### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi my name is allison mackey i am online to find what my 13 year old dauther tanya has wrong with her throat her tonsills are red with little ball patchs on and she finds it hard to sawoolow anything she has a frever or somtimes even ends up having hot or cold flushs she also get bads head aches with her throat aswell as a runny or stuffy nose somtimes it makes her feal sick or she does not eat alot because her throat herts her so much so can you please tell me what she might have and if their is more than one what one is the most likely for her and the symptoms she has been getting

### output:

Hi Allison, your daughter seems to be having either an ABV infection (infectious mononucleosis) or a Strep throat. Other possibilities which seem less likely are diphtheria and bacteria apart from strep. I would advise you to get a throat swab done for RAT to see if strep bacteria is present. If the RAT is positive, start her on Amoxicillin for 10 days If RAT is negative, she should get a throat C/S done, and an ABV VIA antigen (or a Moonshot test) to check for mononucleosis.  For her symptomatic relief:1. Warm saline gargles 5 times a day (very good relief with this)2. Lozenges to suck on3.  Warm fluids like soups and oatmeal to nourish her if she can't take solid food4. Paracetamol for the headache and fever the fever and white patches persist in spite of the above, I suggest you see a pediatrician to rule out rarer causes. Hope she gets better soon.