[37F] Experiencing sore throat, loss of smell, and additional symptoms

Patient Description

A 37-year-old female presents with a sore throat, loss of smell, limited taste, and chest tightness that started 4 days ago. Symptoms are exacerbated at night and accompanied by fever, chills, and occasional difficulty breathing. The patient finds relief using cough drops, cough syrup, hot tea, Nyquil, and Tylenol. There are swollen glands in the neck, but no white patches on the throat. The patient denies a history of other medical conditions, allergies, or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on your symptoms, several possible conditions could be causing your symptoms:

  • COVID-19: This is a viral infection that can cause symptoms such as fever, cough, sore throat, loss of taste and smell, and difficulty breathing. Given the current pandemic and your symptoms, this is a possibility.

    • Testing for COVID-19 is recommended. If positive, treatment is supportive, meaning it aims to relieve symptoms while your body fights the illness. Rest, hydration, and over-the-counter medications may help with symptoms.
  • Influenza (Flu): This is a common viral infection that can cause fever, cough, sore throat, and body aches. It can be severe or deadly in some cases, especially among the elderly, young children, pregnant women, and people with certain health conditions.

    • Antiviral medications can be prescribed to reduce the severity and duration of the flu. It's best to start these medications within 48 hours of when symptoms start.
  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract) that usually isn't serious. Symptoms might include runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, and generally feeling unwell.

    • There's no cure for the common cold. Antibiotics are of no use against cold viruses and shouldn't be used unless there's a bacterial infection. Treatment is directed at relieving signs and symptoms.
  • Asthma exacerbation: Your asthma may be worsening, leading to increased coughing, chest tightness, shortness of breath, and wheezing. This can be triggered by a respiratory infection.

    • Treatment involves the use of quick-relief medicines (also known as rescue or fast-acting medicines), which are taken at the first sign of asthma symptoms for immediate relief of the symptoms.

What you can do

  • Get tested for COVID-19: Given your symptoms and the ongoing pandemic, it's important to get tested for COVID-19. If you test positive, you'll need to isolate to protect others from getting infected.

  • Rest and hydrate: Regardless of the cause, getting plenty of rest and staying well-hydrated can help your body recover.

  • Over-the-counter medication: Over-the-counter cold, flu, or cough medications may help alleviate some of your symptoms. However, they will not cure viral illnesses.

  • Asthma medication: If you have a prescribed inhaler or other asthma medication, make sure you're using it as directed by your healthcare provider.

What you should look out for

  • Difficulty breathing: If you're having trouble breathing, seek immediate medical attention.

  • Worsening symptoms: If your symptoms get worse or if they don't start to improve after a week, make sure to seek medical attention.

  • High fever: If you develop a high fever, seek medical attention.

Please remember that while I strive to provide accurate and timely information, I am an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of COVID-19?

Common symptoms of COVID-19 include fever, cough, sore throat, loss of taste and smell, difficulty breathing, fatigue, and body aches. It's important to get tested if you suspect you have COVID-19.


How can I differentiate between the flu and a common cold?

The flu often comes on suddenly and can include high fever, body aches, fatigue, and a dry cough, while a common cold usually develops gradually and is characterized by a runny or stuffy nose, sore throat, and mild cough. The flu tends to be more severe than a cold.


What should I do if I experience difficulty breathing?

If you experience difficulty breathing, it's important to seek immediate medical attention, as this can be a sign of a serious condition that requires prompt treatment.


How effective are over-the-counter medications for viral infections?

Over-the-counter medications can help alleviate symptoms such as fever, sore throat, and congestion, but they do not cure viral infections. They are mainly used to provide symptomatic relief while the body fights off the virus.


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