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Sore throat, wheezing in throat - 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 : 1722 Questions
User :   Hi, i had a sore throat over a wk ago but now over the last 5 days its like a wheezing in my throat which seems to be getting worse especially in the early evenings. I have a dry cough with it. Im not bringing up any mucus but i have had lots of colds over the last couple of months with sinutitus. I have no signs of a cold now and its really annoying and worrying. Im 38 and im an exsmoker - i stopped 2 years ago.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
Doctor :   please let me read what you have typed
Doctor :   could you describe the wheezing and your symptoms in detail
Doctor :   are you still on any medications
User :   Its like a tickle in the throat and feels like its in the middle of my throat , it can also feel dry at times when ive been talking for a long time. Im on no medication.
Doctor :   when are your symptoms worse? have you identified any trigger factors for symptoms getting worse?
Doctor :   do you have the wheezing sound prominent on breathing?
User :   No you can't hear it at all i can only feel it in my throat breathing is fine. I don't cough at night but it feels like it gets worse thoughout the day. If i have a glass of wine in the evening it makes it worse?
Doctor :   if t is only a dry cough and with no additional symptoms, then take Syp Grilinctus 1tbsp 3-4 times a day
Doctor :   wine is considered as cold, not a hot drink
Doctor :   avoid taking wine
User :   Do you think it could be something serious how long to wait until i go to the doctors?
Doctor :   if you need to then you can try with small sip of brandy which will relive throat irritation
Doctor :   but not more than a peg at a time
Doctor :   you can take this syrup for a week
User :   Could it be an allergy to something? When should i be concerned?
Doctor :   control diet with avoiding foods and drinks considered as 'cold'
Doctor :   alergy can be made out by keeping sympom diary and noting the symptom and what precipitated it
Doctor :   and alternatively getting a blood test done
Doctor :   known as AEC counts or absolute eosinphil conuts
Doctor :   along with a hemogram
User :   What could the blood test tell ?
Doctor :   if counts ar elevaed, it wil sggest alergic phenomenon
Doctor :   and treatment o combat allergy would be started
Doctor :   and another test called as allergen patch test would be needed to identify the allergy causing agent
Doctor :   to be able to avoid it in future to avoid symptoms
User :   Ok but would you suggest i go to the doctors next wk if it hasn't cleared up?
Doctor :   have you folowed what I have said?
Doctor :   yes you should
Doctor :   and continue doing warm salt water gargling 2-4 times a day
User :   Yes i understand it could be an allergy but if it was something worse how would i know?
Doctor :   the blood test and allergen test if comes negative
Doctor :   and your symptoms continue to be present, then
Doctor :   you would need a PFT test done
Doctor :   PFT=pulmonary function test
Doctor :   to look for other causes
Doctor :   for the dry cough
User :   Ok thank you i will book app with docs next wk
Doctor :   ok. thanks for consulting me. bye for now.
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