[47F] Experiencing sharp sore throat with ear pain

Patient Description

A 47-year-old female presents with a sharp sore throat that radiates to both ears equally, which started approximately 6-7 hours prior to consultation. The patient has observed white patches in the back of her throat. There is no associated fever, chills, difficulty breathing, or stiff neck. The patient has a history of tonsillectomy 20 years ago and is allergic to sulfa drugs. She is not currently on any medications and has not found any relief for her symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Strep Throat: This is a bacterial infection that can cause a sore throat, pain when swallowing, and white patches in the throat. It's usually accompanied by fever and swollen lymph nodes, but not always.

    • Treatment typically involves antibiotics to clear the infection and prevent complications.
  • Tonsillitis: This is inflammation of the tonsils, often caused by a viral infection. However, since you've had your tonsils removed, this is less likely.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers. Antibiotics may be needed if the cause is bacterial.
  • Pharyngitis: This is inflammation of the back of the throat, often caused by a viral infection like the common cold or flu. It can cause a sore throat and pain when swallowing.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers.
  • Ear Infection: Sometimes, an ear infection can cause referred pain to the throat. This is more common in children, but can happen in adults.

    • Treatment usually involves antibiotics if the cause is bacterial, and pain relievers.

What you can do

  1. Drink plenty of fluids and rest as much as possible.
  2. Try over-the-counter pain relievers like acetaminophen or ibuprofen.
  3. Use a humidifier to moisten your nasal passages and throat.
  4. Suck on throat lozenges or hard candies.
  5. Gargle with warm salt water.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You have difficulty breathing or swallowing.
  • You develop a high fever, severe headache, chest pain, or other worrying symptoms.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can examine you and access your medical history.

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10 mo ago

People Also Ask


What are the common symptoms of strep throat?

Common symptoms of strep throat include a sore throat, pain when swallowing, white patches in the throat, swollen lymph nodes, and sometimes fever. However, not all symptoms may be present.


Can you get tonsillitis if you've had your tonsils removed?

While tonsillitis specifically refers to inflammation of the tonsils, you can still experience similar symptoms in the throat area even after a tonsillectomy, due to infections or other causes.


What are some home remedies for relieving a sore throat?

Home remedies for a sore throat include drinking plenty of fluids, resting, using a humidifier, sucking on throat lozenges, and gargling with warm salt water. Over-the-counter pain relievers like acetaminophen or ibuprofen can also help.


When should you see a doctor for a sore throat?

You should see a doctor for a sore throat if your symptoms worsen or do not improve after a few days, if you have difficulty breathing or swallowing, or if you develop a high fever, severe headache, or chest pain.


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