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White-green spots on tonsils. Blisters on tongue. Hurts to swallow. Worried about oral herpes

Hi. Im 21 in Australia. I have whitish greenish looking spots pronably the size of an ants head on my tonsils and red but painless blisters on both sides on the back of my tongue (near my molars). Both sides look identical except for a few enlarged tastebuds . It hurts to swallow or yawn and i have a fair amout of mucus in my nose and at the back of my throat. Ive been smoking extra cigarets and i also accidentaly drank bore water. Im worried it could also be oral herpes but i have nothing on my cheeks or my lips...theyre just a bit dry. My toungue is pink but with a little white coating at the back of it. Im really worried.
Asked On : Tue, 4 Dec 2012
Answers:  1 Views:  133
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ENT Specialist 's  Response

Welcome in H.C.M.

I have gone through your query regarding white green spots over both tonsils and the posterior part of tongue.You have intense pain on swallowing food and saliva.

By your clinical history and area of involvement it appears as most probably you are having acute follicular tonsillitis with pharyngitis. It can't be herpes because your lesion is bilateral while herpes is mainly unilateral and herpitic blisters are usually along the course of nerve.

For confirmation and treatment you should do-

1- Culture and sensitivity of throat swab.

2- Blood- CBC, ESR, blood sugar- (F & PP).

Till the reports of investigations are awaited you may take-

a- Tab Paracetamol.

b- Warm saline gargling.

c- adequate liquid orally.

d- Antibiotic- it will be decided by culture and sensitivity report.

I hope this will help you.

Answered: Wed, 23 Oct 2013
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