[48F] With sore throat and fever
Patient Description
A 48-year-old female presents with a sore throat and mild fever that began suddenly yesterday. The sore throat is accompanied by hoarseness, a dry throat, and difficulty swallowing, with food sometimes feeling stuck. The patient reports congestion and a dry cough but denies ear pain or pressure. There is swelling on each side of the neck. The patient has a history of fibromyalgia, hepatitis C, and a heart murmur. She is allergic to penicillin and is not currently taking any medications or supplements. There has been no recent travel or contact with travelers.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Viral Pharyngitis: This is a common cause of sore throat and can be accompanied by fever, congestion, and hoarseness. It usually resolves on its own.
- Treatment: Rest, hydration, and over-the-counter pain relievers can help manage symptoms.
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Laryngitis: Inflammation of the voice box, often due to a viral infection, can cause hoarseness and a sore throat.
- Treatment: Resting your voice and staying hydrated are key. Avoid whispering, as it can strain your voice more.
-
Strep Throat: Although you don't have white patches, it's still a possibility, especially with fever and difficulty swallowing.
- Treatment: A doctor can perform a rapid strep test and prescribe antibiotics if necessary.
What you can do
- Stay Hydrated: Drink plenty of fluids, like water and herbal teas, to soothe your throat.
- Use a Humidifier: Adding moisture to the air can help ease throat discomfort.
- Rest Your Voice: Try to speak less to allow your vocal cords to heal.
- Gargle Salt Water: This can help reduce swelling and discomfort.
- Monitor Symptoms: Use MDandMe to journal your symptoms and track any changes. This can be helpful for your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- A high fever or if your fever persists
- Difficulty breathing or swallowing
- Severe pain or swelling in your throat
- Symptoms that worsen or do not improve in a few days
Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago
