What is the causes and treatment for respiratory tract infection? - Online Doctor Chats
Hi, I have throat irritation each time I swallow, feels restricted. difficulty breathing through nose due to enlarged turbinates, especially on the left side. a mothball taste that comes and goes which becomes stronger with sugary drinks. I'll often feel a gagging sensation due to what feels like a very dry sticky mucus build up in the throat which is very difficult to cough up and often results in the dry retching feeling. This has lasted for more than two years.
my name's XXXXXXX
How can I help you today?
Basically I have been suffering from a condition for about two years now, and I haven't really had a proper diagnosis as of yet and hoping to get a fresh opinion to try new steps I haven't thought of or other tests
Then it started on my left ear, it started sounding like it would drop frequency or I would be submerged under water on my left side and a ringing sound
A few days after that, I developed an unusual taste, the only way I could describe the taste was it was like the smell of mothballs
I then started getting a restricted throat, the feeling of sticky phlegm caught in a dry throat and difficulty breathing through both my nostrals
I've had tests and found inflammation around the larynx, which was suggested it may be due to reflux but reflux wasn't causing the taste. CTScan showed sinus was clear but did pick up on 2 mucosal polyps on the floor of left frontal and maxilary sinuses
the throat feeling is what kind of stopped me in my tracks, it causes me at times to stop and choke on my own phlegm getting caught, dry retching sensation where I can't cough it up
Do you have white coating of tongue?
Not really, it's probably vaguely white if anything, doesn't look abnormal to me
Have you gotten a microscopy of the sputum or throat swab
No, my GP didn't think that would help with anything because I did ask for one
Do you get this all the time or it comes and goes?
The throat problem is always there, the taste comes and goes and I noticed if I drink anything sugary it'll get stronger
even breathing feels like I'm irritating my throat with just oxygen
The taste seems to be because of infection
Even the nucous has some cause
Do you have problems with digestion too?
Are you there?
I have had problems off and on, such as diarrhoea, that has kind of stopped now though and returned to normal. I will get some rather sharp pains in my chest as well
Yeah sorry, there seems to be a bit of lag inbetween us
Do you have any idea about how it started?
The only thing I can relate it to was when I arrived back home from over seas, I was in the Philippines. I did have a problem with the air pressure in the plane which I thought was a problem with the cabin pressure itself but everyone else around me looked normal and I was in complete agony
Felt like my head was about to explode as we descended.
I was deaf in the left ear for about 2 days before it cleared up
From your history it seems that the mucous is coming from some type of injury to the lining of ear or maybe respiratory tract
But on second thought it is possible that the tube connecting ear and throat got blocked
this resulted in rise of middle ear pressure ad the feeling of something exploding
I did have an audiology test done on my ears and they didn't point out anything abnormal with the eardrum tests
This blockage may have been due to inflammation
Thus the inflammation may have started in Phillipines
Did you take any antibiotics in Philippines or you were under some stress
Nope no antibiotics, I did catch a flu over there though, twice. One lasted about 6 days the other was 24 hours
I was thinking if it is related to candida
But we need to rule out other chronic infections
Have you gotten blood tests done?
My initial reaction was 'it tastes fungusy' but I did take antifungal losengers which didn't seem to help with anything
Anti fungals only help temporarily
Yes, they all came back fine. My WBC was 7.8, the only thing was my liver enzymes were a bit high, which is suspected to be from fatty liver
Were you ingesting the lozenges?
Now the issue is mainly respiratory inflammation and episodic diarrhea
Yeah, I was just sucking on them until dissolved. they told me to keep it around in my mouth a bit before swallowing
I think you have altered normal flora
It may be causing these symptoms
My advise is as follows:
You need to take steps to increase immunity like exercise daily for 20 min and take enough fruits and vegetables in a day
Secondly drinking pure water should help in curtailing any fungal component to the problem
This step will help you deal with both diarrhea and sticky mucous
Ok great I'll do that, the white tongue thing you asked before, was that in relation to candida as well?
Ok I'll look into that and get on it.
You will find this water in grocery stores under some brand names
Ok, I'm taking nasonex at the moment to try help with my nose but it doesn't seem to be doing anything and often just irritates my throat even more. swallowing becomes a bit more difficult then
Avoid taking medicines to suppress fungi
and forget about curing candida completely
It may also be due to inflammation of salivary glands
thus causing difficulty in swallowing
Take the above mentioned steps and you will feel better
Ok will do, thanks a lot for your help today
Thanks for consulting
Should I go ahead with the throat culture?
Yes of course
It will diagnose only bacteria
Fungi are considered normal part of sputum
Any way to tell if there's too much fungi?
so even if present in excess it wont be diagnosed
ahhh ok ok
dont worry too much about it
After certain age , people usually get this
Ok then =) So just focus on a few tweaks in life style and see how I go!
Will do :) thanks again for your advice today. greatly appreciate it
sometimes simple things help
Yeah well after all the tests there's still no solid diagnosis so it sounds like it's probably something as simple as that
Take care and thanks again!
Do you have any other question?
Nope that was everything thanks a lot :)
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