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Swelling in lymph glands, sore throat and cough - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have sharp pain in my throat
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query.
Doctor :  
ok
Doctor :  
please describe your symptom in detail.
User :   I had swelling in my lymph glands and sore throat + eye infection about 10 days back
User :   Started on feb 28th
Doctor :  
ok
User :   went to doc on 4th march
Doctor :  
ok
User :   I was given methylprednisone to control swelling
User :   and antibiotics for 10 days
User :   plus antibiotic ee drops
Doctor :  
ok
User :   now after steroid dode is over, the sore throat and pain has returned
Doctor :  
ok
User :   its unbearable
Doctor :  
is there pain or discomfort during swallowing?
User :   yes
Doctor :  
is there pain when trying to talk?
User :   yes
Doctor :  
ok
Doctor :  
is there cough associated with throat pain?
User :   pain radiates to ear
User :   yes there was
Doctor :  
ok
User :   but i took tussin and it stopped but dry cough comes and goes
Doctor :  
ok
User :   i am currently taking ibuprofen 400 mg about 3 times a day
Doctor :  
ok
User :   seems to get worse anyway
Doctor :  
you can continue the present medications
Doctor :  
and go for a repeat check with an ENT specialist
Doctor :  
to see what is happening now
User :   not a family physician? but a ENT specialist?
Doctor :  
it may be possible that the infection is become resistant to the antibiotic used
User :   omnicef
User :   oh
Doctor :  
youcan ask your family physician for an ENT referal
User :   you think its bacterial, not viral?
Doctor :  
and a possible throat swab to give for culture and sensitivity test
Doctor :  
which will let us know what the organism is and what antibiotics the organism is susceptible to
User :   ok
Doctor :  
and then treat you with the suggested antibiotic from the test to which the organism is susceptible.
Doctor :  
have you followed what i have said?
User :   yes
Doctor :   ok
Doctor :  
do warm salt water gargling for symptomatic relief of cough and pain
Doctor :  
do this atleast 2-3 times a day
Doctor :  
Is there any thing else I can help you with?
User :   what dose of ibuprofrn can I take safely until I can go to a doc? motrin 400 is not enough
Doctor :  
do not take more than what is prescribed to you.
Doctor :  
if the dose is not enough, then you can take max upto 3 times a day of the same dose prescribed.
Doctor :  
else call up your treating doc, and inform that it is not sufficient
Doctor :  
and he will either prescribe a change of medication
Doctor :  
or give you a increase in dosage.
Doctor :  
Is there any thing else I can help you with?
Doctor :  
please provide your age, gender, location, occupation.
User :   What does it look like to you? In your opinion, is it viral hat I have to live through or bacterial?
User :   I am female, age 33, homemaker with 2 kids
Doctor :  
ok
User :   thats why i am up at night coz I can';t sleep with the pain
Doctor :  
Since its like a repeat infection it is likely that it is bacterial in nature and not responding to the medications
Doctor :  
if it was a viral one, it would have resolved within a week of medication use
User :   Viral will not last this long, right?
User :   oh ok
Doctor :   is there anything else you would like to ask me?
User :   ya, pain restarted on last day of steroid
Doctor :  
no it usually does not last this long
User :   oh ok thanks very much.
Doctor :  
ok
User :   Any chance of it being EBV?
User :   ok another question...
Doctor :   it is a virus from herpes family

Doctor :  
yes please proceed
User :   I had a surgery for tubal ligation in oct 2008
User :   the doc found cysts on both ovaries
Doctor :   ok

User :   I always had delayed periods
User :   I had children, I was lucky
Doctor :  
ok
User :   but my question is is there any treatment for PCOS?
Doctor :  
let me answer your query on EBV: the infection with this will also have a enlarged liver or spleen along with the sore throat symptoms. and this can be confirmed by doing antibody tests for EBV.
Doctor :  
PCOS treatment when symptomatic can be done
Doctor :  
the hormonal analysis will reveal the cause of PCOS
Doctor :  
and depending on that the treatment will be done.
User :   is it something that a family doc can do or do I have to go to gynaec
Doctor :  
family doc can do followups and refer you to a gyne. who is better to have a detailed evluation from and get treated
User :   is there a name for the hormonal analysis test or it that what it is called?
Doctor :  
you can go through this link for detailed knowledge on PCOD
Doctor :  
WWW.WWWW.WW User :   ok i will
Doctor :  
the hormonal tests will comprise of FSH, LH, Prolatin , TSH levels along with the usual complete blood counts
Doctor :  
*prolactin
User :   I have done TSH level
User :   ok
User :   i do take synthroid
Doctor :  
ok
Doctor :  
is the TSH under control?
User :   it was 1.76
Doctor :  
ok
Doctor :  
that is normal range.
Doctor :  
continue to take the prescribed dose of Synthroid
Doctor :  
as it has kept it under good control
User :   to come back to my previous query, how long will it take to normalize eye infection?
User :   ok
User :   i took antibiotic eye drops for 7 dayds as prescribed
Doctor :  
ok
Doctor :  
what symptoms are you having regarding the eye infection now?
User :   but even now get a little discharge , minimal, and some eye weakness sometimes
User :   like lack of focus
Doctor :  
is the redness, watering, itching present?
User :   no
Doctor :  
ok
Doctor :  
do you work on computer?
User :   no
Doctor :  
ok
User :   have to squint sometimes
Doctor :  
ok
Doctor :  
the weakness could be due to the eye muscle fatigue. the watering could be due to dryness in eye also.
Doctor :  
for a exact diagnosis, i would suggest you to get a Ophthalmologist check up done which wil show what the problem is and why the antibiotic drops have not helped you
Doctor :  
in case of dryness and muscle fatigue the antibiotic drops will not help
User :   ok
User :   last Q
Doctor :  
you will need prescription for lubricant drops and also do eye exercises to overcome these symptoms
Doctor :  
ok. please proceed.
User :   my kids have recovered from their infection within 1 week. Only I have this bad throatpain. Is there any chance of my infecting them?
User :   they recovered 1 week ago
Doctor :  
if a infective cause is there like bacterial or eBV infection, then yes, you do stand a chance of re-infecting them.
Doctor :  
hence do not delay for repeat examination
Doctor :  
and specialist consult as suggested
Doctor :  
Is there any thing else you would like to ask me?
User :   ok no thank you very much
Doctor :  
Please fill the feedback form, and comment box, and say done when done.
User :   Done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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