[60F] Experiencing a persistent sore throat and fatigue

Patient Description

A 60-year-old female presents with a sore throat and fatigue that have persisted for 2 days. The sore throat is significant enough to make swallowing difficult, but the severity remains constant throughout the day. Cold water provides some relief. The patient has not observed any white spots or patches in the throat and is unable to determine if there is redness. There are no symptoms of difficulty breathing, high fever, cough, or runny nose, but some tenderness around the neck is noted. The patient's medical history includes type 2 diabetes diagnosed in 2020, fibromyalgia since 1989, asthma since 1980, hypothyroidism since 1983, and hypertension diagnosed in 2021. Known medication allergies include Toradol, codeine, trazodone, and statins. No current medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Common Cold: The common cold is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Treatment of a common cold is typically supportive, including rest, hydration, and over-the-counter cold remedies.
  • Influenza (Flu): Influenza is a viral infection that attacks your respiratory system — your nose, throat, and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting. For most people, the flu resolves on its own. But sometimes, influenza and its complications can be deadly.

    • Treatment of the flu may include antiviral medications if started early in the course of the disease. Rest and hydration are also important.
  • Strep Throat: Strep throat is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever.

    • Treatment of strep throat typically involves antibiotics to clear the infection, as well as supportive care such as rest, hydration, and over-the-counter pain relievers.

What you can do

You should seek care from a healthcare professional for a formal diagnosis and treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids to help your body recover.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms such as a runny nose, congestion, and body aches. Throat lozenges or sprays can help with a sore throat.
  3. Warm liquids: Warm liquids such as tea or soup can soothe a sore throat and help with congestion.

What you should look out for

You should seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in your chest or abdomen
  • Sudden dizziness or confusion
  • Severe or persistent vomiting
  • Flu-like symptoms that improve but then return with fever and worse cough
  • Symptoms that last more than a week

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of a sore throat that might indicate a more serious condition?

Common symptoms of a sore throat that might indicate a more serious condition include difficulty breathing, severe pain, high fever, rash, or symptoms lasting more than a week. If you experience any of these, seek medical attention.


How can I differentiate between a common cold and the flu based on symptoms?

The common cold usually presents with a runny or stuffy nose, sore throat, and mild body aches, while the flu often includes high fever, severe body aches, fatigue, and a dry cough. The flu symptoms tend to be more intense and come on suddenly.


What are the potential complications of untreated strep throat?

Untreated strep throat can lead to complications such as kidney inflammation, rheumatic fever, which can affect the heart, joints, and nervous system, and spread of the infection to other parts of the body.


What home remedies can help alleviate a sore throat and fatigue?

Home remedies for a sore throat and fatigue include staying hydrated, resting, using throat lozenges or sprays, drinking warm liquids like tea or soup, and using a humidifier to keep the air moist.


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