[30F] Experiencing prolonged sore throat, fever, and bloating

Patient Description

A 30-year-old female has been experiencing a sore throat for a month, fever for two days, and bloating for two days. The fever, which initially was 102 degrees, decreases to 100 degrees after taking Naproxen but spikes again once the medication wears off, particularly in the evening. The patient also reports chills and muscle aches associated with the fever. The bloating is concentrated around the belly button and lower abdomen without associated pain. The patient has been having yellow diarrhea but has not identified any specific food triggers. There is no severe abdominal pain or vomiting. The patient has a medical history of undifferentiated connective tissue disorder and Hashimoto’s thyroiditis, and had acute hepatitis B two years ago from which she recovered. Current medications include Wellbutrin, Lexapro, Plaquenil, Synthroid, and Zyrtec. The patient has allergies to sulfa, egg white, and milk protein. A recent Covid-19 test was negative.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Viral Infection: Your symptoms of fever, sore throat, and diarrhea could be due to a viral infection. While you've tested negative for COVID-19, there are many other viruses that could cause these symptoms.
- Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause diarrhea, bloating, and sometimes fever.
- Treatment usually involves rest, hydration, and eating bland foods until symptoms resolve.
Autoimmune Flare: Given your history of undifferentiated connective tissue disorder and Hashimoto’s thyroiditis, it's possible that your symptoms are due to a flare of your autoimmune conditions.
- Treatment would involve managing symptoms and potentially adjusting your current medications.
Medication Side Effects: Some of your symptoms could be side effects of the medications you're taking. For example, diarrhea can be a side effect of Wellbutrin.
- Treatment would involve discussing these symptoms with your doctor, who may adjust your medication regimen.

What you can do

Continue to manage your fever with over-the-counter medications like Naproxen, as you've been doing.
Stay hydrated, especially because you're experiencing diarrhea. This can lead to dehydration, which can make you feel worse.
Rest as much as possible. Your body needs energy to fight off whatever is causing your symptoms.
If your symptoms persist or worsen, make an appointment to see your doctor. They can evaluate you and possibly order tests to help determine what's causing your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

Severe abdominal pain
Blood in your stool
A fever that doesn't improve with medication or lasts more than a few days
Symptoms of dehydration, like dark urine, dry mouth, or feeling dizzy when you stand up
Difficulty breathing

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

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1 yr ago

Top picked over-the-counter products for Sore Throat: At-Home Management