[23F] With sore throat, dry cough, and other symptoms

Patient Description

A 23-year-old female presents with a sore throat and dry cough for the past two days. The sore throat developed gradually and is somewhat relieved by ibuprofen and cough drops. She also reports swollen glands, specifically noting swelling and tenderness in her neck or under her jaw. Additionally, she has been experiencing on-and-off dull lower back pain for a week and tight pain in the back of her neck for the past two days, rated as 6 out of 10 in severity, with no known injury or accident causing it. She frequently burps, especially when sitting up or walking around, but hasn't noticed any specific foods making it worse. Last week, she had a runny nose and has been experiencing body aches or headaches. There is no fever, fatigue, shortness of breath, or nausea and vomiting after consuming alcohol. She recently traveled to a club and consumed three mixed drinks. She had recent exposure to someone with a sore throat and runny nose about five days ago. Current medications include 500mg of Metformin twice a day, 50mg of Spironolactone once a day, and 20mg of Adderall once a day. She is also using ibuprofen for her sore throat.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Sore Throat and Dry Cough

  • Viral Upper Respiratory Infection (Common Cold): Given your recent exposure to someone with similar symptoms and the gradual onset of your sore throat and dry cough, a viral infection is a likely cause. Common colds often present with sore throat, dry cough, runny nose, and body aches.
  • Pharyngitis: This is an inflammation of the throat that can be caused by viral or bacterial infections. Since you don't have a fever or white patches on your tonsils, a viral cause is more likely.

Swollen Glands

  • Lymphadenopathy: Swollen glands, especially in the neck, are often a response to infection. This could be related to your sore throat and dry cough, indicating your body is fighting off an infection.

Frequent Burping

  • Gastroesophageal Reflux Disease (GERD): Frequent burping can be a symptom of GERD, where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This can also cause a sore throat and cough.

Lower Back Pain

  • Muscle Strain: Given the dull nature of your pain and its on-and-off pattern, it could be due to muscle strain or poor posture.
  • Kidney Issues: Though less likely without other symptoms like fever or urinary issues, kidney problems can sometimes cause lower back pain.

Neck Pain

  • Muscle Tension: The tightness and pain in the back of your neck could be due to muscle tension, possibly from stress or poor posture.

What you can do

Sore Throat and Dry Cough

  • Stay Hydrated: Drink plenty of fluids to keep your throat moist.
  • Rest: Ensure you get plenty of rest to help your body fight off the infection.
  • Over-the-Counter Remedies: Continue using ibuprofen and cough drops to alleviate symptoms.
  • Humidifier: Using a humidifier can help keep your throat and nasal passages moist.

Swollen Glands

  • Warm Compress: Apply a warm compress to the swollen areas to reduce discomfort.
  • Hydration and Rest: Continue to stay hydrated and rest.

Frequent Burping

  • Dietary Changes: Avoid foods and drinks that can trigger reflux, such as spicy foods, caffeine, and alcohol.
  • Smaller Meals: Eat smaller, more frequent meals instead of large ones.
  • Elevate Head: When sleeping, elevate the head of your bed to prevent acid reflux.

Lower Back Pain

  • Stretching and Exercise: Gentle stretching and strengthening exercises can help alleviate back pain.
  • Heat/Ice Therapy: Apply heat or ice to the affected area to reduce pain and inflammation.
  • Proper Posture: Ensure you maintain good posture, especially when sitting for long periods.

Neck Pain

  • Stretching: Gentle neck stretches can help relieve muscle tension.
  • Ergonomics: Ensure your workspace is ergonomically set up to avoid strain on your neck.
  • Heat/Ice Therapy: Apply heat or ice to the affected area to reduce pain and inflammation.

What you should look out for

Given the severity of some of your symptoms, you should seek medical care if you experience any of the following:

  • High Fever: A fever could indicate a more serious infection.
  • Difficulty Breathing: This could be a sign of a more serious respiratory condition.
  • Severe or Worsening Pain: If your pain significantly worsens or becomes unbearable.
  • Persistent Symptoms: If your symptoms persist for more than a week or worsen despite home care.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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4 mo ago

People Also Ask


What are the common causes of a sore throat and dry cough?

A sore throat and dry cough are often caused by viral infections such as the common cold or pharyngitis. These symptoms can also be due to allergies, irritants, or less commonly, bacterial infections.


Why might my glands be swollen and tender?

Swollen and tender glands, or lymphadenopathy, are typically a response to an infection. The lymph nodes in your neck may swell as they work to filter out bacteria and viruses, indicating your body is fighting off an infection.


What could be causing frequent burping?

Frequent burping can be a symptom of gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus. It can also be caused by swallowing air, certain foods, or carbonated drinks.


How can I relieve lower back and neck pain without medication?

To relieve lower back and neck pain, you can try gentle stretching and strengthening exercises, maintain proper posture, and use heat or ice therapy. Ensuring your workspace is ergonomically set up can also help prevent strain.


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