Q. I have chronic pharyngitis and it is getting worse in spite of medications. Why?

Answered by
Dr. Syed Tehmid
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Apr 11, 2020

Hello doctor,

I have chronic granular pharyngitis. I was having throat pain for the past eight weeks. Initially, I took homeo medicines and it did not cure. Then I took Azithromycin and Metronidazole for a few days and I stopped this.

Currently, I take tablet Claribid 500 mg twice daily morning and night after food, Betadine gargle, tablet Nexpro-RD once daily on empty stomach, Acecloplus for pain if required (I do not have too much pain), Montek- LC at bedtime after food. I started these tablets for two days but it seems that my condition is worsening.



Welcome to

Please send photographs and report of your throat.

Thank you doctor,

I have throat pain for several weeks. I am using the below medications for the past one week. But there is no change. My current medications are tablet Claribid 500 mg twice daily, Betadine gargle, Nexpro-RD once daily on empty stomach, Acecloplus for pain if required (I do not have too much pain), Montek- LC at bedtime after food.



Welcome back to

As you pointed out you have granular pharyngitis for eight weeks. One needs to rule the cause of chronic pharyngitis. One important cause is tonsillitis but your tonsils are normal. (attachment removed to protect patient identity). Then other important cause is postnasal drip due to rhinosinusitis. You must have then symptoms of cold, blocked nose, pressure over sinuses and postnasal drip.

Another cause is Gerd or Gastroesophageal reflux. Do you get a reflux of stomach contents? Is there any stomach ache? Do you get sour eructations? Then chronic smoking can cause pharyngitis. Nighttime asymptomatic reflux can cause pharyngitis. Allergy is an important cause of pharyngitis. At times globus sensation or a constant sensation of foreign in the throat can occur with no apparent cause.

In addition to medicines, it will also require certain lifestyle changes. First, quit smoking. Drink plenty of water. Avoid hot and spicy and oily, fried foods. Avoid heavy meals at night. Take Nexpro D for an extended period of a month or so. Do not use antibiotics for more than a week. You can use Montair LC (Montelukast and Levocetirizine) for 10 -15 days or substitute this with Lorfast AM (Loratadine and Ambroxyl). Also, take Cofsils or Strepsils lozenges twice a day. And the most important cut down on your anxiety.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I took medicines for granular pharyngitis, but my throat still hurts sometimes. Why?

Some of the common causes of pharyngitis include allergens, laryngopharyngeal reflux, a bacterial infection ...   Read full

What is the treatment for granular pharyngitis and tonsillitis?

It is commonly seen in patients with chronic rhinosinusitis, smokers, and nowadays, one of the most common cause for granular pharyngitis is laryngopharyngeal reflux disorder ...   Read full

I am having sore throat. How can I cure it?

It is suggestive of sinusitis which can recurrently cause throat infection for a long time ... Post nasal drip means you have sinusitis ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.