[39F] Experiencing severe and persistent throat pain

Patient Description

A 39-year-old female presents with a severe, raw throat pain rated 8 out of 10, worsening over a period of 2 months. The pain is consistent, not influenced by food or drink, and occurs with every swallow and breath. Additionally, she reports fatigue, joint pain, laryngitis, and a low-grade fever. The patient also experiences difficulty breathing, voice hoarseness, and neck swelling. No specific triggers for the throat pain were identified, and it remains constant regardless of eating or drinking.

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Arora's Assessment

What might be happening

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

  • Pharyngitis: This is inflammation of the throat (pharynx) that can cause throat pain. It is often caused by viral infections, but bacterial infections can also be the cause.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Tonsillitis: This is inflammation of the tonsils, which are located in the back of your throat. It can cause severe throat pain, especially when swallowing, and may also cause a fever.

    • Treatment often involves antibiotics if a bacterial infection is suspected. In severe or recurrent cases, a tonsillectomy (surgical removal of the tonsils) may be recommended.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause severe throat pain, fatigue, fever, and swollen lymph nodes. It is often caused by the Epstein-Barr virus.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. There is no specific treatment for the virus itself, and it usually resolves on its own over time.
  • Thyroiditis: This is inflammation of the thyroid gland, which is located in your neck. It can cause throat pain, fatigue, and fever, among other symptoms.

    • Treatment typically involves managing the symptoms and treating the underlying cause, which may involve medication or surgery.

Please note that these are potential diagnoses based on the symptoms you've provided, and you should consult with a healthcare provider for a formal diagnosis.

What you can do

In the meantime, you can try the following to help alleviate your symptoms:

  1. Rest and hydrate: This can help your body recover from any potential infections and can soothe your throat.
  2. Over-the-counter pain relievers: These can help reduce your throat pain and any associated fever.
  3. Warm liquids: Drinking warm liquids, such as tea or broth, or sucking on lozenges or hard candies can help soothe your throat.
  4. Avoid irritants: Smoke and other irritants can make your throat pain worse, so try to avoid these if possible.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or swallowing
  • A high fever (over 101°F)
  • A rash
  • Joint pain or swelling
  • Persistent or worsening symptoms

Remember, it's important to 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 causes of persistent throat pain?

Persistent throat pain can be caused by conditions such as pharyngitis, tonsillitis, mononucleosis, or thyroiditis. It can result from viral or bacterial infections, allergies, or other inflammatory conditions.


How can I differentiate between viral and bacterial throat infections?

Viral throat infections often present with symptoms like a runny nose, cough, and mild fever, and they usually resolve on their own. Bacterial infections, such as strep throat, may cause more severe symptoms like high fever, swollen lymph nodes, and white patches on the tonsils, and often require antibiotics for treatment.


What are the symptoms of mononucleosis and how is it treated?

Mononucleosis, commonly known as mono, is characterized by severe throat pain, fatigue, fever, and swollen lymph nodes. It is caused by the Epstein-Barr virus and is treated with rest, hydration, and over-the-counter pain relievers, as there is no specific antiviral treatment.


When should I seek medical attention for throat pain?

You should seek medical attention for throat pain if you experience difficulty breathing or swallowing, a high fever over 101°F, a rash, joint pain or swelling, or if your symptoms persist or worsen despite home treatment.


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