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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sore Throat, Discomfort While Swallowing, Coughing, Can See Epiglottis. Possible Reason?

Hi. I m a 22 year old non smoking female who has asthma . I m at a normal height and weight range. I haven t used my puffer recently. A friend of mine who I spent some time with 2 weeks ago had a cold of some kind, with fever and stuffy nose, and I thought I was in the clear since I wasn t sick last week. 2 nights ago, I noticed I was developing a somewhat sore throat. Yesterday, my symptoms worsened, and today, I find that I m quite raw. No other symptoms are present. I do not have a stuffy nose or a fever. I do have mild discomfort while swallowing and some slight coughing. I do not have body pains. I have had post-nasal drip due to sinusitis about 2 years ago, and I ve also had strep throat about 8-9 months ago. I tried saying ah to look at the back of my own throat to check for exudates or petechiae, (both of which were present the last time I had strep) and in doing so, was able to see my epiglottis . Is that normal? (it is not my uvula - it is my epiglottis - rises like a cobra from the back/inferior portion of my throat when I say ah) My tonsils seem clear but I can t be sure. Do I need to see a GP? what could be the reason for the sore throat or the epiglottis rising? Thanks!
Fri, 8 Mar 2013
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ENT Specialist 's  Response
hello
Thanks for writing to H.C.M. for your query.
I have gone through your query regarding sore throat and upper part of epiglottis which you are seeing by saying ah.
In this connection I would like to tell you please not to be worry about epiglottis because this is normal finding in some persons who are having high larynx. As far as your throat infection is concern that should be investigated and treated properly. Here I would like to advice you these basic investigations -
(1) Culture and sensitivity of throat swab.
(2) C.T.scan of paranasal sinuses.
(3) Blood- CBC, ESR, blood sugar - F & P.P.
(4) Urine - R & M.
After this much work one should clinically co-relate the inferences of investigations to find out the correct diagnosis than accordingly treatment may be carried out.

With Regards.
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Sore Throat, Discomfort While Swallowing, Coughing, Can See Epiglottis. Possible Reason?

hello Thanks for writing to H.C.M. for your query. I have gone through your query regarding sore throat and upper part of epiglottis which you are seeing by saying ah. In this connection I would like to tell you please not to be worry about epiglottis because this is normal finding in some persons who are having high larynx. As far as your throat infection is concern that should be investigated and treated properly. Here I would like to advice you these basic investigations - (1) Culture and sensitivity of throat swab. (2) C.T.scan of paranasal sinuses. (3) Blood- CBC, ESR, blood sugar - F & P.P. (4) Urine - R & M. After this much work one should clinically co-relate the inferences of investigations to find out the correct diagnosis than accordingly treatment may be carried out. With Regards.