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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Glands, Sore Throat, Stuffy Ears, Fatigued, Advised Course Of Zythromax. Still No Help. Is It Jaundice ?

Hello, I m at 43 year old female, and normally pretty healthy. Here are my symptoms... 1) Tuesday: 4pm suddenly, my throat started getting sore 2) Wednesday: Swollen glands, sore throat , stuffy ears, fatigue/really tired (went to bed at 5pm for the night) 3) Thursday: 2:45 Dr. apt - he diagnosed me with Pharyngitis started a coarse of zythromax, (again when to bed at 5pm), woke up around 9ish and noticed that my upper respiratory area hurt when I breathed. 4) Friday: Awoke to all the same stuff, except my upper respiratory pain is spreading down (only to my breast area) as the day goes on. My throat is not as sore as it was, and my ears feel better, though my nose is now running a little (clear) but not stuffed up. Also noticed the roof of my mouth is yellowish. So, any clue whats going on with me? Should I seek further medical advice re: the soreness in my upper respiratory area, or will the zythromax take care of that? Also whats up with the yellow color on the roof of my mouth - do ya think I could have Jauntice?
Thu, 13 Sep 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Yes...your treating doctor is right, you are suffering from acute pharyngitis.
Acute pharyngitis may be viral or bacterial in origin.
Nasopharynx and middle ear are connected by eustachian tube and infection may spread up to middle ear.
There is chances of spread of your infection and involvement of lower respiratory tract (as you are getting pain in chest).
There is no chance of jaundice as yellow discoloration appears in sclera and urine.
Do you have yellow discoloration of sclera and urine?
Yellow coat in mouth may be oral thrush.
You should go for widal test, liver function test and KOH mount preparation from oral yellow coat.
Thanks,
Dr. Mayank Bhargava
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General & Family Physician Dr. Michelle Gibson James's  Response
Hi, welcome to health care magic

Jaundice is due to high levels of bilirubin and normally presents first with yellowing of the eyes. Eventually in untreated or unresponsive cases the skin and mucous membranes would also have a yellow appearance.In terms of the mouth the soft palate is the first part to turn yellow.
Depending on the cause of the jaundice there may be a change in stool and urine color, the stool gets lighter and the urine has a dark appearance.
If the yellow discoloration continues or worsens then you should consider visiting your doctor for an examination and blood tests to check the level of liver enzymes, bilirubin and a blood count.

The zithromax should treat any bacteria present, the sore ness may indicate a that the infection may be extending to the chest, it may also occur as a result of excessive coughing.

I hope this helps and I hope that you feel better soon
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Swollen Glands, Sore Throat, Stuffy Ears, Fatigued, Advised Course Of Zythromax. Still No Help. Is It Jaundice ?

Hi, Thanks for posting your query. Yes...your treating doctor is right, you are suffering from acute pharyngitis. Acute pharyngitis may be viral or bacterial in origin. Nasopharynx and middle ear are connected by eustachian tube and infection may spread up to middle ear. There is chances of spread of your infection and involvement of lower respiratory tract (as you are getting pain in chest). There is no chance of jaundice as yellow discoloration appears in sclera and urine. Do you have yellow discoloration of sclera and urine? Yellow coat in mouth may be oral thrush. You should go for widal test, liver function test and KOH mount preparation from oral yellow coat. Thanks, Dr. Mayank Bhargava