Brief Answer:
Descriptive
Detailed Answer:
Dear,
There antibiotic I advised is to prevent any superadded infection while you are taking steroids. Otherwise also the inflamed mucosal lining of the larynx is usually a
laryngitis like condition which I am not suspecting. I meant
perichondritis and there is no question of the laryngeal lining being hyperemic in perichondritis.
Laryngoscopy in any case will be normal in this. But again to mention, I am suspecting perichondritis just on history and there is no other evidence.
Point 3 in your query can not be explained by
tendinitis of laryngeal muscles. Sternocleidomastoid is not a laryngeal muscle and is not attached to the larynx. Spasm of the neck muscles does not cause such
severe pain as you are describing.
I can try explaining pain on food swallowing by saying that food bolus will pass through the cricopharynx and larynx moves upwards during swallowing and can lead to pain. But a caveat is that during fluid intake also the larynx moves upwards. Difference can be that bolus will put more pressure on the larynx.
There no muscles of larynx which can become tense as the intrinsic muscles spasm produces different symptoms and extrinsic muscle spasm is not a known entity. Sternocleidomastoid spasm produces pain on neck movements but can produce some pain on swallowing but character of that pain is not that severe.
Steroid regimen I would suggest: Tablet
Prednisolone 30mg or equivalent for three days, then 20mg for three days and then 10mg for three days. Antibiotic like
Amoxycillin plus clavulinic acid for the entire period along with analgesics.
Still I am suggesting entirely on empirical basis and a trial of this treatment will give a clearer picture.
Feel free to ask another query.
Regards
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