Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
127 Doctors are Online

Sore throat, earache, sinusitis, on medications - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   Dr AAAAAAA here
Doctor :   how can I help you?
User :   hi Dr AAAAAAA
Doctor :   please proceed with your health query.
Doctor :   are you there?
User :   i was due to have surgery tomoro i was having sinoplasty and fess but on saturday i developed a sore throat and earache, i went to a and e and they said it was strep throat and gave me penicillin, i have been takin that as prescribed and also paracetamol, ibuprofen adn aspirin gargle but the pain is getting worse
Doctor :   let me read what you have type
Doctor :   ok. please describe your symptoms in detail.
User :   red, sore throat, ear ache in one ear, no cough or pus in throat, fever, fatigue, swollen glands, difficulty swallowing
Doctor :   how many times a day are you doing the aspirin gargle?
User :   every 4 hours
User :   900mg
Doctor :   ok. alternate it with warm salt water gargling or do this warm salt water gargling 2- 4 times a day, it should help
Doctor :   continue with the rest of medications as prescribed.
Doctor :   please rate you pain intensity on scale of 1-10 with 10 being highest pain
User :   about a 7
Doctor :   ok. how many doses each of penicillin, paracetamol, ibuprofen and aspirin gargle have you taken uptil now?
Doctor :   usually the antibiotic takes effect after 3-5 days of use if infection is severe
User :   penecillin 2 pills 4xdaily since sunday morning, paracetamol same as penicilllin and ibuprofen 3x daily
Doctor :   also if the pain and symptoms have progressively worsened since the start of medications, then consider getting a culture sensitivity test done from the throat and tonsils (if tonsils are enlarged).
Doctor :   please provide age, height,w eight, details of past medical illness and treatment if any
User :   dr i saw said tonsils are not enlarged
Doctor :   ok
Doctor :   is there history of diabetes, high blood pressure, cholesterol?
Doctor :   are you on any other medications?
User :   i am 36, i weigh 10 stone, i am 5 foot 6 inches, i have had full abdo hysterectomy for severe endometriosis and i have bad sinuses
User :   no diabetes or anything else
Doctor :   ok
User :   no other meds
Doctor :   ok
Doctor :   since the medications have not helped you in relieving the symptoms, I would recommend you to go ahead with a repeat check done with your ENT doctor for considering the swab test and culture sensitivity tests
User :   ok thank you
Doctor :   to identify the causative agent and also to see which group of antibiotics would suit the best to treat it
Doctor :   you might need higher antibiotics like broad spectrum antibiotics or the cephalosporins if the penicillin is not able to cure the infection
User :   ok
Doctor :   have you followed what I have said?
User :   today is day 3 so do you think i should give it another day or so or see ent asap?
Doctor :   is the earache better after you started with medications?
User :   no not at all
Doctor :   if the pain has been progressively getting worse, then consider seeing your ENT doc at the earliest
User :   i get relief for an hour or so after pain killers but not bein cured just masked
Doctor :   if the pain is bearable with medication use, give a try for 2 more days to see if antibiotics take their effect.
User :   ok, thank you i will try that then
Doctor :   ok, then in that case consider meeting your doctor for alternate and more potent pain killers
User :   i have other pain killers but not sure what to take
Doctor :   or try with taking Tab Tylenol 1 tab 2 -3 times a day as needed after food.
User :   i am in uk so don't think we get tylenol here
Doctor :   ok. you are already taking Ibuprofen and paracetamol
User :   yes
Doctor :   but if both are not able to give adequate pain relief then higher ones should be considered
Doctor :   like combination of analgesic and antiinflammatory
Doctor :   discuss with your ENT doctor about getting them prescribed
Doctor :   for better pain control
User :   ok i will do
Doctor :   is there anything else I can help you with?
User :   no, thank you very much
User :   goodbye Dr AAAAAAA
Doctor :   ok.
Doctor :   thanks for consulting me. bye for now.
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor