[24F] With severe sore throat and swollen tonsil

Patient Description

A 24-year-old female presents with a sudden onset of severe sore throat, primarily on the left side, which began two days ago. The patient reports extreme pain when swallowing, with the left tonsil being extremely swollen, red, and having white spots. The swelling is significant enough that the tonsil touches the teeth, and the patient describes her saliva as thicker than usual since this morning. She also experiences swelling in the neck and body aches but denies having a fever or difficulty breathing. The patient started taking Amoxicillin and ibuprofen but has not noticed any improvement. She works in a crowded restaurant, which may have exposed her to infections, but has not been in contact with anyone known to have a throat infection. There is no history of pre-existing conditions or allergies, and she is not taking any other medications.

Arora's Assessment

What might be happening

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

Tonsillitis: This is an inflammation of the tonsils, often caused by a viral or bacterial infection. The symptoms you describe, such as a swollen, red throat with white spots, are common in tonsillitis. Since you're already on antibiotics, it suggests a bacterial cause might be suspected, such as strep throat. However, antibiotics can take a couple of days to start showing improvement.
- Typical treatment includes antibiotics for bacterial infections, pain relievers, and rest. A throat culture or rapid strep test can confirm a bacterial infection.
Strep Throat: A specific type of bacterial infection caused by Streptococcus pyogenes. It can cause severe throat pain, swelling, and white patches on the tonsils. Without a fever, it might be less likely, but it's still possible.
- Treatment involves antibiotics, and symptoms usually improve within a few days of starting treatment.
Mononucleosis: Also known as "mono," this viral infection can cause a sore throat, swollen tonsils, and body aches. It is less likely without fatigue or fever, but still a possibility.
- Treatment is supportive, focusing on rest, hydration, and pain relief.

What you can do

While you should continue taking your prescribed antibiotics, here are some additional steps you can take to help alleviate your symptoms:

Stay Hydrated: Drink plenty of fluids to keep your throat moist and help thin out thick saliva.
Gargle with Salt Water: This can help reduce swelling and discomfort in your throat.
Use a Humidifier: Adding moisture to the air can soothe a dry or sore throat.
Rest: Ensure you get plenty of rest to help your body fight the infection.
Pain Relief: Continue taking ibuprofen as directed to help manage pain and reduce inflammation.
Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

Difficulty breathing or swallowing
A high fever or persistent fever
No improvement or worsening of symptoms after a few days of antibiotics
Severe pain that is not relieved by over-the-counter medications

Remember, it's important to follow up with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

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[24F] With severe sore throat and swollen tonsil

What might be happening

What you can do

What you should look out for

Experiencing symptoms?