[33F] Experiencing sore throat, cough, fever, congestion, and vomiting

Patient Description

A 33-year-old female presents with a 3-day history of a sore throat described as a burning pain and significant redness, which worsens at night. Accompanying symptoms include a moderate, dry, painful cough that began 2 days ago and is exacerbated by throat dryness. The patient also reports a fever of 100.4°F. There has been one episode of vomiting induced by a severe coughing fit and throat irritation. The patient's tonsils have been previously removed, and there are no visible white patches or pus in the throat. The patient finds temporary relief from throat pain with ice. No other interventions have been reported.

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Arora's Assessment

What might be happening

Based on the information you provided, you may be experiencing:

  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu is different from a cold. Flu symptoms usually come on suddenly and may include fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, and fatigue.

    • Treatment: Rest, hydration, and over-the-counter remedies can help, but some people may need antiviral medication. You should consult with a healthcare provider.
  • Strep Throat: This is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever.

    • Treatment: Antibiotics are used to treat strep throat.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs, or sneezes.

    • Treatment: Most people with mild symptoms can recover at home. If you feel worse or your symptoms last a long time, you should call a doctor.

What you can do

  • Rest and hydrate: Make sure you're getting plenty of sleep at night and taking it easy during the day. Drink lots of fluids to stay hydrated.
  • Over-the-counter remedies: Over-the-counter cold remedies can help alleviate symptoms like a runny nose, congestion, and body aches.
  • Consult with a healthcare provider: If your symptoms persist or get worse, you should consult with a healthcare provider. They may want to test you for flu, strep throat, or COVID-19.

What you should look out for

  • Difficulty breathing: If you have trouble breathing, seek medical attention immediately.
  • Persistent pain or pressure in your chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

Please remember that 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.

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10 mo ago

People Also Ask


What are the common symptoms of influenza and how can it be treated?

Common symptoms of influenza include fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter remedies. In some cases, antiviral medication may be necessary, so consulting a healthcare provider is recommended.


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

Strep throat often presents with a sudden, severe sore throat, pain when swallowing, and fever. Unlike viral sore throats, strep throat may not be accompanied by a cough. A rapid strep test or throat culture performed by a healthcare provider can confirm the diagnosis.


What are the initial symptoms of COVID-19 and when should I seek medical attention?

Initial symptoms of COVID-19 can include fever, cough, and difficulty breathing. If you experience severe symptoms such as trouble breathing, persistent chest pain, new confusion, inability to wake or stay awake, or bluish lips or face, seek medical attention immediately.


What home remedies can help alleviate a sore throat and cough?

Home remedies for a sore throat and cough include staying hydrated, using throat lozenges, gargling with salt water, and using a humidifier. Temporary relief can also be found by sucking on ice chips or drinking warm teas with honey.


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