[34F] With severe throat pain and additional symptoms

What might be happening

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

• Strep Throat: A bacterial infection that can cause severe throat pain, difficulty swallowing, and fever. The presence of drooling could suggest severe throat swelling.

  • Treatment typically involves antibiotics to clear the infection, but you should avoid penicillin and sulfa due to your allergies. Over-the-counter pain relievers and throat lozenges may also help with symptoms.

• Tonsillitis: Inflammation of the tonsils, which can cause a sore throat, difficulty swallowing, and fever. Swelling and redness in the throat are common.

  • Treatment can range from rest and hydration to antibiotics or tonsillectomy (surgical removal of the tonsils) in severe or recurrent cases.

• Gastroesophageal Reflux Disease (GERD): A condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing a burning sensation in your throat.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.

• Thyroiditis: Inflammation of the thyroid gland, which can cause pain in the front of the neck, throat, or ears, and difficulty swallowing. Given your history of low thyroid, this could be a possibility.

  • Treatment typically involves managing symptoms and, in some cases, hormone replacement therapy.

What you can do

You should seek immediate medical attention due to the severity of your symptoms and the possibility of a serious condition like strep throat or tonsillitis. In the meantime, try to stay hydrated and get plenty of rest. Over-the-counter pain relievers may help with the pain, but avoid aspirin due to your allergy.

What you should look out for

Seek immediate medical attention if you experience:

• Difficulty breathing or shortness of breath
• High fever (temperature over 100.4°F)
• Symptoms that worsen or do not improve after a few days

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.