[63F] Experiencing sore throat, swollen glands, and green phlegm

Patient Description

A 63-year-old female presents with a sore throat predominantly in the upper part, swollen glands, and green phlegm that started 2 days ago. The sore throat is more pronounced at night and in the morning. The patient has been coughing up light green phlegm for 1 day. She has no fever or chills. She has been on antibiotics for 10 days following a major periodontal procedure. No pre-existing conditions or chronic illnesses are reported. Current medications include Atorvastatin, Bupropion, Chlonodine, Omeprazole, Fenofibrate, Trintellix, Fibercon, Bayer aspirin, and Centrum Vitamins. The patient has no known drug allergies. Her husband was ill the previous week with different symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Upper Respiratory Tract Infection: This is a common condition that can cause a sore throat, swollen glands, and green phlegm. It's often caused by a viral infection, but can also be due to a bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. If a bacterial infection is suspected, antibiotics may be prescribed.
  • Tonsillitis: This condition involves inflammation of the tonsils, which are located in the upper part of the throat. Symptoms can include a sore throat, swollen glands, and sometimes, green phlegm.

    • Treatment often involves rest, hydration, and over-the-counter pain relievers. If tonsillitis is recurrent or caused by a bacterial infection, antibiotics or a tonsillectomy may be recommended.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often caused by a viral or bacterial infection. Symptoms can include a sore throat, green phlegm, and swollen glands.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If a bacterial infection is suspected, antibiotics may be prescribed.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Stay hydrated: Drink plenty of fluids like water, herbal tea, or clear broths to soothe your sore throat and keep your throat moist.
  2. Rest: Your body needs energy to fight off the infection. Getting enough sleep can boost your immune system and help you recover.
  3. Over-the-counter remedies: Lozenges or a warm saltwater gargle can soothe a sore throat. Over-the-counter decongestants can help if you're feeling congested.
  4. Humidifier: Using a humidifier can moisten your nasal and throat passages and make you more comfortable.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or swallowing
  • A high fever (over 101°F)
  • Symptoms that last for more than a week or get worse
  • Blood in your phlegm
  • Dehydration symptoms such as dizziness, dry mouth, or decreased urination

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What causes green phlegm and should I be concerned?

Green phlegm is often a sign of a bacterial infection, but it can also occur with viral infections as the body fights off the illness. If symptoms persist or worsen, it's important to consult a healthcare provider.


Can antibiotics cause a sore throat or other side effects?

Antibiotics can sometimes cause side effects such as a sore throat, upset stomach, or diarrhea. If you suspect your symptoms are related to antibiotics, consult your doctor.


How can I differentiate between a viral and bacterial infection?

Viral infections often resolve on their own and are accompanied by symptoms like a runny nose and cough, while bacterial infections may cause more severe symptoms like high fever and require antibiotics. A healthcare provider can perform tests to determine the cause.


What home remedies can help alleviate a sore throat?

Home remedies for a sore throat include staying hydrated, using a humidifier, gargling with warm salt water, and using lozenges or throat sprays to soothe irritation.


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