[23F] With sore throat, excess phlegm, and ear pain post-COVID-19

Patient Description

A 23-year-old female presents with a sore throat, excess phlegm and mucus drainage, and slight ear pain. The sore throat was first noticed upon waking and fluctuates in intensity, worsening when lying down. The patient recently recovered from COVID-19, testing positive 1-2 weeks ago, and reports a lack of smell since the infection. There is no fever, chills, or recent exposure to others with respiratory infections. The patient experiences shortness of breath but denies wheezing or difficulty breathing deeply. The excess phlegm began 36 hours ago and is constant. No recent head or ear injuries reported. The patient has not yet tried any treatments but is considering over-the-counter decongestants and allergy relief medications.

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Arora's Assessment

What might be happening

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

  • Post-Viral Upper Respiratory Infection: After a viral infection like COVID-19, it's common to experience lingering symptoms such as a sore throat, excess mucus, and ear discomfort. These symptoms can persist as your body continues to recover from the virus.

    • Typical treatments include rest, staying hydrated, and using over-the-counter medications to manage symptoms.

  • Post-Nasal Drip: This occurs when excess mucus from the nose drains down the back of the throat, often leading to a sore throat and ear discomfort. It can be exacerbated by lying down.

    • Treatments often include decongestants, antihistamines, and nasal saline rinses.

  • Eustachian Tube Dysfunction: This can cause ear pain and discomfort, often related to congestion from a cold or allergies.

    • Treatments may include decongestants, nasal sprays, or antihistamines.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and soothe your throat.
  2. Use a Humidifier: Adding moisture to the air can help ease throat discomfort and reduce congestion.
  3. Over-the-Counter Medications: Consider using decongestants or antihistamines to manage symptoms. Always follow the instructions on the label.
  4. Rest: Ensure you get plenty of rest to support your immune system as it recovers.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • A high fever or persistent fever
  • Difficulty breathing or shortness of breath
  • Severe or worsening ear pain
  • Symptoms that do not improve or worsen over time

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 d ago

People Also Ask

What are common lingering symptoms after recovering from COVID-19?

Common lingering symptoms after recovering from COVID-19 include a sore throat, excess mucus, loss of smell, fatigue, and sometimes shortness of breath. These symptoms can persist as the body continues to recover from the virus.

How can post-nasal drip be managed effectively?

Post-nasal drip can be managed by staying hydrated, using decongestants, antihistamines, and nasal saline rinses. Elevating the head while sleeping can also help reduce symptoms.

What is Eustachian Tube Dysfunction and how is it treated?

Eustachian Tube Dysfunction occurs when the tube connecting the middle ear to the back of the nose becomes blocked, often due to congestion from a cold or allergies. It can cause ear pain and discomfort. Treatments include decongestants, nasal sprays, and antihistamines.

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

You should seek medical attention if you experience a high fever, persistent fever, difficulty breathing, severe or worsening ear pain, or if symptoms do not improve or worsen over time.

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