[20M] Experiencing throat discomfort and gastrointestinal symptoms

Patient Description

A 20-year-old male reports a white spot on his tonsil that is painful when swallowing, which has been present for 3 days. The patient also experiences fatigue and an upset stomach that worsens after meals, persisting for 2 days. Relief for the stomach discomfort is found through walking and stretching. Additionally, the patient describes a weird feeling of tightness and stiffness in the neck and left arm, coinciding with the duration of the throat and stomach symptoms. There is no fever, chills, difficulty breathing, severe throat swelling, joint pain, rashes, or difficulty swallowing saliva. The patient is currently taking Adderall (20mg daily) and has no known allergies or adverse reactions to medications. No other medications or pre-existing conditions have been reported.

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Arora's Assessment

What might be happening

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

  • Tonsillitis: This is an inflammation of the tonsils, which are two masses of tissue in the back of your throat. They act as filters, trapping germs that could otherwise enter your airways and cause infection. Tonsillitis can be caused by a viral or bacterial infection and often results in a sore throat, difficulty swallowing, and a white or yellow coating on the tonsils.

    • Treatment for tonsillitis usually involves rest, hydration, and over-the-counter pain relievers. If the cause is bacterial, a doctor may prescribe antibiotics.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms such as an upset stomach and throat discomfort.

    • Treatment for GERD usually involves lifestyle changes and over-the-counter medications. If these don't help, a doctor may recommend prescription medications or surgery.
  • Side Effects of Adderall: Adderall is a stimulant medication that can cause side effects such as stomach discomfort and fatigue. The "weird feeling" in your neck and left arm could potentially be a side effect as well.

    • If you suspect your symptoms are related to Adderall, it's important to discuss this with your doctor. Do not stop taking your medication without your doctor's advice.

What you can do

  1. For your throat pain, consider over-the-counter pain relievers, throat lozenges, or numbing sprays. Gargling with warm salt water may also help.
  2. For your upset stomach, try eating smaller, more frequent meals instead of three large ones. Avoid foods that trigger your symptoms, and don't lie down after a meal.
  3. Stay hydrated and rest as much as possible to help with your fatigue.
  4. Reach out to your doctor to discuss your symptoms and any concerns about your medication.

What you should look out for

If your symptoms worsen or you develop new symptoms such as high fever, difficulty breathing, severe abdominal pain, or a rash, seek medical attention immediately. 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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1 yr ago

People Also Ask


What are the common symptoms of tonsillitis?

Common symptoms of tonsillitis include a sore throat, difficulty swallowing, swollen tonsils, white or yellow coating on the tonsils, and sometimes fever and swollen lymph nodes.


How can GERD be managed at home?

GERD can be managed at home by making lifestyle changes such as eating smaller meals, avoiding trigger foods, not lying down after eating, and elevating the head while sleeping. Over-the-counter antacids or medications may also help.


What are the potential side effects of taking Adderall?

Potential side effects of Adderall include stomach discomfort, fatigue, dry mouth, loss of appetite, weight loss, and increased heart rate. It's important to discuss any concerning side effects with a doctor.


When should I seek medical attention for throat and stomach symptoms?

You should seek medical attention if you experience high fever, difficulty breathing, severe abdominal pain, or a rash, or if your symptoms worsen despite home management.


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