[19F] Experiencing sharp pain when swallowing

Patient Description

A 19-year-old female presents with a sore left tonsil and sharp pain upon swallowing that began today. The pain is described as constant and sharp, specifically when swallowing, and is localized to the left tonsil. The patient has noted possible white patches on the tonsil. There is no reported fever, chills, or swelling around the neck or jaw. The patient has found some relief using Dayquil. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, you may have:

  • Tonsillitis: This is an infection of the tonsils, which can cause a sore throat, difficulty swallowing, and white patches on the tonsils. It's usually caused by a viral infection, but can also be caused by bacteria.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If the cause is bacterial, a doctor may prescribe antibiotics.
  • Strep throat: This is a bacterial infection that can cause a sore throat, difficulty swallowing, and white patches on the tonsils. It's most common in children, but can occur at any age.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Viral pharyngitis: This is an infection of the throat caused by a virus. It can cause a sore throat and difficulty swallowing.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. Antibiotics are not effective against viruses.

What you can do

  • Rest and hydrate: This can help your body fight off the infection.
  • Over-the-counter pain relievers: These can help reduce pain and inflammation.
  • Warm salt water gargles: This can help soothe a sore throat.
  • Avoid irritants: Smoke and other irritants can make your symptoms worse.

What you should look out for

You should seek medical attention if:

  • Your symptoms get worse or do not improve after a week.
  • You have difficulty breathing or swallowing.
  • You have a high fever (over 101°F or 38.3°C).
  • You have a rash or joint pain.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common causes of white patches on the tonsils?

White patches on the tonsils can be caused by infections such as tonsillitis, strep throat, or viral pharyngitis. They can also be due to oral thrush or other less common conditions.


How can I differentiate between viral and bacterial throat infections?

Viral infections often come with symptoms like a runny nose or cough, while bacterial infections like strep throat may present with more severe symptoms such as high fever and swollen lymph nodes. A throat swab test can confirm the cause.


What home remedies can help alleviate a sore throat?

Home remedies for a sore throat include staying hydrated, gargling with warm salt water, using over-the-counter pain relievers, and avoiding irritants like smoke.


When should I see a doctor for a sore throat?

You should see a doctor if your sore throat persists for more than a week, if you have difficulty breathing or swallowing, if you develop a high fever, or if you experience a rash or joint pain.


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