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Tightness of the throat muscles due to fungal infection - 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 : 2005
Answered : 2570 Questions
User :   I have, within the last 5-8 days, started to notice my throat muscles were getting very tight and my throat was getting sore and hurting more when I talked. I have been taking Prevacid for my GERD and Advair 250/50 over the last 2 yeasr off and on. I talked with a doctor today and asked me if I washed my mouth after taking advair. I told him I didnt know I had to (was never told to or not). He gave me an anti-fungal for thrush. My tongue has been hairy/furry and I have had cotton mouth, but can your throat get sore and tight with thrush? I am concerned that the Advair might have done some damage?
Doctor :   Hi
Doctor :   Dr here
Doctor :   PLz give me moment let me read your query
User :   Hey Doctor! Thanks for taking my chat
Doctor :   Ok
User :   Can thrush cause my throat to hurt? the more I talk, the more my muscles get tight
Doctor :   Your condition more resembles to oral candiaidsis
User :   I stopped taking my advair 3 days ago
Doctor :   Any infection in throat will cause inflamtion which results in soreness
User :   and started an anti-fungal today which I will take for 2 weeks
User :   will that also affect the throat muscles as well?
Doctor :   No that will releive the symptoms
Doctor :   And you can also do hot water ( luke warm) gargle with pinch of salt in it#
User :   I have TMJ so I though they were related...but the muscles around my throat have been so tight
User :   I am concerned that if there are lesions with my GERD that it could get worse or even develop a polyp, but I always think the worst...
User :   I take Prevacid every day and it does a great jpob
Doctor :   Yes it will cause tightness in movenments rather cause soreness
Doctor :   Do you consume alcohol? smoke
User :   not at all!
User :   I do drink diet drinks
User :   I am amazed that thrush could cause my throat muscles to get tight and sore???
User :   it can really do that?
Doctor :   Yes when infection spreads will do so
User :   maybe that's my body's way of reacting to the advair (which contains a steroid)?
Doctor :   Steroid will ways produce a feeling of wel being
User :   do I have any cause for concern or do you believe that this anti-fungal will clear this up?
Doctor :   It will never cause untoward symptoms
Doctor :   Yes
User :   it's like my entire throat has reacted
User :   and my tongue feels frothy and hairy, cotton mouth and dry
User :   but I dont see any blisters really
Doctor :   Be carefull when you stop advair see to that you have no attcks'
User :   in my throat, I just feel irritation
Doctor :   Fungal infections dont cause blisters
User :   no asthma attacks?
User :   so how does the fungus cause the soreness doctor? (thank you by the way!)
Doctor :   Rather produce whitish scabs, silky apperance
Doctor :   The infection triggers a inflamtory response leading to soreness
User :   ahhhhhhhh
User :   makes sense
User :   so why does talking exacerbate the pain??
User :   I am a pastor :)
User :   i gotta preach! :)
Doctor :   When the throat muscles are involved they do pain
User :   I wanna make sure my larynx is ok and that my voice box is ok
Doctor :   Plz do decrease you activity for a while and use louder mics and reduce your vocal strain
Doctor :   Try hot water gargle with oinch of salt
Doctor :   You can also try Betahexidine moputh gargle thrice daily
Doctor :   *mouth
User :   can I get that over the counter?
Doctor :   Hope things resolve within a week
Doctor :   Yes
User :   any brand name for that?
Doctor :   Its an OTC drug
Doctor :   Betahexidine will do
User :   and it's ok to do 3 times a day along with the anti-fungal pill I am taking?
Doctor :   Yes
User :   is it a bit more effective than gargling with salt water?
Doctor :   Yes
User :   I have an inhaler, so I am not worried about my advair
User :   I can use that instead
Doctor :   Ok then no issues but dont discontinue for long
User :   this throat pain is rough...I can still swallow but sometimes it feels like it's a bit difficult because of the pain
User :   why not discontinue for long?
Doctor :   Yes it always the issue with throat infection
User :   my breathing test at the docs was very tood
Doctor :   Ok
User :   so you feel that this is not serious
User :   I have a gastroenterologist
Doctor :   Pardon
User :   I just wanted to make sure that this is not a Barret's esophagus or anything
User :   but the thrush probably explains tihs
Doctor :   No its not
User :   you have been so thorough
User :   where did you study doctor work?
User :   and what is your area of expertise?
Doctor :   General medicine
User :   ok I will check the gargling out
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Doctor :   Wishing you speedy recovery
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