[31F] Experiencing sore throat, swollen glands, and respiratory symptoms

Patient Description

A 31-year-old female presents with a sore throat that is painful to swallow, tender and painful swollen glands in the neck, moderate cough producing mucus, body aches, an aching headache at the base of the skull, and chills. The swollen glands have been intermittent but are notably worse today with increased coughing. The headache, which worsens with coughing, is rated at a 4 out of 10 in intensity and is alleviated by Aleve. The patient also reports a stiff neck, runny and stuffy nose, but no fever, weight changes, or difficulty breathing. There is no past medical history of chronic illnesses or allergies, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Common Cold: This is a viral infection that primarily affects the nose and throat. Symptoms typically include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, and low-grade fever. However, you've mentioned that you don't have a fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause symptoms similar to the common cold, but also includes high fever, severe body aches, headaches, and fatigue. However, you've mentioned that you don't have a fever or severe body aches.

    • Treatment may include antiviral medications if diagnosed early, as well as rest, hydration, and over-the-counter remedies to manage symptoms.
  • Strep Throat: This is a bacterial infection that can cause a severe sore throat, pain when swallowing, fever, and swollen lymph nodes in the neck. However, you've mentioned that you don't have a fever.

    • Treatment usually involves antibiotics to clear the infection.
  • Mononucleosis: This is a viral illness often characterized by fatigue, sore throat, swollen lymph nodes, and sometimes body aches and chills. However, it's less likely given your age and the absence of severe fatigue.

    • Treatment involves rest, hydration, and over-the-counter remedies to manage symptoms.

What you can do

While you're waiting to see a doctor, here are some things you can do to help manage your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms such as a runny nose, congestion, and body aches.
  3. Sore throat relief: Try gargling with warm salt water or using a throat spray to help soothe your sore throat.
  4. Avoid spreading the illness: If you have a viral or bacterial illness, it's important to avoid close contact with others until you're no longer contagious.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • High fever (over 100.4°F)
  • Severe headache or neck stiffness
  • Symptoms that worsen or do not improve after a week

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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10 mo ago

People Also Ask


What are the common symptoms of a cold, and how can I manage them at home?

Common symptoms of a cold include a runny or stuffy nose, sore throat, cough, congestion, slight body aches, and mild headache. To manage these symptoms at home, rest, stay hydrated, and use over-the-counter remedies like decongestants and pain relievers.


How can I differentiate between a sore throat caused by a cold and strep throat?

A sore throat from a cold is usually accompanied by a runny nose and cough, while strep throat often involves a sudden, severe sore throat without cough, fever, and swollen lymph nodes. A throat swab test can confirm strep throat.


What are the signs that my symptoms might be due to influenza rather than a common cold?

Influenza symptoms are more severe than a cold and include high fever, severe body aches, fatigue, and headaches. If you experience these symptoms, especially during flu season, it might be influenza.


When should I seek medical attention for a sore throat and swollen glands?

Seek medical attention if you have difficulty breathing, a high fever, severe headache or neck stiffness, or if your symptoms worsen or do not improve after a week.


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