Tongue Issues and Cold Symptoms: When to Seek Medical Help

Tongue issues and colds?

On the 18th, I seemed to have a lot of heat in my body, and I developed multiple sores on the sides of my tongue.
The next day, while sleeping, I felt sensitivity in my nose when breathing.
Upon waking, I started to experience pain in my trachea, frequent dry mouth, runny nose, and sneezing, but I did not have a cough.
On the 20th, I visited a small clinic and was prescribed medication.
The issue with my tongue has improved slightly, but my nasal problems have not changed at all.
Sometimes, I inexplicably feel weak all over, and my body alternates between feeling cold and hot, with more instances of feeling hot.
After eating, I start to feel weak and dizzy, similar to having a fever.
Even after taking the medication, I haven't felt any better.
The clinic only prescribed me antibiotics and anti-inflammatory medication, along with a pain reliever and fever reducer.
Could my current condition of weakness and dizziness be due to inflammation, or are these symptoms indicative of a cold, or could they be caused by something else? Should I see a doctor again?

Yu, 20~29 year old female. Ask Date: 2018/04/21

Dr. Ji Zhaoyun reply Otolaryngology

Hello, based on your description, it is most likely that you are experiencing pharyngitis and oral ulcers, which are often treated with medications, and antibiotics may be used if necessary.
It seems that there are multiple small lesions in your mouth, which could be ulcers.
Most ulcers heal within two weeks of treatment; however, if they persist beyond two weeks, further examination is required.
As for the symptoms of dizziness, weakness, and fluctuating chills and heat, these are not very typical.
If your condition is still progressing, it is advisable to consult an otolaryngologist for evaluation and appropriate medication.
Wishing you safety and good health.
Sincerely, Dr.
Chi Chao-Yun, Head of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2018/04/21

More Info

It sounds like you are experiencing a range of symptoms that could be related to several underlying issues, including inflammation, potential infection, or even an allergic reaction. Given the complexity of your symptoms, it is essential to approach this situation with careful consideration.

From what you've described, the initial issue with your tongue—specifically the sores—could be attributed to several factors, including high acidity in your diet, stress, or even a viral infection. The subsequent symptoms of nasal congestion, sensitivity while breathing, and a feeling of dryness in your mouth could suggest an upper respiratory issue, possibly exacerbated by environmental factors such as dry air or allergens.

The fact that you are experiencing a sensation of weakness and dizziness, particularly after eating, raises some concerns. This could be due to several reasons:
1. Dehydration: If you are experiencing a lot of nasal drainage and not drinking enough fluids, dehydration could lead to feelings of weakness and dizziness.

2. Inflammation: Inflammation in your respiratory tract can cause discomfort and may lead to systemic symptoms like fatigue and malaise.

3. Infection: If you have an underlying infection, such as a sinus infection or even a mild viral illness, this could explain your symptoms of feeling unwell and having fluctuating body temperatures.

4. Allergic Reaction: If your symptoms are related to allergens, this could also lead to systemic reactions, including fatigue and malaise.

5. Gastrointestinal Issues: The feeling of dizziness and weakness after eating could also be related to gastrointestinal issues, such as food intolerances or even a reaction to certain foods.

Given that you have already consulted a physician and received antibiotics and anti-inflammatory medications, it is crucial to monitor your symptoms closely. If your nasal issues have not improved and you continue to feel weak or dizzy, it would be advisable to seek further medical attention. Here are some recommendations:
- Follow-Up Appointment: Schedule a follow-up with your healthcare provider to discuss your ongoing symptoms. It’s important to communicate that your nasal congestion and other symptoms have not improved.

- Hydration: Ensure you are drinking plenty of fluids to stay hydrated, especially if you are experiencing nasal drainage.

- Rest: Allow your body to rest and recover. Fatigue can be a sign that your body is fighting off an infection or dealing with inflammation.

- Monitor Symptoms: Keep track of any new symptoms that arise, including changes in your temperature, the severity of your nasal congestion, or any new areas of discomfort.

- Consider Allergies: If you suspect that your symptoms may be related to allergies, consider discussing this with your doctor. They may recommend allergy testing or suggest antihistamines.

- Dietary Considerations: Pay attention to your diet, especially if you notice that certain foods exacerbate your symptoms. Keeping a food diary may help identify any triggers.

In conclusion, while some of your symptoms may be related to inflammation or an infection, the persistence of your nasal issues and feelings of weakness warrant further evaluation. It’s always better to err on the side of caution when it comes to your health, so don’t hesitate to seek further medical advice if your symptoms do not improve or worsen.

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