How to manage chronic nose and throat inflammation?

Question

Hello doctor,

I have had throat and nose problems for a year. My throat becomes dry while walking, I feel discomfort while breathing, and I have tiny red spots on the roof of my mouth. These spots become very painful whenever I get a throat infection, which I get twice a year during season change. I do not have a cough, sneezing, or bronchitis. My nose is sensitive to smell and pollution. Blood tests like CBC (complete blood count), liver profile, urine tests, lung function test, x-ray, etc., are all normal. Is this an allergic reaction to pollution or industrial gases?

Please suggest.

Answer 1

Hello,

Welcome to icliniq.com.

Based on the information you provided, it appears that you have some chronic inflammation, which occasionally worsens with seasonal changes or allergies. I suggest you follow these steps:

Wear a mask whenever you go outside.
While walking, you might experience an increased demand for air, leading to mouth breathing and dryness. Try to drink plenty of water to stay hydrated.
We also need to check if your thyroid levels are within the normal range.
I recommend you try taking an herbal supplement once daily for a couple of months, especially during seasonal changes. These supplements help build immunity and reduce the chances of infection.
I suggest you undergo a nasal endoscopy to rule out a deviated nasal septum, which might be causing nasal blockage and mouth breathing.
Please attach a photograph of the spots in your mouth.
Do you have diabetes, hypertension, or any other chronic diseases?
Make sure to include plenty of green leafy vegetables in your diet. During a sore throat, it's best to avoid citrus fruits and drinks.
Industrial gases and pollution can cause dryness of the oral and respiratory mucosa, leading to discomfort. Keeping the air conditioner at a very low temperature can also cause dryness and crusting.

I hope this helps you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have seen the picture (attachments removed to protect the patient’s identity).

The spots appear harmless unless they are accompanied by pain, difficulty swallowing, or a burning sensation. I would also suggest using a combination of Oxetacaine, Aluminium hydroxide, and Milk of magnesia gel to alleviate any irritation and soothe the area. It is normal for the spots to become painful during an acute attack. However, the pictures do not show the tonsillar area. If you could send photos that include the tonsils, palate, and uvula, it would be very helpful in determining the cause of your recurrent throat pain.

I recommend taking a multivitamin for a month. Also, please avoid spicy and oily foods.

I hope this helps you.

Thank you.