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Suffering from Chronic Pharyngitis - 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 : 2004
Answered : 40 Questions
User :   Hi
Doctor :   How can i help you ?
User :   Hello I am a 21 year old female
Doctor :   Ok.
User :   and two weeks ago i felt this pain in the right side of my throat
User :   it cause mucus to come up
User :   and after that my throat became soar
User :   i never had any cough
User :   i took medicine and itd alleviate it
Doctor :   Ok.
User :   i also had a little bit of discomfort in my ears
User :   and i took ear drops and it made my throat better as well
User :   however
User :   a few days later my throat felt tight
User :   and something felt swollen
Doctor :   ok
User :   to the point where i couldnt talk
User :   it went away minutes later
User :   a lot of mucus came up at that point
User :   ive been taking robitussin
Doctor :   Ok.
User :   there is no cough
User :   now my neck feels sore
User :   and today i felt very congested
User :   i had a bit of a fever but it went away
Doctor :   Ok.
User :   ears still feel somewhat plugged
User :   i have discomfort under my jaw
User :   it feels sore
User :   im worried its something serious
Doctor :   please do not worry.
User :   what can it be
User :   i looked up my symptoms and it says things like throat cancer and oral cancer
Doctor :   may i ask you a few more questions pertaining to your problem ?
User :   yes
Doctor :   May i know if you have rhinitis
Doctor :   or sinusitis in the past ?
Doctor :   or present ?
User :   i have a stuffy nose
User :   yes
Doctor :   Ok.
Doctor :   Do you have any nasal polyps ?
User :   can you explain what that is?
Doctor :   any protrusion on your nasal septum ?
User :   no
Doctor :   that can be seen only by a ent specilaist
Doctor :   have you viistedan ent for your problem.
User :   no, usually if i get sick itll just be a cough
User :   and itll go away
Doctor :   Ok.
User :   im concerned that this has no cough
Doctor :   How are your eosinophil counts ?
User :   but my throat will be sore
Doctor :   How are your eosinophil counts ?
User :   i haven't had them checked
Doctor :   Do you have regular brekfast ?
User :   with a blood test
User :   most of the time i will
Doctor :   do you have sorness in your neck if you dont have breakfast ?
User :   no
Doctor :   do you have any small glands which are palpable in neck?
Doctor :   or under the jaw ?
Doctor :   or in the axilla ?
User :   under the jaw
Doctor :   Can you feel small glands ?
User :   small ones yes
Doctor :   small nodule like things ?
User :   my lymph nodes?
Doctor :   yes .
User :   yes but theyre small
Doctor :   Ok.
User :   theres soreness under my jaw line
User :   especially on the right side
User :   and under my right ear
Doctor :   I would say the following things to be done or investigated upon : Doctor :   I would rule out any malignancy or cancer in your case , but will not take a chance.
Doctor :   i would advise you the following steps for a week time and if not, a FNAC for your lymph glands.
Doctor :   the robitussin is just a cough supressant, you might need a courese of antibiotic for one week.
Doctor :   1. Chronic pharyngitis.
User :   what is a FNAC?
Doctor :   I might require more time to help you.
Doctor :   Fine Needle Aspiration Cytology.
Doctor :   2. Laryngitis, where glands are enlarged.
Doctor :   Do you have nay allergic rhinitis ?
Doctor :   3. If it is chronic, it can be one cause.
Doctor :   4. Any sinusitis
Doctor :   for which an x-ray paranasal sinusues
Doctor :   has to be done.
User :   i dont think so
User :   FNAC
User :   is that for cancer?
Doctor :   yes, But that is the final step to be done after we rule out everything else.
Doctor :   Let me tell you the steps that we follow in your scenario : Doctor :   1. An antibiotic treatment for 5 days for any possible infection after a throat swab culture an sensitivity.
Doctor :   2. An x-ray for paranasal sinuses
Doctor :   3. A blood eosinophil test
Doctor :   4. And a CBC
Doctor :   I feel you might be having a chronic pharyngitis
Doctor :   and the infection spreading to your ears causing stuffiness.
Doctor :   Do not worry about anything big.
User :   my tongue also started hurting
User :   just the right side
Doctor :   i feel these might be the differential diagnosis.
Doctor :   Ok.
User :   it feels sore below my right side of my tongue
Doctor :   Have you visited an ENT till now ?
Doctor :   for your problems .
User :   no
User :   these problems just occurred two weeks ago
Doctor :   Ok.
User :   never had them before
Doctor :   with warm water.
Doctor :   very helpful.
Doctor :   also do salt water gargling
Doctor :   at least 5 times a day
Doctor :   pls. do maintain good oral hygeine, use listerine mouth wash.
Doctor :   and take tab. advil 500mg. thrice daily.
Doctor :   Do you also practise pranayama ?
Doctor :   or breathing exercises ?
User :   at times yes
User :   should i keep using the ear drops?
Doctor :   what are the drops that you ar eusing ?
User :   Similasan
Doctor :   Please continue the Pranayama , it will help you heel betetr.
Doctor :   this is an alternative medicine ear drops, i dont know its efficacy.
Doctor :   You must start upon an antibiotic ear drop.
Doctor :   But would advise you to start after the ENT Visit.
Doctor :   Hope you have followed the steps that I have suggested .
User :   thank you
Doctor :   How are your hormonal levels of thyroid ?
User :   good
User :   checked three weeks ago
Doctor :   Ok, that is encouraging.
Doctor :   Please let me know the result of the tests by dropping a mail
Doctor :   I will be a lot happier if it comes out positive for some infection.
Doctor :   in the throat or pharnyx.
Doctor :   Thank you for consulting me,
User :   is it ok if i continue taking robitussin cold and cough, it makes it feel better
Doctor :   Yes, you can continue that, but would say that only robitussin is not suffice and may require some antibiotic to help it out.
Doctor :   you can no doubt continue it.
User :   thank you i made an appoint with a doctor on campus
User :   thanks you
Doctor :   Thank you for consulting me
Doctor :   take care, bye for now.
Doctor :   all the best.
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