[20F] Experiencing sore throat, runny nose, and excessive sweating

Patient Description

A 20-year-old female has been experiencing a sore throat that is particularly painful in the morning and when swallowing dry substances, but temporarily improves with the consumption of hot liquids. These symptoms have persisted for approximately 3 days. Additionally, the patient reports excessive sweating for 1-2 weeks, even during minimal activity and in cool environments. The patient has also been feeling unusually tired for several weeks. There is noticeable swelling in one of the glands. No fever, difficulty breathing, rash, or severe unilateral throat pain has been reported. The patient has not taken any medication for these symptoms and has no known allergies or adverse reactions to medications. There is no past medical history of chronic illnesses or autoimmune conditions. A colleague at work may be exhibiting similar symptoms, suggesting a possible infectious cause.

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Arora's Assessment

What might be happening

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

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and symptoms resolve within two weeks. Typical symptoms include a runny nose, sore throat, and fatigue.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause a sore throat, runny nose, fatigue, and fever. It can also lead to serious complications, like pneumonia, especially in high-risk groups.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antiviral medication may be prescribed in some cases.
  • Mononucleosis: This is a viral infection caused by the Epstein-Barr virus. It's often characterized by fatigue, sore throat, swollen lymph nodes, and fever. It's common among young adults and is often transmitted through saliva.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Hyperhidrosis: This is a condition characterized by excessive sweating that's not necessarily related to heat or exercise. You might sweat so much that it soaks through your clothes or drips off your hands.

    • Treatment can include prescription antiperspirants, medications, nerve-blocking medications, and even surgery in severe cases.

Please note that these are possibilities based on the symptoms you've described and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.
  2. Over-the-counter remedies: Over-the-counter pain relievers, decongestants, and cough suppressants can help alleviate your symptoms.
  3. Monitor your symptoms: If your symptoms worsen, persist for more than a week, or you develop new symptoms, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Chest pain or pressure
  • Severe or persistent vomiting
  • Confusion or changes in mental function
  • Severe weakness or unsteadiness

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a definitive diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of a sore throat that is worse in the morning?

A sore throat that is worse in the morning can be caused by several factors, including dry air, postnasal drip, or sleeping with your mouth open. It can also be due to viral infections like the common cold or flu.


Why might someone experience excessive sweating even in cool environments?

Excessive sweating in cool environments, known as hyperhidrosis, can occur due to overactive sweat glands. It may be idiopathic or related to other conditions such as anxiety, hyperthyroidism, or infections.


What are the typical symptoms of mononucleosis and how is it transmitted?

Mononucleosis, often caused by the Epstein-Barr virus, typically presents with symptoms like fatigue, sore throat, swollen lymph nodes, and fever. It is commonly transmitted through saliva, hence its nickname 'the kissing disease.'


How can I differentiate between a common cold and the flu based on symptoms?

The common cold and the flu share symptoms like sore throat and fatigue, but the flu often includes more severe symptoms such as high fever, body aches, and extreme fatigue. The flu can also lead to complications like pneumonia.


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