Dr. Syed Peerzada Tehmid Ul Haque
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am 24 years old, weigh 240 lb, and my height is 6 feet 5 inches. I have had a sore throat for the last 18 days, swollen lymph nodes, and a headache with a bright yellow snot. I also have sinusitis. I had taken Penicillin, Amoxicillin, and Ibuprofen but saw no difference.
Hi,
Welcome to icliniq.com.
I understand your concern. Your throat is congested suggestive of granular pharyngitis. However, this may be present even in chronic cases where patients have long-standing rhinosinusitis or reflux. What does it feel like? Is it more of a dragging sensation and slight discomfort in swallowing? Or does it feel like odynophagia (painful swallowing)? Are neck nodes tender to touch? Any fever? How long did you take antibiotics? Did you take any antihistaminics and throat-soothing lozenges or sprays?
Patient's Query
Hi doctor,
Thank you for the reply. I have no fever. I took Amoxicillin for four days and then stopped it because I did not feel better. Then got a Penicillin shot about four to five days ago, which also did not help. A little bit of a cough, seems like it is draining from my nose into my throat. I took throat-soothing tablets as well as a bee pollen spray and Ibuprofen. I quit Ibuprofen yesterday as I felt too dizzy off it. The throat pain switches sides from left to the right, returning to the left. When swallowing, it feels like a sharp pain, almost like muscular pain. Glands are extremely swollen in the throat and sore to the touch.
Hi,
Welcome back to icliniq.com.
I understand your concern. You may require a throat swab with culture sensitivity testing and accordingly take antibiotics. Tender cervical lymphadenopathy suggests the reactive nature of the lesions secondary to acute infection. Therefore, you will require systemic anti-inflammatory analgesics like Serratiopeptidase plus (Diclofenac, Paracetamol, and Aceclofenac) and may be topical analgesic sprays like Diflam A. We also prescribe a short course of systemic steroids or steroid gargles in severe cases.
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Otolaryngology (E.N.T)
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