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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Strep Throat. Swelling, Inflammation In Tonsils. Prescribed Medication. Jaw Not Opening Fully, Due To Swelling?

Hi, I was diagnosed with strep throat last Thursday and treated w/ 5 days of zithromax . I finished the z pack and sore throat still persists and I am still miserable. The pain throbs on the whole left side of face- my ear, jaw, and throat. I can only open my mouth less than halfway...and it does not go any further. My jaw just stops. I saw my doctor this morning and she prescribed prednisone for the swelling and inflammation of my tonsils. Is the jaw not opening properly related to the tonsil swelling? or could the infection be in my jaw? I m very scared and in pain.
Mon, 25 Feb 2013
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ENT Specialist,  's  Response
Hello
Welcome in H.C.M. for consulting.
I have gone through your query regarding strep throat infection and tonsillitis leading to trismus means reduced mouth opening.
Considering your complaints and response of treatment I am suspecting that you are suffering from chronic tonsillitis with paratonsillar abscess. Due to this abscess muscles of anterior pillar gets inflamed and spasm sets in leading to reduction in mouth opening.
Regarding treatment one should do these basic investigations-
(1) Culture and sensitivity of throat swab.
(2) Blood- CBC, ESR, blood sugar fasting & p.p.
For immediate relief one should do I/D of abscess followed by conservative treatment and after 4 weeks tonsillectomy operation is the recmonded line of treatment. Some surgeons do not follow this pattern and they do directly major operation I.e. Abscess tonsillectomy.

With Regards.
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Diagnosed Strep Throat. Swelling, Inflammation In Tonsils. Prescribed Medication. Jaw Not Opening Fully, Due To Swelling?

Hello Welcome in H.C.M. for consulting. I have gone through your query regarding strep throat infection and tonsillitis leading to trismus means reduced mouth opening. Considering your complaints and response of treatment I am suspecting that you are suffering from chronic tonsillitis with paratonsillar abscess. Due to this abscess muscles of anterior pillar gets inflamed and spasm sets in leading to reduction in mouth opening. Regarding treatment one should do these basic investigations- (1) Culture and sensitivity of throat swab. (2) Blood- CBC, ESR, blood sugar fasting & p.p. For immediate relief one should do I/D of abscess followed by conservative treatment and after 4 weeks tonsillectomy operation is the recmonded line of treatment. Some surgeons do not follow this pattern and they do directly major operation I.e. Abscess tonsillectomy. With Regards.