[19F] With sore throat, difficulty swallowing, and abdominal pain

Patient Description

A 19-year-old female presents with difficulty and painful swallowing, swollen and red tonsils, stomach ache, and pain on the left side of her body near and below her ribs. She reports pain and pressure in her ears, fatigue, muscle, and body aches. The symptoms have been present for 3-4 days, with the pain when swallowing described as having something in her throat, exacerbated by solid foods, and worse in the morning and at night. The ear pain is associated with a sensation of pressure and soreness, worsening when swallowing. The abdominal pain is cramping in nature, located on the left side and lower abdomen, and has been persistent for the past 3 days, with a severity fluctuating between 5-7 out of 10. The patient has experienced a temperature of 37.1 degrees Celsius, along with episodes of feeling hot and sweaty, accompanied by chills. She also reports swollen lymph nodes under her chin and difficulty breathing at times due to throat swelling. The patient has a history of urinary tract infections and is currently taking 30 milligrams of Vyvanse daily. She has been in close contact with individuals with mono and cold symptoms, including a boyfriend with pink eye. No known drug allergies or other medications reported.

Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing:

Tonsillitis: This is an infection of the tonsils, which can cause symptoms such as difficulty and pain when swallowing, swollen and red tonsils, and a sore throat. This condition is often accompanied by a fever, fatigue, and swollen lymph nodes under the chin, which you've also reported.
- Treatment typically involves rest, hydration, and over-the-counter pain relievers. In some cases, antibiotics or a tonsillectomy (surgical removal of the tonsils) may be necessary.
Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause symptoms such as fatigue, sore throat, fever, swollen lymph nodes in your neck and armpits, swollen tonsils, headache, and skin rash. Mono is caused by the Epstein-Barr virus and is typically transmitted through saliva, coughs, sneezes, or by sharing utensils or toothbrushes. Even though you've had mono before, it's possible to have a similar illness again.
- Treatment usually involves rest, good nutrition, and drinking plenty of fluids. Over-the-counter medications may help control your fever and relieve a sore throat.
Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is highly infectious. Symptoms can include stomach pain, nausea, and sometimes fever.
- Treatment usually involves rest, hydration, and over-the-counter pain relievers. In some cases, antibiotics may be necessary.

What you can do

Rest and hydrate: Drink plenty of fluids to stay hydrated and rest as much as possible to help your body recover.
Over-the-counter medication: Over-the-counter pain relievers can help with the pain and fever.
Seek medical attention: If your symptoms persist or worsen, seek medical attention. Your doctor may need to perform tests to determine the cause of your symptoms and the appropriate treatment.

What you should look out for

If your symptoms worsen or you develop new symptoms
If you have difficulty breathing
If you are unable to eat or drink due to your symptoms
If your fever persists or gets higher

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

1

Hugs

0

Comments

Save

1 yr ago

Top picked over-the-counter products for Sore Throat: At-Home Management