[26M] With tonsillar swelling, night sweats, and armpit rash

What might be happening

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

Swollen Tonsils and Night Sweats

1. Infectious Mononucleosis (Mono):

   • Rationale: Mono is caused by the Epstein-Barr virus and can present with swollen tonsils, difficulty swallowing, and night sweats. It is common in young adults.
   • Typical Treatments/Testing: Blood tests to confirm the presence of the Epstein-Barr virus, rest, hydration, and over-the-counter pain relievers.

2. Chronic Tonsillitis:

   • Rationale: Chronic inflammation of the tonsils can cause persistent swelling and discomfort. Night sweats can sometimes accompany chronic infections.
   • Typical Treatments/Testing: Throat swabs, antibiotics if bacterial, and possibly a referral to an ENT specialist for further evaluation.

Armpit Rash

1. Contact Dermatitis:

   • Rationale: This could be due to an allergic reaction to deodorants, soaps, or other substances that come into contact with your skin.
   • Typical Treatments/Testing: Avoiding the irritant, using hypoallergenic products, and applying topical corticosteroids.

2. Fungal Infection:

   • Rationale: Fungal infections can cause red, itchy, and bumpy rashes that persist and recur.
   • Typical Treatments/Testing: Antifungal creams or powders, keeping the area dry and clean.

Unifying Diagnosis

1. Autoimmune Disorder:
   • Rationale: Conditions like lupus or Sjogren's syndrome can cause a variety of symptoms, including swollen tonsils, night sweats, and skin rashes.
   • Typical Treatments/Testing: Blood tests to check for autoimmune markers, referral to a rheumatologist.

What you can do

Swollen Tonsils and Night Sweats

• See a doctor: It's important to get a proper diagnosis. Your doctor may perform blood tests or throat swabs to determine the cause.
• At home:
  • Gargle with warm salt water to reduce throat discomfort.
  • Stay hydrated and get plenty of rest.
  • Use over-the-counter pain relievers like ibuprofen or acetaminophen to manage pain and fever.

Armpit Rash

• See a doctor: A healthcare provider can help determine if the rash is due to an allergic reaction, infection, or another cause.
• At home:
  • Avoid using any new or potentially irritating products on your skin.
  • Keep the area clean and dry.
  • Apply over-the-counter hydrocortisone cream to reduce itching and inflammation.

General Tips

• Track your symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
• Monitor your condition: Keep an eye on any changes in your symptoms and seek medical attention if they worsen or new symptoms develop.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Difficulty breathing or swallowing
• High fever or chills
• Severe pain or swelling
• Rapidly spreading rash or signs of infection (e.g., pus, increased redness)

Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.