[19F] Experiencing cough, scratchy throat, and lightheadedness

Patient Description

A 19-year-old female presents with a two-day history of a scratchy throat, described as a sensation of dryness and mucus at the back of the throat, particularly behind the uvula. The throat discomfort is most pronounced upon waking. She also reports a cough that began yesterday, characterized as initially wet but quickly turning dry, with no identified aggravating factors. Additionally, she has been experiencing lightheadedness since this morning, with a severity of 4.5 out of 10, which occurs when moving her head, body, or eyes too quickly, resulting in a brief sensation of spinning and a heavy head. The patient notes feeling generally slower in performing tasks since the end of the previous day. She has a history of livedo reticularis and several mental health conditions, including major depressive disorder (MDD), seasonal affective disorder (SAD), major anxiety, unspecified mood disorders, and anger issues, for which she is on Duloxetine (30mg), Lamotrigine (200mg), and Bupropion (300mg). She also has a Mirena IUD inserted in early 2020. The patient has been in contact with her boyfriend who was recently unwell and is exposed to the public through her work as a cashier. There is no reported fever, chills, sinus pressure, ear pain, nasal congestion, or severe dizziness. She does not have any known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, your symptoms could be due to a few possible conditions:

  • Common Cold: This is a viral infection that affects your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Common symptoms include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Treatment for a common cold is usually supportive, meaning it involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms are similar to the common cold but tend to be more severe and come on more suddenly.

    • Treatment can include antiviral medications if started early in the illness.
  • Viral Pharyngitis: This is inflammation of the pharynx, which is in the back of the throat. It's most commonly caused by viral infections, such as the common cold or flu.

    • Treatment is usually supportive, including rest, hydration, and over-the-counter remedies.
  • Allergies: Allergies can cause a variety of symptoms, including a scratchy throat and cough. However, without other typical allergy symptoms like sneezing, runny nose, or itchy, watery eyes, this is less likely.

    • Treatment involves avoiding known allergens and taking antihistamines to control symptoms.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Here are some general suggestions that might help you feel better:

  1. Rest and hydrate: Your body needs energy to fight off the virus. Getting enough sleep can boost your immune system and help you fight off illness. Hydration helps to soothe a sore throat and thin out mucus, which can help with a cough.

  2. Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms. For example, lozenges or a salt water gargle can soothe a sore throat, and a humidifier can help with a dry or wet cough.

  3. Seek medical attention: If your symptoms persist for more than a week, worsen, or you develop new symptoms such as high fever, severe headache, chest pain or other worrying symptoms, seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or difficulty waking up
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. 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 the common symptoms of a viral pharyngitis?

Common symptoms of viral pharyngitis include a sore or scratchy throat, difficulty swallowing, and sometimes a cough. It is often accompanied by symptoms of a viral infection like a runny nose, cough, or fever.


How can I differentiate between a common cold and the flu?

The flu typically presents with more severe symptoms than a common cold, such as high fever, body aches, fatigue, and a sudden onset of symptoms. A cold usually develops more gradually and is milder.


Can my mental health medications affect my current symptoms?

Some medications for mental health conditions, like Duloxetine, Lamotrigine, and Bupropion, can have side effects such as dizziness or lightheadedness, which might contribute to your current symptoms. It's important to discuss any concerns with your healthcare provider.


What are some effective home remedies for a scratchy throat?

Effective home remedies for a scratchy throat include staying hydrated, using a humidifier, gargling with warm salt water, and sucking on throat lozenges or hard candies to soothe the throat.


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