[20F] Experiencing earache, sore throat, and dry cough

Patient Description

A 20-year-old female presents with an earache described as more inner than outer, a sore throat that hurts when swallowing and feels itchy, and an occasional dry cough. The sore throat and cough have been present for less than 6 hours, while the earache has been occurring on and off for the past 2 weeks, exacerbated by swimming. The sore throat is worse in the morning and more painful on one side, where the earache is also located. Additionally, the patient has noticed swollen lymph nodes around the neck or jaw. There is no history of fever, chills, difficulty breathing, neck stiffness, voice changes, or nasal congestion. The patient has no known allergies, adverse reactions to medications, pre-existing conditions, or current medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible conditions include:

  • Pharyngitis: This is inflammation of the throat (pharynx), often due to a viral infection, such as a cold or the flu. Your sore throat, difficulty swallowing, and swollen lymph nodes are common symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to soothe the throat.
  • Otitis Externa (Swimmer's Ear): This is an infection of the outer ear and ear canal, often caused by water that remains in your ear after swimming, creating a moist environment that aids bacterial growth. Your ear pain and recent swimming could suggest this condition.

    • Treatment usually involves prescription ear drops that contain a combination of a steroid to reduce inflammation and an antibiotic to fight bacteria.
  • Upper Respiratory Tract Infection: This is an infection that can affect the throat, sinuses, airways or lungs, most commonly caused by a virus. Your sore throat and dry cough are common symptoms.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.

Please note that this advice is based on the information you've provided and is not a substitute for a medical examination.

What you can do

  1. Rest and hydrate: These are key steps in recovery from many common illnesses, including those that cause sore throats and coughs.
  2. Over-the-counter remedies: Lozenges or a warm saltwater gargle may help soothe your sore throat. Over-the-counter pain relievers may also help with your throat and ear pain.
  3. Avoid swimming: Until your ear pain resolves, it may be best to avoid activities like swimming that could potentially worsen your condition.

What you should look out for

If your symptoms persist, worsen, or you develop new symptoms such as high fever, severe pain, difficulty breathing, or a rash, you should seek medical attention promptly.

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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10 mo ago

People Also Ask


What are common causes of earaches that worsen after swimming?

Earaches that worsen after swimming are often caused by Otitis Externa, also known as Swimmer's Ear. This condition occurs when water remains in the ear canal, creating a moist environment that promotes bacterial growth.


How can I differentiate between a viral and bacterial sore throat?

Viral sore throats often accompany cold symptoms like a runny nose and cough, and they usually resolve on their own. Bacterial sore throats, such as strep throat, may present with more severe symptoms like high fever and swollen tonsils with white patches, and they often require antibiotics.


What home remedies can help alleviate a sore throat and dry cough?

Home remedies for a sore throat and dry cough include staying hydrated, using lozenges, gargling with warm salt water, and using a humidifier to keep the air moist. Over-the-counter pain relievers can also help reduce discomfort.


When should I seek medical attention for swollen lymph nodes and sore throat?

You should seek medical attention if your swollen lymph nodes and sore throat persist for more than a week, worsen, or are accompanied by high fever, severe pain, difficulty breathing, or a rash, as these could indicate a more serious condition.


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