[19F] Experiencing sore throat and achy legs

Patient Description

A 19-year-old female presents with a sore throat and achy legs. The sore throat began two days ago after brushing her tongue too hard and is particularly painful when swallowing. There is noticeable redness at the back of the tongue but no lesions, swelling, or white patches. The sore throat is worse in the morning and has not improved with any interventions. The patient also reports feeling warm and experiencing occasional chills, but no fever, cough, or runny nose is present. There is no recent history of cold, flu, or contact with sick individuals. The patient has no known allergies, adverse reactions to medications, pre-existing conditions, chronic illnesses, or current medication use.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Viral Pharyngitis: This is inflammation of the back of the throat (pharynx) and is most commonly caused by viral infections such as the common cold or flu. Symptoms can include a sore throat, redness in the throat, and body aches.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to soothe the throat and reduce pain.
  • Physical Irritation: Brushing your tongue too hard could have caused some physical irritation or minor injury to your throat, leading to pain and discomfort.

    • Treatment would involve avoiding further irritation (like brushing too hard), and using lozenges or over-the-counter pain relievers to help with the pain.
  • Tonsillitis: This is an infection or inflammation of the tonsils. The tonsils are two small glands located at the back of your throat. Tonsillitis can cause a sore throat, redness in the throat, difficulty swallowing, and fever.

    • Treatment can range from home remedies such as rest and hydration, to prescription medications like antibiotics or corticosteroids, depending on the severity and cause of the infection.

What you can do

While you should definitely seek care from a healthcare professional to get a formal diagnosis and appropriate treatment, here are some things you can do in the meantime:

  1. Stay hydrated: Drink plenty of fluids like water, herbal tea, or clear broths to soothe your throat and keep your body hydrated.
  2. Rest: Your body needs energy to fight off the infection. Getting enough sleep can boost your immune system and help you recover.
  3. Over-the-counter remedies: Lozenges, sprays, and over-the-counter pain relievers can help soothe your throat and reduce pain.
  4. Avoid irritants: Smoke and other irritants can make your sore throat feel worse.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than a week
  • You have difficulty swallowing or breathing
  • You have a high fever (over 101°F)
  • You have severe throat pain
  • You have blood in your saliva or phlegm
  • You have a lump in your neck or a rash

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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9 mo ago


People Also Ask


What are common causes of a sore throat without a fever?

Common causes of a sore throat without a fever include viral infections like the common cold, allergies, dry air, and physical irritation from activities such as brushing the tongue too hard.


How can physical irritation from brushing the tongue lead to a sore throat?

Brushing the tongue too hard can cause physical irritation or minor injury to the throat, leading to inflammation and pain. This can make swallowing uncomfortable and cause redness in the throat.


What are some effective home remedies for soothing a sore throat?

Effective home remedies for soothing a sore throat include staying hydrated with water or herbal teas, using lozenges or throat sprays, gargling with warm salt water, and resting to help the body recover.


When should I see a doctor for a sore throat?

You should see a doctor for a sore throat if it persists for more than a week, if you have difficulty swallowing or breathing, if you experience a high fever, severe throat pain, blood in saliva or phlegm, or if you notice a lump in your neck or a rash.

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