Thanks for writing to us.
You have not indicated the duration of the above symptoms . Anyway the antibiotic prescribed to you has not produced any desirable effect.
I can think of differential diagnosis at this stage as I have not clinically examined you.(a)Chronic Pharyngo tonsillitis
Pharynges:-This is associated with Vitamin A
and E deficiency .In some cases Viral Aetiology and Tobacco Smoking are predisposing factors.
(b) Prolonged Deficiency Anaemia;-Especially Iron Deficiency
Anaemia with the development of Oesophageal Webs.(Plummer Winson Syndrome/Peterson Brown Kelly syndrome).All baseline investigations have to be done including Hb%,TC/DC/ESR/Smear Study/Urinalysis/Stools test/Upper GE Endoscopy to find out the cause.
(C)Carcinoma of the upper 1/3rd of Oesophagus. For this above investigations ,in addition endoscopically a biopsy of affected part can ascertain the diagnosis.
(d) Carcinoma of Tonsils;-Biopsy of the lesion is diagnostic.In addition the affected lymphnodes
also can be biopsied.
Kindly institute an evidence based treatment after proper investigations .consult an ENT Surgeon and Surgical Gastroenterologist at the earliest please.
Wishing you a speedy recovery.,
Dr Lt Cdr ASN Bhushan.,