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White tonsils, swollen glands, chest pain, no fever, weakness. Concerned

I have woken with severe tonsilitis( both a covered white). I woke yesterday with swollen glands on the left side and chest pain just beneath my left armpit on the side if my chest which has become stabbing. It is difficult to inhale fully. I have had no temp, but incredibly weak. I'm am concerned about my chest and am too weak to drive to the hospital
Asked On : Sat, 6 Apr 2013
Answers:  1 Views:  80
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General & Family Physician 's  Response
Hi and thanks for the query,
What you describe is characteristic of exsudative tonsillitis and which is a probable bacterial infection. This is usually caused by Streococccus Spp and a proper treatment is often required. Poor treatment options especially in children could lead to rheumatic fever, with chronic complications in the heart and joints.,
The good examination of the chest is important to exclude a concomitant septicemic lung infection. This might require a chest X ray depending on the results of the clinical evaluation. Lack of fever might be because you have taken an analgesic or an anti inflammatory drug. When fever is absent with no drug taken, it is probably of viral origin. Treatment usually lasts 10 days when its of bacterial origin. Deciding which drug to use depends on the cause and a proper clinical evaluation by your primary care physician or ENT specialist could be most appropriate.
Thanks and best regards,
Luchuo, MD.
Answered: Sat, 6 Apr 2013
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