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I Need An ENT. My Son Is 21 Yo And

Posted on Sat, 16 Mar 2019

Question: I need an ENT. My son is 21 yo and his tonsils got very swollen 2 weeks ago. The had some pustules. His rapid strep was negative but they gave him antibiotics. When the culture came back negative, they told him to stop the antibiotics, which he did. His tonsils got larger and more painful. His left neck got swollen. He went back to the doctor and they gave him antibiotics. (Amox-clav 875 mg BID for 12 days. He has been taking for 2.5 days.). He went to the ER yesterday and they thought he may have an abscess on the left. They tried aspirating it 10 times and couldn’t get anything out. He is still no better today. He can’t get in to see an ENT and he can’t miss any college or he has to retake the entire semester. He can only swallow if he takes the pain medicine they gave him at the emergency room. Do you think this will continue to get better on these antibiotics? Thank you!

Follow up: Dr. Dr. Rohit S Menon (28 minutes later)

I just uploaded pics of his tonsils. The red marks are from them trying to aspirate. I also uploaded a pic of his neck swelling. Lastly, I forgot to mention he is having GERD with this. He has never had GERD before. Thanks.

Answered by Dr. Dr. Rohit S Menon (33 minutes later)

Brief Answer:
Continue antibiotics

Detailed Answer:
Hi,
First of all, thank you for approaching us for your query.
I read through your query and saw the pics you uploaded.

I'd suggest you continue with the antibiotics for 12 days.
Within 2.5 days it won't have reached the effective tissue level concentration of dosage.
Please do continue medication of course of dosage.

I'd also suggest doing hot salt water gargle.
If aspirate is not coming you can wait for few days as it can be inflamed tonsils only.

Do tell him to do salt water gargle 3 times daily. Try to avoid cold foods (ice creams, cold water etc) and do take more hot food. Also, it'll be better to do betadine gargle once at night. Do take lots of fruits.

Let him do tongue scraping mildly. More over drink lots of hot water coffee etc. Continue medication for 12 days. It would get reduced.

Feel free to ask further.

Take care
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Rohit S Menon (8 hours later)

Thank you! Can you tell me if there is a connection between the GERD and tonsil problem? He has never had acid problems and this started before he started medications but after the tonsils started hurting.

Also what strength betadine should he use for gargling? I have some topical betadine.

Thanks again!

Answered by Dr. Dr. Rohit S Menon (5 hours later)

Brief Answer:
2% betadine gargle not topical betadine

Detailed Answer:
Hi thank you for your query. I read through your query and I must say that GERD is not related to tonsils infection. It can start with use of antibiotics but as you said it started before medication it cannot be because of medicines.Another chance can be due to tonsil problem he might have reduced eating food which can cause acidic problem and in turn cause GERD. I suggest him to take antacid with these antibiotics and have lots of water.If in case it is mild GERD caused due to above mentioned cause it will be reduced. Have lots of water. And regarding betadine gargle use diluted 2% betadine gargle(mouthwash) not topical betadine.Dont worry it will get reduced.Again I am stressing no cold food till it get reduced. And have more of hot food and lots of water. Do salt water gargle also.Hope you have understood what I meant.Have a healthy day.Thank you

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Above answer was peer-reviewed by : Dr. Kampana