HomeAnswersInternal Medicinesore throatWhat could be the reason for the persistent sore throat?

I have sore throat for the past six months. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 3, 2020
Reviewed AtJune 15, 2020

Patient's Query

Hello doctor,

I have a sore throat since january, at first I thought it was COVID-19 and have been self-isolating for a month but no other symptoms have occured. It is nearly June and my sore throat still has not cleared.

Hello,

Welcome to icliniq.com.

Please mention the symptoms what you are feeling? Any throat pain? Any cough? Any sputum production? Any nose block? Any chest pain? Any acid reflux? Any fever? Are you diabetic? Any post nasal drip? Send me a photograph of the inner side of your mouth showing posterior part of pharynx in open position.

Common causes for chronic pharyngitis is

1. Persistent infection in the nose or ear. In chronic rhinitis and sinusitis, purulent discharge constantly trickles down the pharynx and provides a constant source of infection.

2. Mouth breathing is seen in nasal polyps or adenoids.

3. Environmental pollution: smoky or dusty environment or irritant industrial fumes may also be responsible for chronic pharyngitis.

4. Faulty voice production: excessive use of voice or vigorous clearing of mouth throat in some professionals.

5. Acid reflux due to lower esophageal sphincter leads to acid reach the pharynx cause irritation and pharyngitis. Treatment depends upon the cause. Use salt water gargling thrice a day for five days.

Patient's Query

Thank you doctor,

I have a sore throat and slight cough and I am not diabetic.

Hello,

Welcome back to icliniq.com.

I have seen your image (attachment removed to protect patient identity). It is showing the features of postnasal discharge (means from nose the mucous is dribbling into pharynx) with caries tooth on the left lower molar with congestion.

So my advice is:

1. Use steam inhalation thrice a day for five days.

2. Mix a little salt in 150 ml of lukewarm water and do gargling every second hourly.

3. Avoid cool drinks and ice creams.

4. Use tablet Amoxicillin and Clavulanic acid 625 mg twice a day for five days.

5. Use tablet Montelukast and Levocetirizine twice a day for five days.

6. Use tablet Pantoprazole 40 mg before breakfast for one week.

7. Drink soups or warm water whenever you feel discomfort.

8. Any time if you feel mouth discomfort you may chew little amount of ginger or clove.

9. If cough is there means you may use syrup Ascoryl or Tusq or Pulmoclear two teaspoons thrice a day for five days.

If no improvement please post me a query or consult with your ENT specialist he will examine and treat you accordingly.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Penchilaprasad Kandikattu
Dr. Penchilaprasad Kandikattu

Internal Medicine

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