[18M] Experiencing sore throat, cough, and lightheadedness

Patient Description

An 18-year-old male has been suffering from a sore throat, moderate cough with occasional mucus, loss of appetite, lightheadedness, nausea, fatigue, and shortness of breath for 11 days. The patient's sore throat feels swollen, and symptoms of lightheadedness and nausea are exacerbated by standing up and during hot showers, with a severity of 6 and 7 out of 10, respectively. The patient has a headache that worsens with coughing but no fever, chills, chest pain, or difficulty breathing when at rest. The patient has been taking Alka-Seltzer Severe Cold and Flu as directed and Benzonatate. The patient stopped taking amoxicillin due to an allergic reaction (hives) and has no other known allergies. The patient has tested negative for COVID-19 and mononucleosis, has no significant past medical history, and has not used tobacco, e-cigarettes, or recreational drugs, nor has there been recent travel.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Viral Infection: Your symptoms of a sore throat, cough, loss of appetite, lightheadedness, nausea, and fatigue are common symptoms of a viral infection. This could be a common cold or flu. These symptoms usually resolve on their own within 1-2 weeks.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Postural Orthostatic Tachycardia Syndrome (POTS): This is a condition that affects circulation and can cause lightheadedness and fainting when standing up from a sitting or lying position. It can also cause a rapid increase in heartbeat, extreme fatigue, and other symptoms.

    • Treatment usually involves lifestyle changes and sometimes medication.

Please note that these are only potential explanations for your symptoms. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover from a potential viral infection.

  2. Over-the-counter medication: Continue taking the Alka-Seltzer Severe Cold and Flu as directed on the package. This can help manage your symptoms.

  3. Postural changes: If you're experiencing lightheadedness when standing up, try to do so slowly. If possible, sit on the edge of your bed or chair for a few moments before standing up.

  4. Monitor your symptoms: Keep track of your symptoms and any changes. If they worsen or do not improve after 2 weeks, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing
  • Chest pain
  • Severe headache
  • Fainting
  • Symptoms that worsen or do not improve after 2 weeks

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


What are common symptoms of a viral infection like the common cold or flu?

Common symptoms of a viral infection such as the common cold or flu include a sore throat, cough, loss of appetite, fatigue, and sometimes nausea. These symptoms typically resolve on their own within 1-2 weeks.


What is Postural Orthostatic Tachycardia Syndrome (POTS) and what are its symptoms?

Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects circulation and can cause symptoms like lightheadedness, fainting, rapid heartbeat, and extreme fatigue, especially when standing up from a sitting or lying position.


How can I manage lightheadedness when standing up?

To manage lightheadedness when standing up, try to rise slowly. Sit on the edge of your bed or chair for a few moments before standing. Staying hydrated and wearing compression stockings may also help.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience difficulty breathing, chest pain, severe headache, fainting, or if your symptoms worsen or do not improve after 2 weeks.


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