I have constant throat pain which hurts more on swallowing. Kindly help.

Hello,

Welcome to icliniq.com.

What sort of pain is it? Is it present only while swallowing? Is it getting relieved when you do anything? Do you smoke? Is there any change in voice? Do you feel anything stuck down the throat?

In your pictures, I cannot find any active infection. It was unnecessary to take all those strong antibiotics. Most likely, you have a reflux laryngopharyngitis that needs antihistaminics, and proton pump inhibitors for a long term, say one to two months. You will need to take some precautions and lifestyle changes as well.

Do revert with more information. Once a decisive diagnosis is made, I can suggest the medicines to you.

Hello,

Welcome back to icliniq.com.

You have reflux. Take the following medicines.

1. Tablet Raciper 40 (Esomeprazole), one tablet before breakfast for two weeks.

2. Tablet Vozet 5 (Levocetirizine), one tablet in the evening for two weeks.

3. Duonase nasal spray, two puffs each nostril after breakfast for two weeks.

Avoid spicy, oily foods, citrus, and cold foods. Avoid dust and smoke pollution. Do not drink a lot of water immediately after a meal, and do not lie down immediately after a meal. Do not fast. Eat timely food. Increase the frequency of having food but reduce the quantity each time.

Follow the above measures and revert after two weeks. You will need a review and further medicines. Depending on your progress we will have to taper the medicines but not stop it fully.

Hello,

Welcome back to icliniq.com.

Ignore the temperature part for now. If it is persistently above 99 and goes to 100s, then let us know.

The nasal issue will be taken care of by the nasal spray and the tablets I mentioned in the previous reply. In the pictures shared by you (attachment removed to protect patient identity), I could see thick post nasal drip and understood you have nasal symptoms. That is why I included the medicines for those as well.

Nasal issues and reflux are related, and both go hand in hand. We need to address both to give a complete solution. The ear pressure is also due to rhinitis. Do not do the Valsalva maneuver until your treatment is complete.

Do not take cold water or spicy oily foods. Take steam inhalations two times daily. If you feel feverish, take Dolo 650 (Paracetamol 650), and then you will be better.

Hi,

Welcome back to icliniq.com.

The medicines will not cause body pain and joint ache. I suggest you take Paracetamol when you have the body pain. Take rest for a couple of days. Drink warm water. Follow all the precautions mentioned earlier. Reflux and rhinitis take some time to get alright. You will have to be patient. Do revert back to us after a week before you stop the medicines.

Hi,

Welcome back to icliniq.com.

You have found 85 percent improvement in the pain, right? 98.9 degree Fahrenheit is not a fever, sir. It is slightly above normal. You can ignore it. Regarding the chills, can you elaborate? Continue the medicines for another two weeks. When you have the chills, take a Paracetamol. Your chills need to be discussed further. Based on the thermometer reading, I cannot say it is a fever.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.

Hi,

Welcome back to icliniq.com.

Now that you are feeling normal, follow these steps: Continue the medicines every alternate day, that is thrice a week. Do this for two weeks and then stop all medication. Follow general precautions for acidity or allergy:

1. Avoid smoke, dust, pollution, and cold weather.
2. Keep yourself hydrated.
3. Avoid alcohol.
4. Do not shout or strain.
5. Avoid spicy, oily, and bitter foods.
6. Reduce salt intake.
7. Do not lie down immediately after any meal.
8. Do not drink a lot of water after any meal.

Let me know if there are any issues after two weeks. Otherwise, you can stop the medicines and just follow the precautions.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.