OpenHealth Q&A

Get answered by medical professionals

Is Your Throat Infection Bacterial or Viral? Few Symptoms Yet Visible White Spots

8/26/2025, 12:02:40 AMMale25-34

Hello everyone, I’m a 21-year-old female, standing at 5’2 and weighing 108 pounds. I don’t take any medications and have no pre-existing health issues, although I do smoke. For the past day or two, I've experienced only a slight throat discomfort. Today, I took the initiative to examine my throat and discovered some white spots on my tonsils—varying in size and distanced from one another. I visited a clinic today, and the doctor had a brief look at my throat. He mentioned that it could be either mononucleosis or a bacterial infection but didn’t conduct any tests. To the best of my knowledge, I have not had mono before. After that quick consultation, I was prescribed a series of three antibiotic injections, pain relievers every eight hours for a duration of three days, and antihistamines to take once daily for three days. As for my symptoms, the only notable issue is a sore throat. While I might feel a bit more fatigued than usual, I've had an incredibly busy week. My lymph nodes don’t show signs of swelling, I haven’t experienced a fever, and I can’t recall having any headaches or significant discomfort. Should I consider getting a test done? Would it be better to skip the injections and allow my body to heal naturally? I feel uncertain about the situation, and it seems the doctor wasn’t entirely clear either… Any guidance would be immensely appreciated! Wishing you a good night and hoping my situation is understandable.

Pain ManagementHeadacheAbdominal Pain

Answers (1)

Cony

8/26/2025, 12:03:07 AM

OpenHealth AI

It sounds like you're dealing with throat discomfort and some white spots on your tonsils, which can indeed be caused by a variety of issues, including viral infections like mononucleosis or bacterial infections like strep throat. Here’s how to navigate your situation more effectively:

Understanding The Situation

  • White Spots on Tonsils: These can indicate an infection, either viral or bacterial. Since the doctor suggested possible diagnoses without further testing, it’s understandable to feel unclear.
  • Current Medications: You’ve been prescribed antibiotics, pain relievers, and antihistamines. Antibiotics are effective for bacterial infections but will not help if the cause is viral.

Next Steps

  1. Monitor Symptoms: Pay attention to any changes in your symptoms over the next few days. Key signs to watch for include:

    • Fever
    • Increased fatigue
    • Swelling of lymph nodes
    • Developing cough or difficulty swallowing
  2. Consider Testing: Although your doctor didn't perform tests, it might still be beneficial to get tested for strep throat or mononucleosis if symptoms persist or worsen. This can help determine if antibiotics are needed, especially if you develop a fever or worsening throat pain.

  3. Pain Management: Continue using pain relievers as prescribed to manage your throat discomfort. Warm salt water gargles may also provide relief.

  4. Hydration and Rest: Make sure to stay well-hydrated and aim for plenty of rest. This will support your immune system as it fights off any potential infection.

  5. Evaluate the Antibiotic Treatment: If you feel uncertain about needing antibiotics and your symptoms remain mild, you could consider delaying the injections while monitoring how you feel. However, if symptoms worsen or you develop a fever, follow through with the treatment as prescribed.

Conclusions

You don’t need to make any abrupt changes right now, but monitoring your symptoms closely is crucial. If things don’t improve or if you experience any new symptoms, testing and further consultation may indeed be necessary. It’s always important to feel comfortable and informed about your treatment options, so don’t hesitate to reach out for more clarification from your healthcare provider if needed. Take care, and I hope you feel better soon!

Related Questions

Unending Ankle Pain: Frustration with Medical Opinions

Hello, I’m a 24-year-old woman in good health with no weight issues. For the past six to seven years, I've been enduring persistent discomfort in my ankles. At times, both ankles ache simultaneously, but often it’s just one. The pain is intense enough to make walking a challenge. I’ve consulted numerous doctors and specialists focused on rheumatoid and inflammatory conditions, yet none have provided any solutions. I've undergone extensive testing, including X-rays, but the results have been unhelpful. In fact, one physician suggested that new footwear might be the remedy? Right now, the pain is at its peak; I cannot place any weight on my right ankle, while my left ankle feels perfectly normal. I am desperately seeking any insights into my condition. Here are some pertinent points about my situation: • There is a family history of autoimmune diseases, yet my tests have consistently returned negative results. • My mother and sister suffer from significant inflammatory disorders, but I’ve been assessed and diagnosed differently. • Two years ago, I did sustain a fracture in my right ankle, but I have not experienced pain since that incident, which is something to consider. • The discomfort tends to manifest on the upper side of the ankle, just beneath the joint. • The area is sensitive even to light pressure. • Episodes last for several days and can involve one or both ankles. • Typically, they resolve spontaneously. • Pain exists even at rest, but escalates with movement. • Occasionally, anti-inflammatory medication offers relief, but often the discomfort lingers. • The pain appears randomly and isn't provoked by repetitive motions, though those motions can aggravate it. • I do not experience any swelling. Overall, I feel a sense of disbelief and disillusionment with the medical community. I know my body, and I am not overly sensitive to discomfort. I can tolerate pain when needed, but this situation has persisted for far too long. It’s deeply concerning, especially since this time, the pain is unbearable and has halted my ability to move freely.

Pain ManagementJoint PainOrthopedics
Male25-34
1 hour ago

Intermittent Discomfort Behind the Left Ear

Hello everyone! I’m a 24-year-old female seeking some insight. Last Saturday, I had a rather intense intimate encounter that included some vigorous hair pulling, an experience I’ll refrain from repeating in the future. The symptoms I’m about to share started the very next day, which makes me wonder if they are somehow connected. Since that time, I’ve been experiencing occasional, mild discomfort behind my left ear. I would rate the pain at about 6 on a scale of 1 to 10. The sensation is located right at the beginning of my hairline behind the ear. This discomfort occurs in brief episodes, usually lasting just a few seconds. It can happen unexpectedly or when I turn my head too quickly. Thankfully, the pain hasn’t intensified, and the episodes haven't become more frequent, so I’m hopeful it’s not something serious?

NeurologyHeadacheNeck Pain
Male25-34
2 hours ago

Could This Be IBS? Unexplained Chronic Pain at Age 25

**Age**: 25 **Gender**: Male **Duration**: Sudden onset from November 2024 to present **Weight**: Approximately 140-145 pounds in November, currently around 118 pounds **Height**: 5 feet 10 inches For the last nine months, following a viral infection, I have been grappling with intense pain localized in my ascending colon. This discomfort began abruptly after I caught a cold and subsequently experienced a sharp, sudden pain in my right groin that rendered me immobile for several days. I have been suffering from severe pain that feels as if my colon has stopped functioning, accompanied by a persistent sensation of fullness. The pain radiates from the area surrounding my ascending colon and ileocecal valve to my groin and extends along my right leg, affecting my buttocks, thigh, behind my right knee, and the back of my calf. Additionally, on occasion, I feel sharp pain in the lower back on the right side, which resembles symptoms of sciatica. Considering my age, I find it alarming as I have no prior history of injuries, surgeries, or falls that could explain this. This discomfort is highly specific, centering around my ascending colon and right groin, yet medical professionals have suggested two potential explanations — either Irritable Bowel Syndrome (IBS) or a possible spinal issue. I have undergone multiple CT scans and X-rays intended to assess my spine and hip; however, these tests yielded no conclusive findings. It was frustrating to hear, "I don’t believe there's a gastrointestinal problem, so it’s time to look past that," especially after a colonoscopy revealed no abnormalities. The suddenness and persistence of this condition feel bizarre, particularly given my family’s history of neither gastrointestinal disorders nor neurological pain. The repercussions are severe; I occasionally find myself unable to walk, leading me to resign from my job and return home. My sleep is often disrupted, as I struggle with pain that keeps me awake until the early hours. The impact on my weight has also been significant, resulting in a loss of around 20-25 pounds. Does this align with IBS symptoms? Should I really consider committing to a year of SSRIs, as I have been advised, despite not having a clear diagnosis?

RheumatologyAbdominal PainChronic Pain
Male25-34
3 hours ago

Foot Discomfort Accompanied by Redness

Personal Information: Female, 47 years old, BMI of 21. Pre-existing Conditions: Diagnosed with chronic fatigue, long COVID, migraines, blepharitis, irritable bowel syndrome (IBS), intolerances to gluten and dairy, seasonal hay fever (non-summer), childhood eczema, and adolescent seborrheic dermatitis. Medications: Currently prescribed amitriptyline (40 mg), sumatriptan (100 mg as needed), eye drops, and fexofenadine (180 mg). I also take magnesium as an over-the-counter supplement. Symptom Description: In the past year, I have experienced intense, burning sensations in the soles of my feet, toes, and around the nails. These bouts are often accompanied by pronounced redness on my feet. Additionally, I've noticed that my toenails are growing in a slightly upward direction. These symptoms typically arise in the evening and overnight, and they seem to be progressively worsening. It’s important to mention that my limited walking due to chronic fatigue doesn’t seem to contribute to this issue. Moreover, I’ve recently started to feel joint discomfort in my knees and ankles, particularly noticeable when descending stairs. Over-the-counter medications like ibuprofen (400 mg) or naproxen (500 mg) haven’t provided any relief. Medical History and Investigations: A few months back, my general practitioner conducted a physical exam, assessing my sensation and reflexes, all of which were normal. However, he admitted uncertainty regarding my condition and suggested I consult my neurologist. Unfortunately, my neurologist was only focused on determining if I had a sleep disorder and did not explore my other symptoms. Previously, a rheumatologist evaluated me two years ago after an inconclusive ANA test, conducting a physical examination of my joints and concluding that there were no significant concerns since my blood work didn’t indicate any positive results. An endocrinologist dismissed the possibility of diabetes insipidus back in 2018. In 2017, another specialist ruled out Addison’s disease, while a rheumatologist in 2016 excluded lupus, attributing my butterfly rash to sun exposure while on the combined contraceptive pill. Moreover, a neurologist in 2016 eliminated chronic fatigue syndrome/myalgic encephalomyelitis from consideration, citing the absence of a sore throat, although I have noted a decline in my energy levels since experiencing COVID-19. With all this in mind, I am seeking guidance on the following: 1) What might be causing these symptoms in my feet? 2) Which tests should my GP consider ordering at this point? 3) Which type of specialist would be most appropriate for my situation? 4) What medication could provide me with the best results? I appreciate any insights you can share. Thank you!

NeurologyPain ManagementJoint Pain
Male25-34
3 hours ago

Desperate for Guidance Amidst Unbearable Pain

I'm a 26-year-old woman reaching out in desperation for assistance as I feel completely neglected by my primary care physician. I'm at a loss about my next steps. Earlier this year, I experienced sudden and severe back pain coupled with saddle paresthesia. Unable to secure an appointment with my general practitioner, I found myself at urgent care due to the intensity of my suffering. After undergoing an MRI, the results indicated I have a thoracic syrinx at T13 without any tethering, along with three bulging discs that are not compressing anything. I was prescribed oromorph for pain relief and told that I would be referred to neurosurgery, with the expectation of receiving a follow-up letter. Unfortunately, a contrast MRI, which is crucial for ruling out a tumor, has yet to be performed. I have been assured that I do not have Chiari malformation. Now, nearly six months have passed since I first sought help. I tried Lyrica, but the side effects were unbearable, leaving me with nothing but sporadic doses of morphine every few weeks when my pain reaches an unbearable level of 10 out of 10. I am holding onto my last dose for emergencies as none of the available over-the-counter pain relievers like paracetamol or ibuprofen provide any relief. Pain has become a daily companion in my life. As a veterinarian, my physical well-being is essential for my career, yet I find it increasingly difficult to cope. Today, at work, I'm grappling with an 8 out of 10 pain level. A sharp, stabbing sensation shot through my back while I was attending to a patient, causing me to break into a sweat and feel dizzy. The only positions that offer me any semblance of comfort are standing perfectly straight or lying completely flat, but the pain lingers, radiating down my leg and into my thigh. I am uncertain about whom to approach for further help or even what specific treatments to pursue. I lack clarity regarding the reasons behind this excruciating pain and the steps needed to address it. Should I request another appointment with a GP, likely enduring a substantial wait? Or would it be more prudent to return to urgent care? A profound sense of fear and confusion envelops me as I worry that if this situation doesn’t improve, I may lose my job. Being the sole charge at work, I’m not only facing declining health but also watching my hobbies slip away, all while remaining in the dark about the underlying issue. I’m trapped in a cycle of uncertainty. What if it’s a tumor? Would it have been identifiable without contrast imaging? Is there a possibility that it could be cancer? Is there a future where I can experience life without pain and perform my beloved job normally? Please, I need guidance. I don't know what direction to take next.

Pain ManagementBack PainNeck Pain
Male25-34
3 hours ago