[31M] With sore throat, severe chills, and diarrhea

Patient Description

A 31-year-old male presents with a sore throat and severe chills that have been ongoing for 2 days. The sore throat developed gradually and feels scratchy, accompanied by difficulty swallowing and changes in voice. The patient also reports experiencing diarrhea for the past 10 hours, with bowel movements occurring approximately every half hour. Additionally, the patient has nasal congestion, body aches, fatigue, and headaches. There is no fever, nausea, vomiting, or recent travel. The patient vapes daily but has not changed vaping habits or substances recently. There is a family history of heart attacks. The patient has no known pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Viral Infection (e.g., Influenza or Common Cold): Viral infections can cause a sore throat, chills, body aches, headaches, and nasal congestion. Diarrhea can also occur, although it is less common. These infections are usually self-limiting and resolve within a week or two.

    • Treatment: Rest, hydration, and over-the-counter medications to relieve symptoms. Antiviral medications may be prescribed in some cases.
  • Bacterial Infection (e.g., Strep Throat): Bacterial infections can also cause a sore throat, chills, and body aches. Strep throat, in particular, can cause a severe sore throat and difficulty swallowing.

    • Treatment: Antibiotics prescribed by a healthcare provider. Over-the-counter pain relievers can help manage symptoms.
  • Gastroenteritis: This condition, often caused by a viral or bacterial infection, can lead to diarrhea, chills, and body aches. It is commonly known as the "stomach flu."

    • Treatment: Hydration is crucial. Over-the-counter medications can help manage symptoms. In some cases, antibiotics may be necessary.
  • COVID-19: Given the ongoing pandemic, COVID-19 is a consideration. Symptoms can include sore throat, chills, body aches, headaches, nasal congestion, and diarrhea.

    • Treatment: Rest, hydration, and over-the-counter medications to relieve symptoms. Seek medical advice for testing and further management.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids, especially water, to stay hydrated, especially if you have diarrhea.
  2. Rest: Ensure you get plenty of rest to help your body recover.
  3. Over-the-Counter Medications: Use over-the-counter medications like acetaminophen or ibuprofen to relieve pain, headaches, and body aches. Throat lozenges or sprays can help soothe a sore throat.
  4. Humidifier: Using a humidifier can help ease nasal congestion and soothe a sore throat.
  5. Avoid Irritants: Avoid smoking or vaping, as these can irritate your throat and worsen symptoms.
  6. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty Breathing or Chest Pain: These could be signs of a more serious condition and require immediate medical attention.
  • High Fever: A persistent high fever (over 100.4°F) that does not respond to over-the-counter medications.
  • Severe Dehydration: Signs include dark urine, dizziness, and dry mouth.
  • Worsening Symptoms: If your symptoms worsen or do not improve after a few days, consult a healthcare provider.

Remember, while this information can help you understand your symptoms, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What are the common symptoms of a viral infection like the flu or a cold?

Common symptoms of a viral infection such as the flu or a cold include a sore throat, chills, body aches, headaches, nasal congestion, and sometimes diarrhea. These infections are usually self-limiting and resolve within a week or two.


How can I differentiate between a viral and bacterial infection causing a sore throat?

Viral infections often present with symptoms like a gradual onset of sore throat, nasal congestion, and body aches, while bacterial infections like strep throat may cause a more severe sore throat, difficulty swallowing, and possibly a fever. A healthcare provider can perform tests to confirm the cause.


What are the best ways to manage diarrhea at home?

To manage diarrhea at home, it's important to stay hydrated by drinking plenty of fluids, such as water or oral rehydration solutions. Eating bland foods like bananas, rice, applesauce, and toast can also help. Over-the-counter medications may be used to relieve symptoms, but it's best to consult a healthcare provider if symptoms persist.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience difficulty breathing, chest pain, a high fever that doesn't respond to medication, signs of severe dehydration like dark urine or dizziness, or if your symptoms worsen or do not improve after a few days.

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