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Treatment for white spots in throat due to 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 : 2009
Answered : 681 Questions
User :   I have a question about white spots in my throat.
Doctor :   Hi
User :   Hello.
Doctor :   May I know your age and gender?
User :   17 year old male
Doctor :   Since when have you noticed this spot?
Doctor :   *Spots?
User :   well, last weekend, my throat began hurting. On Monday, when I woke up, it was painful to swallow and it lasted all day. I went to the doctor Wednesday and they did a rapid strep test and it was negative. she prescribed a z-pack anyways.
User :   By Friday, the z-pack had not been helping so she prescribed amoxicillin. It is not helping either.
Doctor :   Ok
User :   I am worried because it started with about two spots on Wednesday, and now there is a large spot towards the back of my mouth, and today, small white spots have started popping up all over the back of my mouth and it is becoming even redder.
Doctor :   Is your throat still hurting?
User :   It continues to spread closer towards the front of my mouth.
User :   Not nearly as badly as it was.
User :   it is just slightly sore now.
Doctor :   Ok
Doctor :   Are you running fever?
User :   no.
Doctor :   Do you have diabetes?
User :   no.
Doctor :   Ok
Doctor :   Do you have foul smelling mouth odour?
User :   not that I know of.
Doctor :   Ok
User :   I don't believe it is unusually odorous.
Doctor :   Have you had similar symptoms in the past?
User :   No. I have had strep before, but it never made my mouth look like this.
User :   and amoxicillin always made the symptoms subside within a few hours.;
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Based on your description of your symptoms, there are 2 probably cause
Doctor :   1. An infection that is increasing leading to abscess formations
Doctor :   2. Oral thrush
Doctor :   Since you mouth isn't hurting as bad as it was earlier and there are no foul smelling mouth odour, the later is more likely
Doctor :   * I meant, that its probably more due to oral thrush.
User :   oh, I also forgot to mention that today, my tongue has become tender and sore.
User :   I figured that might be caused by whatever is going on in my throat.
Doctor :   Oral thrush is caused by fungus, candida, probably due to your previous infection or due to the antibiotics.
Doctor :   You may need both oral and topical antifungal medications.
Doctor :   Since your symptoms are increasing, I suggest you to report back to your doctor for physical examination.
Doctor :   You may need a throat swab tests followed by the medications(antifungal).
Doctor :   Have you followed what I have suggested?
User :   Yes, I understand.
User :   Did you receive the message about my tongue being sore and tender today?
User :   Could that be caused by oral thrush?
Doctor :   Yes,
Doctor :   tongue soreness and tenderness is due to the inflammation
Doctor :   probably secondary to the infection itself.
Doctor :   Hence report back to your doctor.
Doctor :   In the mean time, you can continue with saline water mouth gargles and
Doctor :   vitamin supplements, one per day.
Doctor :   Have you followed what I have suggested?
User :   yes, I understand.
Doctor :   Do you have any other query?
User :   no, I believe that is all.
Doctor :   Thanks for consulting me. Bye for now.
Doctor :   Have a great day
User :   ok thank you. bye
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