severe Pain: If your throat pain becomes severe or you have difficulty swallowing.
  • Persistent Symptoms: If your symptoms persist for more than a week without improvement.
  • New or Worsening Symptoms: If you develop new symptoms or your current symptoms worsen.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
1
 Comments

Save

7 mo ago

People Also Ask


What are the common causes of a barking cough and loss of voice?

A barking cough and loss of voice can be caused by laryngitis, which is inflammation of the voice box, or by viral infections like the common cold. Other causes might include postnasal drip or acute bronchitis.


How can I differentiate between laryngitis and a common cold?

Laryngitis typically involves a hoarse voice or loss of voice, along with a sore throat and dry cough. A common cold may also cause a sore throat and cough but is often accompanied by nasal congestion and runny nose. Laryngitis is more focused on voice changes.


What home remedies can help alleviate a sore throat and cough?

Home remedies for a sore throat and cough include resting your voice, staying hydrated with water and herbal teas, using a humidifier, and trying throat lozenges or warm salt water gargles. Over-the-counter pain relievers can also help reduce throat pain.


When should I seek medical attention for a sore throat and cough?

You should seek medical attention if you experience difficulty breathing, a high fever over 100.4°F that doesn't subside, severe throat pain, difficulty swallowing, persistent symptoms lasting more than a week, or if your symptoms worsen or new symptoms develop.


Preview

Post

1 Comments


Arora (Bot)#28060

7 mo ago

Hi Sarah, how can I assist you with your medical assessment today? Do you have any specific questions or concerns about the information provided?

1
 Hugs
Reply

Share your feedback