Hello doctor,
I am 33 years old, 180 cm, 83 kg. I am suffering from non-stop pharynx dryness (right behind the tongue) for past five months. I am drinking a lot of water, doing salt gargle, took GERD medication for one month, been tested for Sjögren syndrome. Nothing helped. I have noticed that air coming from AC, ventilator or wind increase the problem. I have also been ill already five times this year (pharyngitis with or without fever, up to 40°C) and I think it is related to my throat weakness. The doctors have no idea and I do not know what to do, at least to relieve my symptoms. I have tried a lot of OTC medicines such as Propolis spray, capsules, etc., but nothing helps.
Hi,
Welcome to icliniq.com.
You probably have allergic chronic pharyngitis with air sensitivity.
The Probable causes:
Allergy.
Investigations to be done:Hb, TLC (total leucocyte count), DLC (differential leucocyte count), ESR (erythrocyte sedimentation rate), allergy test.
Differential diagnosis:Chronic pharyngitis.
Probable diagnosis:Allergic pharyngitis.
Treatment plan:So you may do the following things:
1.First Avoid AC air directly as far as possible.
2.Take Antiallergic medication at night for five days.
3.Use Chlorhexidine gargle twice a day with one teaspoon to be diluted in one glass of slightly warm water.
4.Avoid smoking and drinking at least for three months.
Avoid smoking cigarettes and alcohol intake.
Regarding follow up:For more information consult an ENT otolaryngologist online.--->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
Thank you doctor,
I also forgot to mention that I have been given Desloratadine once a day for three weeks now, but it does not seem to help. Does it mean I have no allergy? I have already done some blood tests you can find below.
Hi,
Welcome back to icliniq.com.
But symptoms point towards that. I think that the use of Chlorhexidine gargle will help you surely.
For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
Thank you doctor,
Is this what you mean by Chlorhexidine gargle?
Hi,
Welcome back to icliniq.com.
Yes, it is Chlorhexidine gluconate solution (attachment removed to protect patient identity).
For more information consult an ENT otolarygologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
Thank you doctor,
I will give it a try. In how many days should I see the improvement?
Hi,
Welcome back to icliniq.com.
It will take probably a week.
For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
Thank you doctor,
It is written that the usual treatment time is seven days. If symptoms persist beyond five days, the need for further treatment should be assessed by the physician or dentist. Is it true?
Hi,
Welcome back to icliniq.com.
Yes, it is true.
For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
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