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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Throat Pain In A Scleroderma Morphea Patient?

Hola I was diagnosed with scleroderma morphea in April of 2015 since then I ve been suffering from my mouth alot they gave me the mouthwash Nyst/lidocaine/q-dryl & it hurts my N ch when I swallow with nausea. Well then I was with it so long they just gave Lidocaine pure it worked better for the pain. Then my mouth felt like i eaten 100 pineapples my tongue was burning it was too harsh then I was on the mouthwash off and on. Then now last week on Monday I woke up with severe pain on my throat ( I had a tonsillectomy when I was 17yrs. Old) I changed Doctors he gave me an antibiotic telling me u cannot have an infection well now I ve been suffering so much my tongue is burning all the time i have cuts not blisters inside my inner lips my palate is all red the tip of my tongue is the worst the palate is all red I m in horrible pain even water sometimes burns. Well I live in Texas in a somewhat small growing fast border town alot of suffering people go across the border and see a Dr. A specialist or for medicines only too. Well my friend had to go across he asked me let s try to get some shots for you. So I said YES PLEASE !!! So he got me Rocephin shots of one g. They were 3 shots I gave myself one and I thought for sure it was gonna hurt like always with my Doctor here.but it didn t (I m an MA studying to be an RN.) So I know how to give shots. The shot didn t hurt at all!!! No pain? Is this really rocephin i asked myself that s when I read the fine print the liquid solution instead of saline it was Lidocaine!! Finally my question is would I need more than three shots of rocephin? Cuz it s been a year of waking up in pain getting worst all the time I m really suffering!!! I can t even brush my teeth the toothpaste feels like fire!!!! Remember each shot is 1g. Of Rocephin with the liquid being lidocaine.
Tue, 17 Dec 2019
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General Surgeon 's  Response
Hello,

The severe burning is related to immune related issue with antibodies against salivary glands making secretions dry and worse conditions as disease progress. Discuss the scope of monoclonal antibody therapy as recent modality which acts as disease modifying agents.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Severe Throat Pain In A Scleroderma Morphea Patient?

Hello, The severe burning is related to immune related issue with antibodies against salivary glands making secretions dry and worse conditions as disease progress. Discuss the scope of monoclonal antibody therapy as recent modality which acts as disease modifying agents. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon