[44F] With throat irritation and exhaustion

Patient Description

A 44-year-old female presents with a very scratchy and irritated throat, drainage, and exhaustion for the past three days. The symptoms include a slight cough, runny nose, swollen lymph nodes, pain when talking, and hoarseness. There is no fever, difficulty swallowing, shortness of breath, or wheezing. The patient recently smoked two cigarettes and was sick with the flu a few weeks ago. She has a history of chronic fatigue syndrome diagnosed three years ago. Currently, she takes Nyquil at night and Dayquil in the morning, with no known medication allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Viral Upper Respiratory Infection (Common Cold): Your symptoms of a scratchy throat, drainage, and exhaustion could be due to a viral infection. These infections often cause sore throats, runny noses, and fatigue.

    • Treatment: Typically, rest, hydration, and over-the-counter medications like Dayquil and Nyquil can help manage symptoms.
  • Post-Viral Fatigue: Since you recently had the flu, your body might still be recovering, leading to ongoing fatigue and throat irritation.

    • Treatment: Rest and gradual return to normal activities are usually recommended.
  • Irritation from Smoking: Smoking can irritate the throat and exacerbate symptoms like hoarseness and cough.

    • Treatment: Avoiding smoking and using throat lozenges may help.

What you can do

  • Rest and Hydration: Ensure you get plenty of rest and drink fluids to stay hydrated.
  • Avoid Irritants: Try to avoid smoking and exposure to other irritants.
  • Symptom Management: Continue using over-the-counter medications as needed, but follow the recommended dosages.
  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • Your symptoms worsen or do not improve in a week.
    • You develop a high fever or experience difficulty breathing.
    • You notice any new or concerning symptoms.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

People Also Ask


What are the common symptoms of a viral upper respiratory infection?

Common symptoms of a viral upper respiratory infection, such as the common cold, include a scratchy or sore throat, runny or stuffy nose, cough, mild fatigue, and sometimes a low-grade fever.


How can post-viral fatigue affect recovery after the flu?

Post-viral fatigue can lead to prolonged tiredness and weakness even after the main symptoms of the flu have resolved. It is important to rest and gradually return to normal activities to aid recovery.


What are some effective ways to soothe a scratchy throat?

To soothe a scratchy throat, you can try drinking warm fluids, using throat lozenges, gargling with salt water, and using a humidifier to keep the air moist.


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

You should seek medical attention if your symptoms worsen, do not improve within a week, or if you develop a high fever, difficulty breathing, or any new concerning symptoms.


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