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Suggest Treatment For Persistent Sore Throat, Cough And Swollen Lymph Nodes Near Neck

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Posted on Mon, 8 Sep 2014
Question: I am suffering from persistent sore throat with cough. Need to consult with doctor about any home remedy. I am in Kazakhstan and available medicines are quite poor here.
I have little pain in my throat. Cough not very heavy. Little pain during eating. Not taking any cold items. I have little yellowish mucus. Feeling little swelled lymph near neck. I feel my tonsils are little swelled as well. Sort of bumps on it, but no pus. No fever.
doctor
Answered by Dr. Muhammed Aslam (32 minutes later)
Brief Answer:
symptoms suggest pharyngo-tonsillitis

Detailed Answer:
Hello dear,welcome to HealthcareMagic forum.

Your symptoms suggest pharyngo-tonsillitis.
Actually this needs antibiotic treatment.Anyhow,for 1-2 days,you can try simple analgesics like paracetamol 650 mg thrice daily or ibuprofen 400mg thrice daily(if you are not allergic to).Also use antihistamines like Levocetirezine 5mg at bed time(be cautious on driving as this can cause sedation).
And do warm saline gargle of throat 6-8 times a day.
If your symptoms are not coming in 1-2 days,kindly see your doctor for staring antibiotics.Otherwise,if it is coming down,continue above drugs for total 3 days,and saline gargles for 5 days.

Hope I have answered your query.
Wishing for a faster cure.
Regards,Dr Aslam.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Muhammed Aslam (21 minutes later)
It is almost 9 days before started. 7 days before after swim in a lake it increased. I have Levoquin 500. Can I take it?
I started suffering from throat infection since last 5 months. It started last winter. I consulted with ENT specialist in XXXXXXX and he suggested it is mostly due to allergies. One more doctor mentioned that I have deviated nasal septum and because of that all these symptoms coming. But I don't have running nose.

Also can it be due to HIV infection? I had a deep kissing incident around 85 days before.
doctor
Answered by Dr. Muhammed Aslam (12 minutes later)
Brief Answer:
azithromycin or amoxicillin+clavulonate

Detailed Answer:
Hello dear,

I usually give azithromycin or amoxicillin+clavulonate to my patients with such symptoms.Anyhow,if not allergic,and not having renal/hepatic impairment,levofloxacin one daily can also be used,though not a first line drug for pharyngitis.Your doctor will guide you in this.

This is unlikely related to deviated septum,which usually causes recurrent sinusitis.

HIV is unlikely,as this is usually associated with other symptoms like weight loss/persistent fever/persistent diarrhea/lymphadenopathy etc.
Anyhow,if you are getting frequent recurrences,you can have a HIV ELISA screening done,and also check your blood sugar.

Hope now you got cleared.
Thank you.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Muhammed Aslam (39 minutes later)
Now few more questions:
Can HIV happen because of deep throat kissing?
I am attaching HIV antibody test report. It was done after 14 weeks of possible exposure. Is it conclusive?
Can this kind of sore throat happen without other symptoms during initial HIV infection?

Note: My throat is not paining just a itching sensation at the back of the throat. Lymphs not that swelled just I feel two when I am pressing my neck.

doctor
Answered by Dr. Muhammed Aslam (18 hours later)
Brief Answer:
see detailed answer below

Detailed Answer:
Hello dear,
Chances of transmitting HIV by kissing is negligible compared to vaginal or anal sex unless the partner was having oropharyngeal mucosal abrasion or active aphtus or infections.

There is some error in downloading the report.I could not get it.kindly try re uploading. Anyhow if it shows a negative or non reactive report,this is conclusive as it is already 14weeks past the incident.

During initial days of viremia,HIV can present with nonspecific symptoms resembling viral fever like sore throat, body ache, fever etc.but if your screening test is negative after 14 weeks,you need not worry.anyhow, if you are so obsessed,you can just repeat the test after 2-3 weeks,especially if your partner was HIV positive.

Hope now you got cleared. Thank you.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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Suggest Treatment For Persistent Sore Throat, Cough And Swollen Lymph Nodes Near Neck

Brief Answer: symptoms suggest pharyngo-tonsillitis Detailed Answer: Hello dear,welcome to HealthcareMagic forum. Your symptoms suggest pharyngo-tonsillitis. Actually this needs antibiotic treatment.Anyhow,for 1-2 days,you can try simple analgesics like paracetamol 650 mg thrice daily or ibuprofen 400mg thrice daily(if you are not allergic to).Also use antihistamines like Levocetirezine 5mg at bed time(be cautious on driving as this can cause sedation). And do warm saline gargle of throat 6-8 times a day. If your symptoms are not coming in 1-2 days,kindly see your doctor for staring antibiotics.Otherwise,if it is coming down,continue above drugs for total 3 days,and saline gargles for 5 days. Hope I have answered your query. Wishing for a faster cure. Regards,Dr Aslam.