Q. I am suffering from sore throat, tonsil pain, and postnasal drip for three weeks. Please help.
Hi doctor,
I am 47-year-old male suffering from acute sore throat, swelling, and ear heaviness for three weeks. In the first week, I took Cefixime for six days. Then I took Pulmocef 500 mg with Winolap and Dolonex for seven days. This week, I have a sore throat, tonsil pain, swelling in the throat, stiffness in the walls of the throat, and postnasal drip. I am taking Cepodem XP with Montair for three days. But still, I have thick mucus on the back of the throat with post-nasal drip. Even a full-swing fan causes a sinus problem. Kindly help me. I have uric acid of 6.81 mg/dL and Hba1c of 6.3 percent. I am not diabetic and hypertensive.
Hi,
Welcome to icliniq.com.
Please mention whether the throat pain is severe or tolerable. Also tell me whether you have a fever, muscle pain, and weakness along with it. Please mention whether you feel better after taking a different course of antibiotics or do you feel the same. Do you have nasal blockage due to an air conditioner or ceiling fan? Please mention whether you have a runny nose or sneezing. Please send a picture of your back throat with a mouth opening showing the regions of the affected area. Please mention whether you smoke or drink.
Thank you doctor,
Initially, it was severe. But after doing steam inhalation and taking Dolonex, it got reduced. Now, I have mild pain in the throat with pain in the ankles and legs, knee, and slight weakness. I feel much better after taking Cepodem XP and Montair FX. But I have redness with post nasal drip and sticking of white pus on the throat and tonsils. The air conditioner and full swing fan make my ears heavy. Sometimes, I have sneezing with a runny nose. I do not have a habit of smoking or drinking alcohol.
Hi,
Welcome back to icliniq.com.
Your throat pictures are clear (attachment removed to protect patient identity). You do not have any infection currently. You are having some reflux associated with laryngopharyngitis and rhinitis. This occurs commonly after a course of acute pharyngitis. This needs medicine to suppress allergy, postnasal drip, and reflux. This needs dietary and lifestyle changes. You can take tablet Raciper 40 (Esomeprazole) one tablet before breakfast for two weeks. You can take tablet Telekast (Montelukast) one tablet in the evening at 7 pm daily for two weeks.
You can use Duonase nasal spray (Fluticasone propionate with Azelastine) two puffs in each nostril twice daily after meals for two weeks. You can have steam inhalation multiple times daily. Do not do throat gargling and it is not required for you. Do not skip meals and take frequent meals of lesser quantities. Avoid taking spicy and oily foods. Avoid smoke, dust, and pollution. Do not drink cold water or carbonated drinks. Do not take citrus fruits or curd. Reduce your intake of milk, coffee, tea, and chocolates. Do not drink lots of water immediately after meals. Do not lie down immediately after taking meals. Follow these measures for ten to fifteen days to have some improvement.
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