[32F] Experiencing sore throat, difficulty swallowing, and oral lesions

Patient Description

A 32-year-old female presents with a sore throat, significant difficulty swallowing which is constantly present, and the appearance of red dots on the roof of her mouth. The difficulty swallowing began suddenly and is present even when not consuming food or liquids, and she is also unable to swallow saliva without difficulty. The patient reports a concurrent headache and abdominal pain, but no fever or chills. There is no indication that the symptoms are influenced by the type of food or drink. The duration of these symptoms has been 1 day.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Strep Throat: A bacterial infection that can cause a sore throat, difficulty swallowing, and red spots on the roof of the mouth. Headaches and abdominal pain are also common symptoms.

    • Treatment typically involves antibiotics to clear the infection and over-the-counter pain relievers to manage symptoms.
  • Viral Pharyngitis: This is inflammation of the pharynx, which is in the back of the throat. It's most commonly caused by viral infections, such as the common cold or flu. Symptoms include a sore throat, difficulty swallowing, and sometimes a headache and abdominal pain.

    • Treatment is focused on relieving symptoms, as antibiotics are not effective against viruses. Over-the-counter pain relievers and throat lozenges can help.
  • Tonsillitis: This is inflammation of the tonsils, which are two lymph nodes located on each side of the back of your throat. Tonsillitis can cause a sore throat, difficulty swallowing, and red spots on the roof of the mouth. It can be caused by both bacterial and viral infections.

    • Treatment depends on the cause. If it's a bacterial infection, antibiotics are used. If it's a viral infection, home remedies and over-the-counter medicines are used to manage symptoms.

What you can do

You should make an appointment to see a healthcare provider. They can perform a throat swab to determine if you have a bacterial infection like strep throat, which would require antibiotics. In the meantime, you can try the following to help alleviate your symptoms:

  1. Stay hydrated: Drink lots of fluids like water or warm broths to soothe your throat and stay hydrated.
  2. Rest your voice: Try not to talk too much or shout, as this can strain your throat.
  3. Over-the-counter remedies: Throat lozenges or over-the-counter pain relievers may help with the pain and difficulty swallowing.

What you should look out for

Reasons to seek urgent medical attention:

  • If you have difficulty breathing or start drooling, as this could indicate a more serious condition like epiglottitis.
  • If your symptoms last for more than a week, get worse, or are accompanied by a high fever, rash, or neck swelling.

Remember, while I can provide information based on your symptoms, I'm not a doctor and you should seek medical attention for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of strep throat?

Common symptoms of strep throat include a sore throat, difficulty swallowing, red spots on the roof of the mouth, headache, abdominal pain, and sometimes fever. It is caused by a bacterial infection and often requires antibiotics for treatment.


How can I differentiate between viral and bacterial throat infections?

Viral throat infections, like viral pharyngitis, often come with symptoms such as a sore throat, difficulty swallowing, and sometimes a headache and abdominal pain, but they do not respond to antibiotics. Bacterial infections like strep throat may present with similar symptoms but often include fever and require antibiotics. A throat swab test can help differentiate between the two.


What home remedies can help alleviate a sore throat?

Home remedies for a sore throat include staying hydrated with warm broths or water, using throat lozenges, gargling with salt water, and taking over-the-counter pain relievers. Resting your voice and avoiding irritants like smoke can also help.


When should I seek urgent medical attention for a sore throat?

You should seek urgent medical attention if you experience difficulty breathing, start drooling, or if your symptoms persist for more than a week, worsen, or are accompanied by a high fever, rash, or neck swelling, as these could indicate a more serious condition.


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