[30F] Experiencing severe loss of voice and other symptoms

Patient Description

A 30-year-old female presents with a severe loss of voice that has persisted for 3 days without improvement from home remedies such as tea or cough drops. Accompanying symptoms include a mild runny nose, an irritating cough that worsens with running and sleeping, mild fevers, exhaustion, dry and cracked lips, and a mild, constant headache. The headache is noted to be less severe than her usual migraines. She has a history of hemiplegic migraines, for which she takes 100mg of Topamax daily, chronic stress-induced stomach ulcers, and chronic kidney stones, with brain fog as a reported side effect of her medication. She also reports swollen glands or tenderness in her neck. The patient works with special needs children, attributing her exhaustion possibly to her job demands. She has a latex allergy but no other known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, you might be experiencing:

  • Laryngitis: This is inflammation of the voice box from overuse, irritation, or infection. It can cause voice loss or changes, and often comes with a dry or sore throat and cough. The fact that you've been hoarse for several days without relief might point to this.

    • Treatment usually involves resting your voice and staying hydrated. Over-the-counter pain medications can help with discomfort. If it's caused by a bacterial infection, you might need antibiotics.
  • Viral Upper Respiratory Infection (Common Cold): Your symptoms of a runny nose, mild cough, mild fever, and exhaustion are common signs of a cold. The virus can also cause laryngitis, leading to your loss of voice.

    • Treatment is usually focused on relieving symptoms, as the body typically clears the virus on its own. Rest, hydration, and over-the-counter medications for symptoms can be helpful.
  • Influenza (Flu): The flu can cause similar symptoms to a cold, but tends to be more severe and sudden in onset. It can also cause laryngitis.

    • Antiviral medications can be prescribed if the flu is caught early enough, but otherwise treatment is similar to that for a cold.

Please note that these are possibilities based on the symptoms you've shared and should not be taken as a definitive diagnosis. It's important to see a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest your voice as much as possible. Avoid speaking or whispering unless necessary.
  2. Stay hydrated. Drink plenty of fluids, especially warm ones like tea or soup, to soothe your throat and keep your body hydrated.
  3. Use a humidifier to add moisture to the air and soothe your throat and nasal passages.
  4. Over-the-counter pain relievers can help with discomfort and fever.
  5. Get plenty of rest to help your body recover.

What you should look out for

You should seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • High fever (over 103°F)
  • Severe or worsening symptoms
  • Symptoms that last longer than a week without improvement

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of laryngitis and how can it be treated?

Laryngitis is commonly caused by viral infections, overuse of the voice, or irritation from factors like smoking or allergies. Treatment typically involves resting the voice, staying hydrated, and using over-the-counter pain relievers. If a bacterial infection is suspected, antibiotics may be necessary.


How can I differentiate between a common cold and the flu based on symptoms?

The common cold usually presents with milder symptoms such as a runny nose, mild cough, and low-grade fever, while the flu tends to cause more severe symptoms like high fever, body aches, and fatigue. The flu also often comes on more suddenly than a cold.


What are some effective home remedies for relieving symptoms of a viral upper respiratory infection?

Effective home remedies for a viral upper respiratory infection include staying hydrated, using a humidifier, resting, and consuming warm fluids like tea or soup. Over-the-counter medications can help alleviate symptoms like fever and headache.


When should I seek medical attention for a persistent loss of voice?

You should seek medical attention for a persistent loss of voice if you experience difficulty breathing or swallowing, a high fever over 103°F, severe or worsening symptoms, or if symptoms last longer than a week without improvement.


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