[26F] Experiencing persistent sore throat and cough

Patient Description

A 26-year-old female presents with a persistent sore throat localized on the left side, worsening upon swallowing, accompanied by a cough producing phlegm and congestion. These symptoms have been ongoing for 3 weeks. The patient has a medical history significant for thyroid cancer and is currently on several medications including Metformin 500mg, Losartan 50mg, Effexor 50mg, and Levothyroxine 137mcg, all taken once daily. The patient reports no known allergies, no side effects from current medications, and no recent weight loss, fever, chills, or difficulty swallowing. There is also a recent onset of voice hoarseness. No family history of chronic throat conditions has been reported.

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Arora's Assessment

What might be happening

Based on your symptoms, you may be experiencing:

  • Upper Respiratory Tract Infection: This is a common cause of sore throat and cough with phlegm. It is often caused by a viral infection, but can also be due to a bacterial infection. The pain in your throat and the changes in your voice suggest inflammation, which is common in these types of infections.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. If the cause is bacterial, antibiotics may be prescribed.
  • Acid Reflux or Gastroesophageal Reflux Disease (GERD): This condition occurs when 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 and cause a sore throat.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, prescription medications or even surgery might be necessary.
  • Side effects from medications: Some medications can cause a dry or sore throat. This is not a common side effect of the medications you are taking, but it is possible.

    • If this is the case, you should discuss this with your doctor. They may be able to adjust your medication or suggest ways to manage this side effect.

What you can do

  1. Try over-the-counter remedies: Lozenges or a simple saltwater gargle can help soothe a sore throat.
  2. Stay hydrated: Drink plenty of water and avoid irritants such as smoke and alcohol.
  3. Rest your voice: Try not to talk too much or shout, as this can strain your vocal cords.
  4. Monitor your symptoms: If your symptoms worsen or persist for more than a week, seek medical attention.

What you should look out for

  • Difficulty breathing or swallowing: If your throat becomes so sore that you have difficulty breathing or swallowing, seek medical attention immediately.
  • High fever: A high fever alongside a sore throat could indicate a more serious infection.
  • Persistent symptoms: If your symptoms persist for more than a week, or if they go away and then come back, it would be a good idea to see a doctor.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of a persistent sore throat and cough with phlegm?

Common causes of a persistent sore throat and cough with phlegm include upper respiratory tract infections, which can be viral or bacterial, and conditions like acid reflux or GERD. Allergies and environmental irritants can also contribute.


Can medications like Metformin, Losartan, Effexor, and Levothyroxine cause a sore throat?

While a sore throat is not a common side effect of Metformin, Losartan, Effexor, or Levothyroxine, it is possible. If you suspect your medication is causing a sore throat, consult your doctor for advice.


How can I differentiate between a viral and bacterial upper respiratory tract infection?

Viral infections often resolve on their own and are accompanied by symptoms like a runny nose and cough. Bacterial infections may cause more severe symptoms, such as a high fever and swollen lymph nodes, and often require antibiotics for treatment.


What lifestyle changes can help manage symptoms of acid reflux or GERD?

To manage symptoms of acid reflux or GERD, avoid foods and drinks that trigger reflux, eat smaller meals, avoid lying down after eating, maintain a healthy weight, and elevate the head of your bed. Over-the-counter medications may also help.


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