Q. I have white patches in the throat, but my strep test was negative. Please help.

Answered by
Dr. Nagaraj Patil
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 22, 2018 and last reviewed on: Nov 25, 2019

Hi doctor,

Two weeks ago, I developed white patches in the throat. I do not feel a sore throat, but there is slight discomfort, runny nose, and cough. I think it is due to cold.

Also, I feel body pain for the past three days. I was tested for strep, and the rapid strep test was negative. The white patches looked like they started to go away, but now they are getting bigger again. Please help.

Dr. Nagaraj Patil

General Medicine Internal Medicine
#

Hi,

Welcome to icliniq.com.

By looking at the history and symptoms, a few things come to my list of differential diagnosis. Before that, I would like to know a few things like whether it is associated with difficulty in swallowing, headache, neck stiffness, etc. As you mentioned you have already taken antibiotics, the streptococcal cause is less likely but cannot be ruled out completely even though titers are nil.

It could be acute on chronic tonsillitis as you also have fever, throat discomfort and body ache. It can be a fungal infection as well especially if your asthmatic and on steroid inhalers. It could be infectious mononucleosis, a kind of viral infection associated with all your symptoms.

The possibility is high if there are accompanying swellings in the neck. It usually spreads by kissing. The general mode of management for this would be to gargle salt water at least four to five times daily and drink cold fluids or have ice creams to ease throat pain. Avoid irritating, spicy foods and smoking if you are a smoker.

You can take a combination of Ibuprofen and Paracetamol (Combiflam) thrice daily for five days along with antibiotics. For me, it looks more like chronic tonsillitis. The appropriate antibiotic would be Amoxicillin 500 mg thrice daily for five days. You can also take Rabeprazole 20 mg once daily for seven days in case you feel stomach discomfort because of these medications.

If frequent recurrences of tonsillitis are happening, then it is better to go for surgical removal of tonsils. Your physician will help you with suitable antibiotics after ascertaining the diagnosis. Take care.

For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician


Was this answer helpful?

 | 

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What could be the reason and treatment for recurrent tonsillitis?

Query: Hello doctor, My daughter is 20 years old and has tonsil problem for last six days. She took medicine for last six days but did not get any relief. She often has the problem of tonsils in two to three months interval. I have tested the CBC. Kindly suggest the remedy. I am also worried about CBC. D...  Read Full »

What is the bump on the back side of tongue in a tonsillitis patient?

Query: Hi doctor, I am a 31-year-old female, nonsmoking and non-drinking. I am currently taking antibiotics for a streptococcal throat infection. Originally, Amoxicillin eight days ago but yesterday switched to Azithromycin as strep symptoms had come back (extremely sore throat, white tonsil patches, tons...  Read Full »

What is the white lesion in my mouth?

Query: Hello doctor, I have one white lesion in my mouth. I do not know whether it is painful or not because it is very deep and also, how long it has been there. Kindly guide me and also tell me if there is any need to worry or it is just only aphthous ulcer. I am not sexually active since 1.5 years. I d...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.