[42F] Experiencing sore throat, cough, and fatigue

Patient Description

A 42-year-old female presents with a raw sore throat accompanied by phlegm, a persistent cough, and fatigue over the past three days. The patient also reports a sensation of full pressure throughout the head, described as mild. Additionally, there is tenderness and swollen glands in the neck. The patient has a history of Hashimoto's disease diagnosed in 2010 and is currently on Armour Thyroid, levothyroxine, and fluoxetine. No known allergies to medications have been reported. The patient has not noticed any specific time of day when the sore throat worsens, nor any white spots or patches on the tonsils. There has been no difficulty breathing or swallowing, and no fever, chills, or rash has been observed.

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Arora's Assessment

What might be happening

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

  • Viral Pharyngitis: This is an inflammation of the pharynx and is usually caused by a viral infection. Symptoms often include a sore throat, cough, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to soothe the throat and reduce symptoms.
  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Symptoms of a common cold can include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, and fatigue.

    • Treatment is usually supportive, including rest, hydration, and over-the-counter cold remedies.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Symptoms can be similar to a common cold, but the flu tends to be more severe.

    • Antiviral medications can be prescribed by a doctor if the flu is caught within the first 48 hours of symptom onset. Otherwise, treatment is supportive.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure to get plenty of sleep and drink lots of fluids to help your body recover.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help alleviate symptoms like a sore throat and cough.
  3. Avoid spreading the virus: If you have a viral infection, it's important to avoid close contact with others to prevent spreading the virus.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a week
  • You have difficulty breathing
  • You have a high fever
  • You have severe or worsening headaches

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of viral pharyngitis?

Common symptoms of viral pharyngitis include a sore throat, cough, fatigue, and sometimes a mild headache or body aches. It is often accompanied by a sensation of fullness in the head and swollen glands in the neck.


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

The common cold and the flu can have similar symptoms, but the flu tends to be more severe. The flu often comes with a high fever, severe body aches, and extreme fatigue, whereas a cold is usually milder with symptoms like a runny or stuffy nose and a sore throat.


What are the recommended treatments for a sore throat caused by a viral infection?

For a sore throat caused by a viral infection, treatment typically involves rest, staying hydrated, and using over-the-counter remedies such as throat lozenges, pain relievers, and decongestants to alleviate symptoms.


When should I seek medical attention for a sore throat and cough?

You should seek medical attention if your symptoms worsen or do not improve after a week, if you experience difficulty breathing, have a high fever, or if you have severe or worsening headaches.


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