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Treatment for nasal congestion and sore throat - 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 : 2584 Questions
Doctor :   Hi
Doctor :   How can I help you?
Doctor :   Are you there?
Doctor :   Are you there?
User :   Hi Sir,
User :   I have been suffering from sore throat since last sunday (16th Jan)
Doctor :   Ok
User :   I logged in here on monday and a doctor told me to gargle with dispirin and i will be ok in 48 hrs.
Doctor :   Ok
User :   there was absolutely no improvement and I logged in again last friday. and a doc told me to gargle Chlorhexidine
User :   even this isn't working. I am still having extreme pain and inflammation in throat, (from tonsils to lower end of throat) whenever I cough. this becomes even worse in evening and night.
Doctor :   Ok
User :   even if i gulp air, i feel extreme pain in the troat.
Doctor :   Do you have difficulty while swallowing food?
Doctor :   Are you running fever?
Doctor :   Do you have bad mouth odour?
User :   yes... even last night, i was awake all night coughing.
User :   No, I dont have fever till now, nor any bad mouth odour
Doctor :   Ok
Doctor :   Do you have nasal congestion, headache, bodyaches, generalised body weakness?
User :   except for a bit of nasal congestion (which I have almost all thru the year) I have nothing else.
Doctor :   Ok
Doctor :   Can you confirm your age?
Doctor :   Do you have history of diabetes, recurrent throat infections?
User :   i am 37 and do not have any history of diabetes. throat infections & sore throat (like the current one) occur almost once or twice every year (usually with weather change)
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Sorethroat and difficulty in swallowing is a feature of upper respiratory tract inflammation - either pharyngitis or tonsillitis.
Doctor :   The most common cause is a viral or a bacterial infections.
Doctor :   Your symptoms are suggestive of a viral one.
User :   BTW, I guess I haven't told that my cough is dry one (non mucus producing) and this is what I commonly catch every year
Doctor :   Allergic inflammation is probably the other cause.
Doctor :   Now since your symptoms have been recurrent and has been there for more than a week, there are possible chances that you may need surgical correction - tonsil removal.
Doctor :   This can be confirmed only be a physical examination alone.
Doctor :   Hence my suggestion to you would be to continue gargling - chlorhexidine gargles.
Doctor :   2. Use soft diet containing less spice
Doctor :   3. Consult an ENT surgeon who can physically examine you
Doctor :   He will be the best person to predict if surgical treatment is necessary,
User :   one QQ. if tonsils are removed, I can get rid of both pharygitis and tonsilitis?
Doctor :   or an if alternative prescription medication can be used for the treatment of your current problem.
Doctor :   An upper respiratory tract inflammation involves both the structure.
Doctor :   Most often both pharyngitis and tonsilitis co exist together.
Doctor :   Tonsilitis cause more pain and difficulty in swallowing than pharyngitis.
Doctor :   Hence most doctors suggest removal of tonsils if symptoms are very recurrent, and if the symptoms are not controlled with medical drugs.
Doctor :   Pharyngitis usually involves a medical treatment, unless infection is severe and there are pus collections.
Doctor :   Your symptoms are not suggestive of pus collections in the pharynx,
Doctor :   however severe tonsiliar inflammation needs to be ruled out,
Doctor :   in which case the treatment can be surgical.
Doctor :   Hence I suggest you not to wait for more.
Doctor :   A physical consultation will provide better information if you need the surgical correction or
Doctor :   if the conservative treatment approach can be extended.
Doctor :   Have you followed what I have suggested?
User :   yes sir.
User :   that was very clear
Doctor :   You will need to consult an ENT surgeon who will be the best person to decide the line of treatment.
Doctor :   Do you have any other query?
User :   For now, do you suggest any antibiotic or quick relief?
User :   that is 'for quick relief'
Doctor :   You can try dispirin warm water gargles along with oral painkillers such as Ibuprofen 400mg for pain relief.
Doctor :   Since antibiotics are prescription medication and should be used cautiously, I cannot suggest them online.
Doctor :   Antibiotics are for bacterial infection control.
User :   hmm... got it.
Doctor :   The need for antibiotics and the other conservative line of management is decided after a physical consult.
Doctor :   You can avail them(if necessary) after consultation with the ENT surgeon.
Doctor :   Do you have any other query?
User :   Ibuprofen shall be used on SOS basis, I guess?
Doctor :   Yes,
Doctor :   Do not use them for more than twice a day.
User :   sure sir.
Doctor :   Alternatively, you can use them twice a day
Doctor :   after your meal for the next 2-3 days,
Doctor :   while you look for the ENT surgeon.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes sir. I understood.
User :   do you suggest any ENT specialist in Hyderabad?
Doctor :   Since you are our reputed corporate customer,
Doctor :   I suggest you to opt for fix an appointment with the ENT surgeon, which is also included free along with this package to you.
Doctor :   Our customer support team will get back to you and suggest you few of well known ENT surgeon's practising in Hyderabad.
Doctor :   You may consult one of them.
Doctor :   If you are interested in it, I shall forward your details to the customer support team.
Doctor :   If you are interested, can you confirm your phone number too?
Doctor :   *Customer support team will get back shortly after this chat, if you want it.
Doctor :   Ok
Doctor :   I shall forward your request to the customer care.
Doctor :   Do you have any other query that you want to discuss with?
User :   No.. thank you sir.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Wish you good health and speedy recovery.
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