[31F] With sore throat and related symptoms persisting over a week

What might be happening

Based on the symptoms you've described, here are a few possibilities:

• Pharyngitis: This is inflammation of the throat (pharynx). It's most often caused by viral infections like the common cold or flu. Symptoms can include a sore throat, difficulty swallowing, and swollen lymph nodes in the neck.

• Tonsillitis: Even though you've mentioned that you don't have tonsils, it's possible to have residual tonsillar tissue that can become infected and inflamed. This can cause symptoms similar to pharyngitis, along with ear pain due to referred pain.

• Laryngitis: This is inflammation of the voice box (larynx) from overuse, irritation, or infection. It can cause hoarseness and difficulty swallowing.

• Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause a severe sore throat, swollen lymph nodes, fever, and fatigue.

• Strep throat: This is a bacterial infection that can cause a severe sore throat, difficulty swallowing, and fever. However, it doesn't typically cause hoarseness.

What you can do

While you should definitely seek medical attention for a formal diagnosis and treatment, here are some things you can do to alleviate your symptoms:

1. Stay Hydrated: Drink plenty of fluids like water, herbal tea, or clear broths to soothe your sore throat and prevent dehydration.

2. Rest Your Voice: Try not to talk too much or shout to help your larynx recover.

3. Over-the-counter medication: Over-the-counter pain relievers can help with the pain and fever. Throat lozenges or sprays can also help soothe your sore throat.

4. Humidifier: Using a humidifier can moisten your nasal, throat, and larynx tissues, making you more comfortable.

What you should look out for

You should seek immediate medical attention if you experience:

• Difficulty breathing or shortness of breath
• Difficulty swallowing to the point where you can't eat or drink
• A high fever (over 101°F)
• Symptoms that last for more than a week or get worse

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.