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Questions & Answers

Q&A

Answered by Dr. Manu Wilfred

Is long-term throat discomfort in an adult a serious issue?

Hello, Welcome to icliniq.com. From your history and video (attachment removed to protect patient identity), my diagnosis would be post-nasal drip with chronic pharyngitis. The visualization of the mucus discharge in the throat with congestion in the pharynx points to this diagnosis. The usual causes of this condition are chronic sinusitis, nasal polyposis, gastroesophageal reflux disease, post viral flu, tumors in the nose and nasopharynx. The initial treatment involves warm salt water gargles, decongestant nasal drops (Xylometazoline), three drops three times a day only for seven days, antibiotic (capsule Amoxycillin 500, if not allergic) twice a day (morning and evening).

February 26, 2026

How to treat the pain a little left under Adam's apple?

Hello, Welcome to icliniq.com. Gastroesophageal reflux disease typically presents with heartburn and regurgitation. Extraesophageal symptoms include a sore throat, hoarse voice, feeling of food stuck in the throat, chest pain etc. Upon examination of the throat, the finding of swollen vocal cords raises suspicion of reflux laryngitis. This itself can cause pain below Adam's apple.

September 2, 2025

How can the formation of tonsil stones be prevented?

Hello, Welcome to icliniq.com. Tonsilloliths or tonsil stones are formed due to the deposition of lime salts in tonsils after the blockage of crypts in the tonsils. Treatment involves the removal of stones by an ENT (ear, nose, and throat) specialist. Recurrent stones are treated by tonsillectomy. Meanwhile, you can start Betadine (Povidone Iodine) gargles three to four times a day.

July 22, 2025

Does labyrinthitis indicate otitis media?

Hello, Welcome to icliniq.com. I understand your concern. Dizziness or spinning sensation, ringing in the ears, and hissing or popping sounds in the ears may indicate otitis media with effusion (fluid in ears). This usually occurs after an acute middle ear infection. A viral upper respiratory tract infection causes the majority of ear infections.

September 6, 2024

What could be the reason for the excessive mucus in my throat and nose from my childhood?

Hello, Welcome to icliniq.com. I read your query and understand your concern. Sinonasal polyposis could cause chronic post-nasal drip and associated symptoms like bad breath. Therefore, allergic fungal rhinosinusitis should be considered in your case. The treatment starts with medical management using antibiotics, nasal sprays, steroids, and antihistamines.

January 19, 2024

How can I manage sore throat and difficulty in swallowing?

Hello, Welcome to icliniq.com. From the picture (attachment removed to protect patient identity), your diagnosis is acute follicular tonsillitis. Usually, this is caused by strep; other bacteria responsible are Hemophilus and Moraxella. Starting an antibiotic at this stage helps in early recovery. As you have been started on antibiotics, I would advise continuing that, but only one antibiotic is Biaxin (Clarithromycin) to be taken after food.

December 1, 2023

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