[45F] With painful swallowing and red line from neck pimple

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Infection or Inflammation

• Cellulitis or Skin Infection: The red line extending from the pimple or bite could indicate a spreading skin infection, especially given your recent history of cellulitis. This can sometimes lead to systemic symptoms like difficulty swallowing if the infection spreads or causes significant inflammation.
• Lymphangitis: The red line could also be a sign of lymphangitis, an infection of the lymphatic vessels, which can occur when bacteria enter through a break in the skin.

2. Allergic Reaction

• Allergic Reaction to a Bite or Sting: If the pimple is actually a bite or sting, the red line and difficulty swallowing could be part of an allergic reaction. This can sometimes cause swelling in the throat, leading to difficulty swallowing.

3. Upper Respiratory Infection

• Cold or Sinus Infection: Your nasal congestion and headache suggest a possible upper respiratory infection, which can sometimes cause throat pain and difficulty swallowing.

Typical Treatments and Testing

• For Infections: Antibiotics are commonly prescribed. Your doctor may also perform blood tests or imaging studies to assess the extent of the infection.
• For Allergic Reactions: Antihistamines or corticosteroids may be recommended. In severe cases, an epinephrine injection might be necessary.
• For Upper Respiratory Infections: Over-the-counter medications, rest, and fluids are usually recommended. If bacterial, antibiotics may be prescribed.

What you can do

Difficulty Swallowing and Red Line from Pimple/Bite

• Seek Immediate Medical Attention: Given the potential for a serious infection or allergic reaction, it's important to see a healthcare provider as soon as possible. They can evaluate the red line and difficulty swallowing to determine the appropriate treatment.
• Keep the Area Clean: Gently clean the area with soap and water to prevent further infection.
• Avoid Popping Pimples or Bites: This can introduce bacteria and worsen the infection.

Nasal Congestion and Headache

• Stay Hydrated: Drink plenty of fluids to help thin mucus and relieve congestion.
• Use a Humidifier: Adding moisture to the air can help ease nasal congestion.
• Over-the-Counter Medications: Decongestants and pain relievers like ibuprofen or acetaminophen can help alleviate symptoms.
• Rest: Ensure you get plenty of rest to help your body fight off the infection.

Athlete's Foot

• Antifungal Treatments: Continue using over-the-counter antifungal creams or sprays. Keep your feet clean and dry.
• Follow-Up: Schedule a follow-up appointment with your healthcare provider to ensure the infection has fully resolved.

General Health

• Limit Tobacco, Alcohol, and Recreational Drugs: These substances can weaken your immune system and make it harder for your body to fight infections.
• Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Worsening Redness or Swelling: If the red line or swelling increases, it could indicate a spreading infection.
• Difficulty Breathing: If you experience any difficulty breathing, seek emergency medical attention immediately.
• High Fever or Chills: These could be signs of a systemic infection.
• Severe Pain or Rapidly Spreading Symptoms: These could indicate a serious condition that requires immediate medical attention.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.