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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Unilateral Sore Throat

Looking for any info on chronic unilateral sore throat. Have had strep ruled out, both with rapid testing and culture twice over past year. Left side of throat near / mostly the tonsil, but almost deeper into neck musculature is location of ongoing irritation. I have pain in that ear at times, as well. Recently starting to have pain on that side of my neck (?) which now seems to be a trigger to frequent headaches. The sternocleidomastoid (sp?) muscle seems to be constantly irritated or tight near the base of that left ear. It just is not getting better.
Mon, 4 Apr 2016
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General & Family Physician,  's  Response
Hello dear,
Understand your concern

sore throat mainly due to viral and bacterial infection.
1. Complete bed rest
2. avoid heavy physical activity/ weight lifting
3. Paracetamol/ ibuprofen injection/tablet for fever and pain.
4. Oral Prednisone tablet :it is anti inflammatory to reduce symptoms of pharyngeal pain,odynophagia, or enlarged tonsils
5. Antiviral drug acyclovir: reduce viral sheddings and leading to a significant decrease in the severity of symptoms
6. Antibiotics-levofloxacin 500 mg once daily for 5 days: to prevent secondary bacterial infection
7. Drink plenty of luke warm water
8. Gargling with warm salted water/betadine 1 % 3-4 times per day
you can also take tablet strepsils.
9. Avoid to go in congested area. use humidifier.
10. Apply warm pad and gentle masssage over the sternocleidomastoid muscle
You can apply volini gel for better relief.


Hope this advice may help you.
Thank you.
Take care.
Get well soon.
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Suggest Treatment For Chronic Unilateral Sore Throat

Hello dear, Understand your concern sore throat mainly due to viral and bacterial infection. 1. Complete bed rest 2. avoid heavy physical activity/ weight lifting 3. Paracetamol/ ibuprofen injection/tablet for fever and pain. 4. Oral Prednisone tablet :it is anti inflammatory to reduce symptoms of pharyngeal pain,odynophagia, or enlarged tonsils 5. Antiviral drug acyclovir: reduce viral sheddings and leading to a significant decrease in the severity of symptoms 6. Antibiotics-levofloxacin 500 mg once daily for 5 days: to prevent secondary bacterial infection 7. Drink plenty of luke warm water 8. Gargling with warm salted water/betadine 1 % 3-4 times per day you can also take tablet strepsils. 9. Avoid to go in congested area. use humidifier. 10. Apply warm pad and gentle masssage over the sternocleidomastoid muscle You can apply volini gel for better relief. Hope this advice may help you. Thank you. Take care. Get well soon.