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Sore throat and difficulty in swallowing - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My husband is having a severe cramp in his throat near his adam's apple. He says it not like a raw, sore throat feeling, it is like a muscle cramp. Painful to swallow, when he leans forward it throbs, feels like his neck and jaw up to ears is tight. Hard to swallow and talk.
Doctor :   Hi
User :   Hi
Doctor :   May I know his age
Doctor :   Since when is he having the pain?
User :   35
User :   It started late afternoon today, just felt like a mild sore throat
Doctor :   Ok
User :   Had a sore throat a week ago, turned into a cough and cold, just getting over that
User :   that sore throat went away 4 or so days ago
Doctor :   Is he running fever?
User :   No fever, temperature is normal
Doctor :   Does he have any other medical illness such as diabetes, hypertension, anxiety?
User :   No other illnesses.
Doctor :   Ok
Doctor :   Let me explain to you.
User :   Inside of throat and tonsils appear red and swollen
Doctor :   Based on your description, there are no other obvious cause apart from the tonsilitis that could be the cause for the present symptoms.
User :   Is that similar to or could it be strep throat?
Doctor :   Yes.
Doctor :   It could be an infective condition.
Doctor :   Since you do not report of fever, it is more probably viral in nature.
Doctor :   He will need warm saline water gargling
Doctor :   alternatively chlorhexidine solution gargles
User :   Is it advisable to see a doctor tomorrow rather than wait until next week to see primary physician?
Doctor :   Along with antiinflammatory medications such as Advil 2 tablets a day
Doctor :   use soft, semisolid diet till his symptoms feel better.
Doctor :   If he has severe difficulty in swallowing,
Doctor :   I suggest that you see a doctor as early as possible.
User :   OK. Would it be unlikely that it's some kind of muscle pull or strain?
Doctor :   Specific medications and probably prophylactic antibiotics may be needed to avoid surgical removal of the tonsils.
Doctor :   Muscle pull can explain the pain and small difficult while swallowing.
Doctor :   But doesn't explain red and inflammed tonsils.
Doctor :   I suggest that you see a doctor, if his symptoms do not improve with gargles and advil tablets.
Doctor :   Have you followed what I have suggested?
User :   Have not had a chance to gargle yet, but will in a few minutes. Did take a couple of Advil half hour or so ago
Doctor :   I would not recommend you to take more than one advil at a time,
Doctor :   If he has already taken it some time back now, the pain is expected to come down in the next 15-20 minutes
User :   OK
Doctor :   Oral advil tablets will take atleast 30-45 minutes to start its actions.
Doctor :   Continue with the gargling too.
Doctor :   and plan to see a doctor for examination of the tonsils.
User :   Should we anticipate the gargle being uncomfortable to the throat if it is tonsillitis, or would it not be unusual to not have throat irritation at least initially?
Doctor :   Yes the gargling will not be comfortable
User :   Can't go to primary physician for a few days, but plan to get to a care clinic tomorrow
Doctor :   But that will improve after a day with repeated gargling.
Doctor :   That should be fine.
Doctor :   Watch out for fever.
Doctor :   If fever occurs,
User :   Probably could expect them to look at tonsils and take a swab to test?
Doctor :   Yes,
Doctor :   If fever occurs, antibiotic is essential.
User :   OK, thank you.
Doctor :   Do you have any other query?
User :   That is all I can thank of, thanks for the advice
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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