[19F] Experiencing phlegm, sore throat, tiredness, and stomach ache

Patient Description

A 19-year-old female presents with a 2-day history of yellowish, sticky phlegm at the back of the throat, which has been constant and increasing in amount. She also reports a sore throat, tiredness, and an intermittent, nauseating stomach ache located in the upper middle region of her abdomen, rated as a 3 out of 10 in severity. The patient describes her bowel movements as having clumps with normal consistency, last occurring yesterday. Additionally, she reports nasal congestion and a cough but denies any fever, chills, vomiting, diarrhea, heartburn, or acid regurgitation. Appetite is reduced due to nausea, but there has been no vomiting or diarrhea. There is no mention of any pre-existing conditions, chronic illnesses, or other symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Common Cold: A viral infection that affects your nose and throat. Symptoms can include a runny or stuffy nose, sneezing, cough, sore throat, and general fatigue. The phlegm you're experiencing could be a result of post-nasal drip.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for symptom relief.
  • Gastroenteritis: An inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include stomach ache, nausea, and general malaise.

    • Treatment typically involves rest, hydration, and eating bland, easy-to-digest foods.
  • Gastritis: An inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Symptoms can include upper abdominal pain, nausea, and feeling of fullness in your upper abdomen.

    • Treatment may involve antacids and diet changes.

Please note that these are possible conditions based on your symptoms and you should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Continue to stay hydrated. Drinking warm liquids like tea can help soothe your throat and break up mucus.
  2. Rest as much as possible to help your body recover.
  3. Eat bland, easy-to-digest foods like rice, bananas, and toast if your stomach is upset.
  4. Over-the-counter remedies can help with symptom relief. For example, a decongestant can help with mucus build-up and an antacid can help with stomach discomfort.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than a week.
  • You develop a high fever (>101.5°F).
  • You have severe abdominal pain.
  • You have difficulty breathing or shortness of breath.
  • You have blood in your stool or vomit.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What causes yellowish, sticky phlegm at the back of the throat?

Yellowish, sticky phlegm is often caused by post-nasal drip, which can occur due to a cold, allergies, or sinus infection. It indicates that your body is fighting off an infection, as the yellow color comes from white blood cells.


How can I differentiate between a common cold and gastroenteritis?

A common cold typically presents with symptoms like a runny or stuffy nose, cough, and sore throat, while gastroenteritis often includes stomach ache, nausea, and sometimes diarrhea. The presence of gastrointestinal symptoms like nausea and stomach ache without diarrhea might suggest mild gastroenteritis or gastritis.


What are some effective home remedies for a sore throat and nasal congestion?

Home remedies for a sore throat and nasal congestion include staying hydrated, drinking warm teas with honey, using saline nasal sprays, and inhaling steam. Over-the-counter medications like decongestants and throat lozenges can also provide relief.


When should I seek medical attention for stomach ache and nausea?

You should seek medical attention if your stomach ache and nausea persist for more than a week, if you develop a high fever, experience severe abdominal pain, have difficulty breathing, or notice blood in your stool or vomit.


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