Why do I get repeated colds with fever and sore throat?

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Recurrent episodes of cold, fever, and sore throat occurring three to four times a month for the past nine to 10 years suggest an underlying cause beyond routine viral infections. This is especially relevant given your history of allergic rhinitis, nasal polyps, and only temporary relief with medications such as Flonase.

Allergic rhinitis can increase susceptibility to frequent upper respiratory infections by impairing the nasal mucosal defense and causing postnasal drip, which leads to throat irritation. Anatomical factors such as nasal polyps or adenoid hypertrophy (as noted on imaging), environmental irritants, and long-term use of intranasal steroids may also contribute.

Other possible factors include gastroesophageal reflux, a condition where stomach contents, including acid, flow back into the esophagus (GERD), stress-related immune suppression; or nutritional deficiencies such as low vitamin D. A consultation with an ENT specialist is recommended for a comprehensive evaluation. This may include nasal endoscopy, allergy testing, and immunological assessment to rule out immune deficiencies or chronic bacterial colonization. Monitoring potential triggers such as seasonal changes, diet, or stress may also be helpful.

Recommended investigations:

• X-ray PNS (Paranasal sinuses).

• Nasal endoscopy.

• Serum IgE levels.

• Absolute eosinophil count.

Management focuses on optimal control of allergic rhinitis with regular intranasal corticosteroids, along with antihistamines or leukotriene antagonists if required. In persistent cases, allergen immunotherapy may help modify the disease course.

Supportive measures such as nasal saline irrigation, avoiding irritants, maintaining good sleep and nutrition, and staying up to date with vaccinations are also important. If tonsillar disease or reflux is suspected, targeted treatment or surgical options like tonsillectomy may be considered.

I hope the information helps.

Kindly revert so I can assist you further.

Thank you.