[45F] Experiencing sore throat and nasal congestion with additional symptoms

Patient Description

A 45-year-old female presents with a sore throat described as red, swollen, and uncomfortable to swallow, along with nasal congestion. These symptoms have been persistent for 8 days, with a negative strep test. The sore throat was initially accompanied by fever and chills, which have since resolved. The patient finds some relief using ibuprofen, lozenges, and hot liquids, and notes that symptoms are worse in the morning and evening. Additionally, the patient reports a persistent bad taste in the mouth, almost sweet, that started 3 days ago, affecting the taste of food and drinks. There is no associated rash, white patches on the tonsils, headache, facial pain, or significant yellow or green nasal discharge. The patient also mentions experiencing fatigue and some coughing, but no shortness of breath.

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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 throat caused by a viral infection. It is often accompanied by other symptoms of a viral infection, such as a stuffy nose, fatigue, and swollen lymph nodes. The fact that your strep test was negative and you had a fever at the start of your symptoms supports this diagnosis.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often caused by a viral infection. It can cause symptoms like a stuffy nose, bad taste in the mouth, and fatigue. However, it's usually accompanied by facial pain or headaches, which you did not report.

    • Treatment usually involves managing symptoms with over-the-counter remedies and ensuring adequate hydration.
  • Post-nasal drip: This is when excess mucus from the nasal cavity drips down the back of the throat. This can cause a sore throat and bad taste in the mouth. However, it's usually accompanied by a cough, which you only reported some of.

    • Treatment involves managing symptoms and may include nasal sprays or antihistamines.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Continue to rest and hydrate.
  2. Use over-the-counter remedies to manage your symptoms, such as ibuprofen for pain and a decongestant for your stuffy nose.
  3. Try a humidifier in your bedroom to help soothe your throat and clear your nasal passages.
  4. Avoid irritants such as smoke and alcohol which can worsen your symptoms.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist for more than 10 days or get worse
  • If you develop a high fever (temperature over 100.4°F)
  • If you have difficulty swallowing or breathing
  • If you develop a rash or white patches on your tonsils

Please remember that 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 recommendations.

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10 mo ago

People Also Ask


What are the common causes of a sore throat that lasts more than a week?

A sore throat lasting more than a week can be caused by viral infections like viral pharyngitis, bacterial infections, allergies, or irritants such as smoke. Persistent symptoms should be evaluated by a healthcare provider.


Why might someone experience a bad taste in their mouth during a cold or sinus infection?

A bad taste in the mouth during a cold or sinus infection can be due to post-nasal drip, where mucus drips down the throat, or due to changes in taste perception caused by the infection itself.


What are the typical symptoms of viral pharyngitis?

Typical symptoms of viral pharyngitis include a sore throat, red and swollen throat, fever, fatigue, nasal congestion, and sometimes swollen lymph nodes. It is usually self-limiting and resolves with symptomatic treatment.


When should someone with a sore throat and congestion see a doctor?

Someone should see a doctor if their sore throat and congestion persist for more than 10 days, worsen, or are accompanied by high fever, difficulty swallowing or breathing, or if they develop a rash or white patches on the tonsils.


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