[42F] Experiencing sore throat, headache, nausea, and sweating

Patient Description

A 42-year-old female presents with a sore throat that began yesterday, causing pain upon swallowing. The patient also reports a mild, aching headache that started yesterday, light nausea that comes and goes, and episodes of sweating and chills since last night. The patient has a history of asthma, allergies, eczema, lupus, anxiety, depression, paranoia, insomnia, and cardiac issues. Asthma, allergies, and eczema were diagnosed 40 years ago; lupus 10 years ago; and cardiac issues within the past 3 years. The patient's mental health conditions were diagnosed around 2015. Current medications include Wellbutrin, Buspirone, Adderall, Hydroxyzine, Sertraline, Wixela, Omeprazole, Zyrtec, Montelukast, Zetia, Corlanor, a rescue inhaler, Zofran as needed, and Bethamethasone Valerate. The patient also experiences heavy lungs and slight wheezing when attempting to cough, which started this morning.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, the following conditions might be considered:

  • Viral Infection: Symptoms such as a sore throat, headache, nausea, and sweating could be indicative of a common viral infection, such as the flu or a common cold. These symptoms are often self-limiting and resolve on their own with rest, hydration, and over-the-counter symptom relief.

  • Asthma Exacerbation: Given your history of asthma and your description of feeling like your lungs are heavy and slight wheezing, it's possible you could be experiencing an asthma exacerbation. This can be triggered by a variety of factors, including viral infections.

  • Anxiety: Anxiety can manifest in many physical symptoms, including sweating, nausea, and a feeling of heaviness in the chest. Given your history of anxiety, it's possible that some of your symptoms could be related to this.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

  1. Rest and hydrate: If this is a viral infection, rest and hydration are key. Over-the-counter remedies can also help manage symptoms like a sore throat and headache.

  2. Asthma management: If you have a prescribed asthma action plan, follow it. This may include using your rescue inhaler or other medications. If your symptoms don't improve or worsen, seek immediate medical attention.

  3. Anxiety management: If you feel your symptoms may be related to anxiety, utilize coping strategies that have worked for you in the past, such as deep breathing exercises, meditation, or other forms of relaxation.

  4. Consult a healthcare provider: Given the variety of symptoms you're experiencing and your complex medical history, it would be advisable to consult with a healthcare provider who can evaluate your symptoms in the context of your overall health.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Chest pain
  • High fever (temperature over 100.4°F)
  • Symptoms that persist or worsen over time

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

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People Also Ask


What are common symptoms of a viral infection like the flu or a cold?

Common symptoms of a viral infection such as the flu or a cold include a sore throat, headache, fever, body aches, fatigue, cough, and nasal congestion. These symptoms are usually self-limiting and can be managed with rest, hydration, and over-the-counter medications.


How can asthma exacerbations be managed at home?

Asthma exacerbations can be managed at home by following an asthma action plan, which typically includes using a rescue inhaler as prescribed, avoiding known triggers, and monitoring symptoms closely. If symptoms do not improve or worsen, it is important to seek medical attention.


What are some effective strategies for managing anxiety symptoms?

Effective strategies for managing anxiety symptoms include practicing deep breathing exercises, engaging in regular physical activity, maintaining a healthy sleep routine, practicing mindfulness or meditation, and seeking support from mental health professionals if needed.


When should someone with a sore throat and other symptoms seek medical attention?

Medical attention should be sought if a sore throat is accompanied by difficulty breathing, chest pain, a high fever (over 100.4°F), or if symptoms persist or worsen over time. These could be signs of a more serious condition that requires professional evaluation.


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