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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore Throat, Fatigue And Tooth Pain While On Clindamycin?

Epstein-Barr VCA lgG Ab is 3.52 (high) EBV Nuclear AG (EBNA) Ab (lgG) is more than 5.00 (high) my RBC is 3.80 and my MCH is 33.5 and Baso % 1.1. I am headachy, have swollen glands under my neck, sore throat, tired. What type of doctor should I see from here? I have been on Clyndamycine for 10 days at 1200mg a day which ended about a week ago because at that time I could not tell if my sinuses were hurting my teeth or my teeth were hurting my sinuses/head. Please help. Thank you.
Wed, 16 Nov 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

As per your complain and the report you have attached it seems to be due to Ebstein Barr virus infection leading to Infectious Mononucleosis..
It is the cause for the symptoms you are experiencing of sore throat,swollen glands, fatigue and headache..

It can also cause sinus infection and inflammation that can be a potent cause for achy teeth of the upper jaw as the maxillary sinus lies close to the upper jaw teeth..

It is a viral infection, therefore antibiotics will not cure it as they are meant to cure bacterial infection..

I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly..

You can be advised a course of antiiviral medications like Acyclovir, Valacyclovir, Famicyclovir etc,anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room..
You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline..
Avoid spicy and chilled foods..
Do warm compresses around nostrils..

Hope this helps..

Regards..
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What Causes Sore Throat, Fatigue And Tooth Pain While On Clindamycin?

Hi.. Welcome to HEALTHCARE MAGIC.. As per your complain and the report you have attached it seems to be due to Ebstein Barr virus infection leading to Infectious Mononucleosis.. It is the cause for the symptoms you are experiencing of sore throat,swollen glands, fatigue and headache.. It can also cause sinus infection and inflammation that can be a potent cause for achy teeth of the upper jaw as the maxillary sinus lies close to the upper jaw teeth.. It is a viral infection, therefore antibiotics will not cure it as they are meant to cure bacterial infection.. I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly.. You can be advised a course of antiiviral medications like Acyclovir, Valacyclovir, Famicyclovir etc,anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room.. You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline.. Avoid spicy and chilled foods.. Do warm compresses around nostrils.. Hope this helps.. Regards..