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any other medical issues?
Thanks for this question
It sounds like an ulcer or acid reflux
does she complain of acid?
The system says that you have requested a new expert.
I would be more concerned that the recent symptoms are more of a viral infection. Loss of voice associated with an increase in temperature is very common to be a viral infection. It also is concerning that she is getting dehydrated, which can cause her to feel lightheaded and can cause an increase in heart rate.
It would be better for her to stay home from work. It also would be important for her to be drinking large amounts of fluids to improve hydration, and it would be better if the fluids include electrolytes, such as fruit juices or sports drinks.
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