[23F] Experiencing respiratory symptoms and voice loss

Patient Description

A 23-year-old female presents with a sore throat described as very scratchy with a sensation like razor blades when coughing, which has been ongoing for 3 days. The sore throat is particularly severe in the morning and at night. The patient reports coughing up green/yellow mucus with a barking sound and has experienced a partial loss of voice for about a day. There is an associated difficulty breathing following severe coughing spells. Additionally, the patient experiences fatigue and occasional chills. There is redness in the back of the throat, but no white patches, swelling, or lumps in the neck. The patient has a history of postural orthostatic tachycardia syndrome diagnosed 8 months prior and a known allergy to penicillin. No medications are currently being taken.

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Arora's Assessment

What might be happening

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

  • Acute Bronchitis: This is an inflammation of the bronchial tubes in your lungs. Symptoms can include a cough that brings up mucus, sore throat, wheezing, and fatigue. It's often caused by a viral infection, so antibiotics (which treat bacterial infections) are usually not effective.

    • Treatment typically involves rest, staying hydrated, and over-the-counter remedies to help with your cough and sore throat.
  • Common Cold or Flu: These viral infections can cause a sore throat, cough, fatigue, and chills. The flu is usually more severe and might also cause a fever and body aches.

    • Treatment usually involves rest, staying hydrated, and over-the-counter remedies to help manage your symptoms.
  • Laryngitis: This is an inflammation of your voice box from overuse, irritation, or infection. It can cause a hoarse voice or loss of voice, and sometimes a sore throat and cough.

    • Treatment usually involves resting your voice and staying hydrated. Over-the-counter remedies can also help manage your symptoms.

Please note that while these are possible diagnoses, only a healthcare professional can provide a definitive diagnosis.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Rest and stay hydrated. This can help your body recover from an illness and can soothe a sore throat and cough.

  2. Try over-the-counter remedies. Cough suppressants, lozenges, and pain relievers can help manage your symptoms.

  3. Use a humidifier. This can help keep your throat moist and soothe a sore throat and cough.

  4. Avoid irritants. Smoke and other irritants can make your symptoms worse.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • High fever (over 100.4°F)
  • Coughing up blood
  • Symptoms that last more than a week or get worse

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of acute bronchitis?

Common symptoms of acute bronchitis include a persistent cough that produces mucus, sore throat, wheezing, fatigue, and sometimes a mild fever. The cough can last for several weeks even after other symptoms have improved.


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

The common cold and the flu share many symptoms, such as a sore throat, cough, and fatigue. However, the flu often comes on suddenly and is more severe, with symptoms like high fever, body aches, and extreme fatigue. The cold usually develops more gradually and is milder.


What are some effective home remedies for managing a sore throat?

Effective home remedies for managing a sore throat include staying hydrated, using throat lozenges, gargling with warm salt water, drinking warm teas with honey, and using a humidifier to keep the air moist.


When should I seek medical attention for a sore throat and cough?

You should seek medical attention if you experience difficulty breathing, a high fever over 100.4°F, coughing up blood, or if your symptoms last more than a week or worsen over time. These could be signs of a more serious condition that requires medical evaluation.


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