[27F] Experiencing a painful sore throat with difficulty swallowing

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

• Strep Throat: This is a bacterial infection that can cause a sore throat, difficulty swallowing, and white spots on the tonsils. It is commonly associated with fever, but not always.

  • Typically, a rapid strep test or throat culture is performed to confirm the diagnosis. Treatment usually involves antibiotics to kill the bacteria.

• Oral Herpes (Cold Sores): Although you mentioned you have genital herpes and are taking Valtrex (an antiviral medication), herpes can also affect the oral area. Oral herpes can cause painful sores in or around the mouth, but it can also cause a sore throat and difficulty swallowing.

  • Diagnosis is usually made based on a physical examination, but a swab of a sore or a blood test can confirm it. Treatment often involves antiviral medications.

• Gonorrhea: This is a sexually transmitted infection that can cause a sore throat, especially after oral sex. However, it usually doesn't cause white spots on the tonsils.

  • Diagnosis is usually made through a urine test or a swab of the affected area. Treatment typically involves antibiotics.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a correct diagnosis.

What you can do

In the meantime, here are some things you can do to help alleviate your symptoms:

1. Stay Hydrated: Drink plenty of fluids such as water or warm broth. Avoid caffeine and alcohol, which can dehydrate you.
2. Rest Your Voice: Try not to talk too much, as this can strain your throat.
3. Use a Humidifier: This can moisten your nasal passages and throat, making you more comfortable.
4. Avoid Irritants: Smoke and other irritants can make your sore throat feel worse.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Difficulty breathing or swallowing
• A high fever (over 101°F)
• Blood in your saliva or phlegm
• A lump in your neck
• A rash
• Severe or worsening symptoms

Remember, it's important to consult with a healthcare professional for a correct diagnosis and treatment.