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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Glands And Tongue With Pain,fever,tiredness,viral Throat Infection

I have had swollen glands and tongue with pain and feeling very tired with a low grade fever, I went to the er last night, they say I have a viral throat infection. Since it is a virus I was told I can t get antibiotics. I have been drinking a lot of water and juice and rested all day today, I have been taking pain meds when my pain has gotten too much to handle. I was wondering did I get the right diagnosis, and do I need to get a second opinion? Thanks for your advice
Fri, 11 May 2012
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  User's Response
Hi
Yes. You got the right diagnosis. Many of the people most of the time get viral infection. So it is customary to regard these as viral infections. If it is viral infection then antibiotic does not help and if given when not indicated can increase the chance of emergence of resistant strains of micro-organisms. But clinically there is no way of differentiating between viral and bacterial throat infections. If symptoms are severe or are progressing (can be due to secondary bacterial invasion) then it may be considered as bacterial. Blood test (CBC) might give some clue to differentiate.
So continue with treatment given.
If your symptoms increase then antibiotic Co-amoxyclave for 5 days can be taken.
Wish you good health
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Swollen Glands And Tongue With Pain,fever,tiredness,viral Throat Infection

Hi Yes. You got the right diagnosis. Many of the people most of the time get viral infection. So it is customary to regard these as viral infections. If it is viral infection then antibiotic does not help and if given when not indicated can increase the chance of emergence of resistant strains of micro-organisms. But clinically there is no way of differentiating between viral and bacterial throat infections. If symptoms are severe or are progressing (can be due to secondary bacterial invasion) then it may be considered as bacterial. Blood test (CBC) might give some clue to differentiate. So continue with treatment given. If your symptoms increase then antibiotic Co-amoxyclave for 5 days can be taken. Wish you good health