[38M] Experiencing severe sore throat, cough, and fatigue

Patient Description

A 38-year-old male presents with a sharp and persistent sore throat that has been worsening over the past 4 days and has remained severe today. The pain is exacerbated by swallowing and is tender to touch externally. The patient has also noted a raspy voice. Ibuprofen has provided minimal relief. Accompanying symptoms include a mild phlegmy cough that started 1 day ago and occurs approximately every twenty minutes. The patient denies any fever, chills, white spots in the throat, difficulty breathing, drooling, difficulty opening the mouth, swelling in the neck or jaw, or tender lumps. Fatigue is also reported. The sore throat is particularly worse in the morning.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Viral Pharyngitis: This is an inflammation of the pharynx (the part of the throat between the tonsils and the larynx). It's usually caused by a viral infection, and symptoms can include a sore throat, cough, and voice changes. It typically resolves on its own within a week.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers to manage symptoms.
  • Bacterial Pharyngitis or Strep Throat: This is an infection of the throat and tonsils caused by bacteria, often Streptococcus (strep). Symptoms can be similar to viral pharyngitis, but it often presents with a sudden, severe sore throat, pain when swallowing, and fever, which you did not report.

    • Treatment typically involves antibiotics to clear the infection.
  • Laryngitis: This is an inflammation of the larynx, or voice box, often due to overuse, irritation, or infection. It can cause voice changes and a sore throat.

    • Treatment usually involves rest, hydration, and avoiding straining your voice.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Rest your voice as much as possible.
  2. Stay hydrated by drinking plenty of water or warm liquids, which can soothe the throat.
  3. Use a humidifier in your home to moisten your throat.
  4. Avoid irritants, such as cigarette smoke or alcohol, which can further irritate your throat.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • A high fever (over 101°F)
  • Symptoms that last longer than a week or get worse
  • Blood in your saliva or phlegm

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.

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10 mo ago

People Also Ask


What are the common causes of a persistent sore throat without fever?

A persistent sore throat without fever can be caused by viral infections like viral pharyngitis, laryngitis, allergies, or irritants such as smoke. It's important to monitor other symptoms to determine the cause.


How can I differentiate between viral and bacterial pharyngitis?

Viral pharyngitis often presents with a sore throat, cough, and voice changes, and usually resolves on its own. Bacterial pharyngitis, like strep throat, often includes a sudden severe sore throat, pain when swallowing, and fever. A throat swab test can confirm bacterial infections.


What home remedies can help alleviate a sore throat and raspy voice?

Home remedies for a sore throat and raspy voice include resting your voice, staying hydrated with water or warm liquids, using a humidifier, and avoiding irritants like smoke. Over-the-counter pain relievers can also help manage symptoms.


When should I see a doctor for a sore throat?

You should see a doctor if you experience difficulty breathing or swallowing, a high fever, symptoms that last longer than a week or worsen, or if you notice blood in your saliva or phlegm.


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