[28F] Experiencing sore throat and skin changes

Patient Description

A 28-year-old female presents with a sore throat described as a sensation of a lump when swallowing, swollen throat under the jaw, and tenderness, persisting for 2 months without identified relieving factors. Additionally, the patient reports dry lips, oily face and hair, dry eyes, and fatigue. The most bothersome symptoms are oily hair and acne. There is no associated fever, chills, or worsening of the sore throat with food or drink intake. The patient has not indicated any exposure to irritants, allergens, or a history of acid reflux.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Dehydration: Dry lips, dry eyes, and fatigue can be symptoms of dehydration. Dehydration can also cause a dry, sore throat.

    • Treatment for dehydration involves rehydrating the body by drinking fluids and eating foods high in water content. In severe cases, intravenous fluids may be necessary.
  • Hormonal Imbalance: Hormonal changes can lead to oily skin and hair, and can also cause fatigue. This is common in women due to menstrual cycles, pregnancy, menopause, or conditions like Polycystic Ovary Syndrome (PCOS).

    • Treatment for hormonal imbalances can range from lifestyle changes to hormonal therapy, depending on the cause and severity.
  • Gastroesophageal Reflux Disease (GERD): This is a condition where 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 for GERD typically involves lifestyle changes, such as dietary modifications, and medications to reduce stomach acid.
  • Chronic Sinusitis: This is a common condition characterized by inflammation of the sinuses lasting 12 weeks or longer. It can cause a sore throat, fatigue, and sometimes skin problems.

    • Treatment for chronic sinusitis can include medications to reduce inflammation and control the underlying cause, such as allergies or infection.

What you can do

  1. Stay Hydrated: Drink plenty of fluids and avoid drinks that can dehydrate you like coffee and alcohol.
  2. Balanced Diet: Maintain a balanced diet rich in fruits, vegetables, and lean proteins. Avoid spicy, fatty, or acidic foods if you suspect GERD.
  3. Over-the-counter treatments: Use over-the-counter treatments for symptom relief. This can include lozenges or sprays for a sore throat, moisturizers for dry skin, and oil-control products for oily skin and hair.
  4. Consult a doctor: If your symptoms persist or worsen, make sure to consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment options.

What you should look out for

  • If your symptoms persist or worsen over time
  • If you develop new symptoms such as fever, weight loss, difficulty swallowing, or persistent abdominal pain
  • If over-the-counter treatments do not provide relief

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What could be causing the sensation of a lump in the throat when swallowing?

The sensation of a lump in the throat, also known as globus sensation, can be caused by several factors including dehydration, GERD, or chronic sinusitis. It is important to consult a healthcare provider for a proper diagnosis.


How can hormonal imbalances affect skin and hair?

Hormonal imbalances can lead to increased oil production in the skin and hair, resulting in oily skin and acne. This can occur due to changes in hormone levels during menstrual cycles, pregnancy, menopause, or conditions like PCOS.


What are some common symptoms of dehydration?

Common symptoms of dehydration include dry lips, dry eyes, fatigue, and a dry, sore throat. It is important to stay hydrated by drinking plenty of fluids and consuming foods with high water content.


What lifestyle changes can help manage GERD symptoms?

To manage GERD symptoms, lifestyle changes such as avoiding spicy, fatty, or acidic foods, eating smaller meals, not lying down immediately after eating, and maintaining a healthy weight can be helpful. Additionally, reducing caffeine and alcohol intake may also provide relief.


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