I have sore throat with scratchy sensation and white patch on tonsils. Please help.

Hi,

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Thanks for providing a detailed history regarding the problem in concern. I did have a look at the photos in detail (attachment removed to protect patient identity). There is absolutely nothing that you need to worry about. The red lump on the palatoglossal arch is an enlarged lymphoid follicle. We have numerous lymphoid follicles in the oropharynx and nasopharyngeal region and they represent the first line of defense for the body. In fact, your tonsil is itself one of the larger aggregates of such lymphoid follicles. The white patch can be due to constant irritation in the throat or sometimes due to antibiotics as well. Increase in the size of the lymphoid follicles often represents a recent throat infection and an ongoing infection (which may be bacterial or viral). Your tonsils are moderately increased in size and you do not need to worry about them as well. Soreness in the throat can often exist if there is a residual infection or if there have been reflux issues earlier. You can consider the following advice. 1. Take tablet Pan D (Pantoprazole and Domperidone) one tablet once daily 30 minutes before breakfast for one week. 2. Do salt water gargles 8 to 10 times a day for one month. 3. Avoid oily spicy and cold food/beverages. 4. Keep sipping on boiled warm water every three hours. 5. Avoid smoking and alcohol consumption as much as possible. All precautionary measures have to be followed as much as possible to prevent any recurrences. Advice mentioned in the points (two to five) above are extremely important and need to be followed to prevent relapse of symptoms. I hope this helps.

Hi,

Welcome back to icliniq.com.

If you have already taken a course of antibiotics earlier, another course is not be required now, as they would not do any good to remove the white patch. The slight muscle weakness is mostly due to post-viral infection. You can take a good multivitamin for the same, and you should be fine in a week or two. I also forgot to mention earlier that there are a high chance that both the red and white spots might remain even after taking medicines and soreness in the throat resolves. There is nothing that you need to worry about, as it does not represent any cancer or malignancy.

Hi,

Welcome back to icliniq.com.

You can take Azithromycin 500 mg one tablet after food for the next five days. This antibiotic can create tummy upsets. If it gets too severe, you can consider taking a probiotic twice daily for the next five days. Do not worry about the bumps on the body, they will disappear. The multivitamins are given to help recover faster, but usually, it takes a week or two for things to stable. If there is too much muscle pain and stiffness, you can also take tablet Mobizox (Diclofenac, Paracetamol, and Chlorzoxazone) one tablet in the morning and evening after food for five days. Please keep a gap of 40 minutes between medications. Rest, you can follow all the instructions mentioned in the previous conversations. I hope this helps.

Hi kunal!1. Continue doing salt water gargles 8 to 10 times a day for next 1 month 2. Antibiotics can be discontinued. Scratchy feeling will be present and will slowly reduce with time to come 3. The lymph node swelling will also slowly disaspper in few weeks. Even if it doesnt, there is nothing that you need to worry. 4. Mobizox can be continued for next 5 days for muscle and the joint pain. 5. Continue the multivit for next 1 month. Please follow all the other precuationary measures as discussed earlier in our previous conversations. I hope this answers your query. Do let me know if there is any doubt regarding the same. Warm regards.