[19F] With severe sore throat, swollen tonsils, and lymphadenopathy

What might be happening

Based on the information you've provided, possible diagnoses include:

• Chronic Tonsillitis: This is an infection of the tonsils that can cause symptoms such as a long-term sore throat, swollen tonsils, and swollen lymph nodes in the neck. It can be caused by various types of bacteria or viruses.

  • Treatment typically involves antibiotics to clear the infection. In severe or recurrent cases, a tonsillectomy (surgical removal of the tonsils) may be recommended.

• Mononucleosis (Mono): Also known as the "kissing disease," this is a viral infection caused by the Epstein-Barr virus. It can cause a severe sore throat, swollen tonsils, swollen lymph nodes, and fever. It can also cause fatigue, which might explain your weight fluctuations.

  • Treatment for mono is mainly supportive, including rest, hydration, and over-the-counter remedies for pain and fever.

• Lymphoma: This is a type of cancer that begins in the lymphatic system. The symptoms can include swollen, painless lymph nodes in the neck, unexplained weight loss, and night sweats. However, lymphoma is rare, especially in people your age, and there are many more common causes of these symptoms.

  • Treatment for lymphoma can include chemotherapy, radiation therapy, and other therapies.

Please remember that these are only possibilities. You should see a healthcare provider for a formal diagnosis.

What you can do

You should make an appointment with a healthcare provider as soon as possible to discuss your symptoms. They may want to perform some tests, such as a throat swab to check for bacteria, blood tests to look for signs of mono or other infections, or imaging tests to examine your lymph nodes.

In the meantime, continue to take over-the-counter pain relievers as needed for your throat pain. Try to stay hydrated and eat nutritious foods as much as you can, even if it's uncomfortable. Warm liquids like tea or soup might be easier to swallow.

What you should look out for

You should seek immediate medical attention if you develop any of the following:

• Difficulty breathing or swallowing that gets worse
• High fever (over 103°F or 39.4°C)
• Severe weakness or fatigue
• Severe or worsening pain
• Any other symptoms that are severe or concerning to you

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.