Q. I suffer throat and nose irritation with fever. Is it sinus infection?

Answered by
Dr. Medhun Kumar
and medically reviewed by Dr. Vinodhini. J
Published on Jan 14, 2020 and last reviewed on: Jan 20, 2020

Hello doctor,

I have been sick off and on for about two months. First, my throat started hurting then my nose was stuffy. That went on for about two weeks. The doctor told me I probably had a cold. A week later, I got a stomach virus. A week later, that went away my throats started to hurt again. A couple of days later, the nose felt irritated. The doctor suggested I had a sinus infection and gave me antibiotics. I took my antibiotics for sinus infection, but now it is all starting to happen again. I know it is not allergies either because my allergies have never bothered me this bad and I am running fevers. What is wrong with me? I had mono infection a month before this sickness began. Do not tell me that mono will affect me for the rest of my life. I just want all of this to end. Please help me.

Dr. Medhun Kumar

General Practitioner General Surgery
#

Hi,

Welcome to icliniq.com.

I went through your summary. Sorry for your suffering. My best guess probably you are suffering from GERD (gastroesophageal reflux disease). Before making that diagnosis I need few more information regarding your ailment. Any particular aggravating factors for your illness such as after food or drinks or following a heavy meal? Do you have any associated heart burn, belching, or digestion difficulty? How long you are on OCP (oral contraceptive) medication? Recent stress (work or studies)?

Because all these can cause gastro esophageal reflux disease (GERD). That is acid in your stomach reflux back to the throat. That sometimes causes a recurrent cold mimicking sinus infection. You need to take antacids, prokinetics, and proton pump inhibitors.


The Probable causes:

Stress or drug-induced.

Investigations to be done:

UGI scopy (upper gastro intestinal endoscopy).

Probable diagnosis:

GERD.

Treatment plan:

PPI (proton pump inhibitors) and Prokinetics.

Preventive measures:

Avoid stress, avoid spicy food and heavy meal. Avoid drugs, smoking, and drinks.


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