HomeAnswersOtolaryngology (E.N.T)sore throatHow to treat a swollen and sore throat?

My throat feels swollen, constricted, and sore. Kindly suggest medication.

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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 January 16, 2021
Reviewed AtAugust 24, 2023

Patient's Query

Hello doctor,

For six weeks, my throat has felt swollen, constricted, and I have an odd kind of soreness on the right side of my throat and sometimes the upper right side of my sternum. I feel the constriction all the time, but the soreness only when I swallow. The soreness begins at the top of my throat, just under my jaw's right side, and sometimes is felt around the upper part of my chest. I told my doctor about this during a telemedicine appointment several weeks ago. She was not certain what to think of it. She suggested it could be an effect of acid reflux and told me to take Famotidine. I already took 40 mg of Famotidine daily. My doctor also prescribed Azithromycin in case a bacterial infection may cause the symptom. I completed the course of the antibiotic last week, and the symptoms persist. I would think that this is just a typical wintertime viral infection if it had not persisted for six weeks. However, I am not sure what to do about it, particularly because of COVID-19 related encouragements to stay home. Should I visit a doctor about this in person or plan to let it run its course?

Hello,

Welcome to icliniq.com.

I think that it is the effect of reflux. I advise you to stop Famotidine and start Omeprazole 40 mg, which is a proton pump inhibitor. It is more effective than Famotidine, especially in severe persistent cases like your case.You can start with two tablets before breakfast for a week, then decrease the dose to one tablet only. Avoid spicy foods. Your problem needs direct contact with a gastroenterologist, not an ENT doctor only.

Patient's Query

Thank you doctor,

I will try Omeprazole. I hoped not to have to take a PPI because I am wary of the drug's long-term side effects, but I will try it because this symptom has been quite troublesome.

Hello,

Welcome back to icliniq.com.

You are welcome. Keep in touch for further doubts.

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

Dr. Mohammed Osama Aboborda
Dr. Mohammed Osama Aboborda

Otolaryngology (E.N.T)

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