Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

167 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Smoker. Suffering from sore throat and lack of sleep. What treatment should be done?

Answered by
Dr.
Dr. Naveen Kumar

ENT Specialist

Practicing since :2001

Answered : 2395 Questions

default
Posted on Thu, 13 Dec 2012 in Ear, Nose and Throat Problems
Question: Hi there,

I am a 36 year old female, suffer from lack of sleep (I'm a mother!) but in general good health otherwise. Don't drink much alcohol or coffee, but I do smoke approx 10 cigs a day.

I had strep throat back in early September, treated with 7-day course of Amoxicillin. It came back a week later and was put on another 7-day course of the same. Over the period of the next 6 weeks, I had 3 sore throats with painful swollen glands. On Sunday last week I woke up with the same swollen glands, a hard, sore pea-type lump right by my jaw bone, sore throat and general malaise. Saw my doctor who said I had 'some sort of virus' and sent me away. He did a swab and still no results. No treatment.

By Wednesday the pain and sore throat was significantly worse had a constant fever of around 101, no appetite whatsoever, complete lethargy, earache and pain spreading to the other side, plus I had missed 2 days of work already. When the doctor looked he said he saw no pus. My tonsils are significantly swollen, but if I 'close my throat', I can clearly see a large area (approx. 2cm x1.5cm) of white pus in behind the left tonsil, slightly smaller on the right side. I am treating the symptoms, but after 5, nearly 6 days, it's not getting any better. My husband tells I sound like I'm talking with a golf ball in my mouth (sure he'd love that)!

In the last day I have also developed a sore inflammation in my gum - I'm not sure if this is related to my general infection or if it would be resolved by treating the throat issue. I am concerned that I am getting this issue repeatedly and it's getting worse, and am also worried about passing this on to my 18 month old child. Please let me know what you think this is, and if I should insist on another course of treatment because I feel like my doctor is 'flogging a dead horse', so to speak. Thanks for your help!
doctor
Answered by Dr. Naveen Kumar 52 minutes later
Hi

Thanks for the query and a detailed history.

I feel the root cause of all your problems is smoking. Smoking causes damage to mucosa of the throat making it susceptible for infections. Also, constant damage to the mucosa of the throat causes enlargement of the lymphoid follicles in the throat and neck causing difficulty while swallowing and turning the neck.

The whitish pus like thing you have noticed is the coating over the tonsil following infection and dehydration. It is accumulation of the dead cell debris and the food material in the crypts of the tonsils.

Secondly, any acid reflux from the stomach into the esophagus and throat can present with similar complaints which will not respond with antibiotics. Acid when it regurgitates from the stomach into the throat, causes burning of the mucosa of the throat leading to inflammation of the throat. Inflammation of the mucosa in turn induces swelling in the mucosa of the throat giving rise to foreign body sensation.

The causes of reflux of acid are many, medicines, obesity, stress, food habits, smoking, alcohol, etc. Identifying the causative factors and avoiding them can give you relief from this problem.

My advice to you is:
1. Reduce or better to abstain from smoking.
2. Drink plenty of warm water, this keeps the mucosa hydrated as well as improves the blood circulation in the throat thus reducing the discomfort and the chances of infection.
3. Avoid chilled food/beverages, coffee and alcohol.
4. Use povidone iodine throat spray 3-4 times a day after food.
5. Suitable antibiotic such as a combination of amoxycillin and clavulanic acid or cefuroxime for 10-12 days.
6. A proton pump inhibitor such as omeprazole or pantoperazole for controlling silent acid reflux.

With all of the above measures you will definitely be alright. Meanwhile, get a complete blood examination done to rule out other causes such as infectious mononucleosis, lymphomas, etc.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Naveen Kumar 43 minutes later
Thanks for your response, but I do not currently (nor have previously) suffer from acid reflux, so I don't think this is an issue.

I will try to quit smoking and follow the other advice you provided.

In the meantime, should I be worried about passing this on to my young child or the rest of the family?

doctor
Answered by Dr. Naveen Kumar 50 minutes later
Hi

Thanks for writing back

There are possibilities that the present situation could be infective, hence maintain complete hygienic conditions. Rest, follow as per my advice, you will definitely recover soon.

Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,  
Medical Topics

Recent questions on  Cefuroxime

doctor1 MD

My father is a cardiac, pressure and diabetic patient. He has undergone by pass surgery last year. Presently on checking through blood samples CRP was 60. Pulse was appr. 120-125. Thereafter on administering Cefuroxime 250 three times a day we again went for a check up after four days. Result shows that CRP had gone down to 14. Pressure on taking medicines was under control. But Pulse rate was stiil fluctuating. Sometimes 85--90--105--110. What medicines to take to bring down the pulse rate.....is Amiodorone the answer.....please help...

doctor1 MD

thanks
i did a urine culture with the following results: epithelia cells +/HPF AND PUS CELLS 1-2/HPF, CASTS ++, CRYSTALS +++, YEAST nIL, CULTURE ISOLATE Heavy staphylococcus aureus. sentive to clindamycin +++ and cefuroxime ++ all other antibiotics R resistance. pls adivise on my kidney effect

doctor1 MD

Hi .good day! I just want to get a second opinion, I've had been diagnosed w UTI a month ago Pus cells 20-25; bacteria: few; I'm on the family way for almost 3 mos now, I've taken Cefuroxime for a week, had my urine tested again and pus cells became 15-20 though the bacteria count became moderate from few, my OB Gyne had my urine cultured and gave me Amoxicillin for 10 days, after that pus cells still 15-20 and bacteria moderate, then she gav me Cefixime for another week, I just had mu urine tested today Pus Cells increased to 20-25 again but the bacteria are gone. She haven't prescribed another medicine since I don't feel any burning sensation anymore when I pee though at times it is a bit itchy but after rinsing, itching will be gone, she explained tath it might be the way I am catching the urine or the flask itself where the urine is collected might be contaminated since I am doing this in just one laboratory outside the hospital since it's cheaper and what I've noticed is that within 20-25 minutes they already have the results. She advised me to have my urine tested in another lab testing center and drink plenty of water, she also mentioned that my urethra might be not sterile. I need an advice please help me I don't want my baby to suffer because of this. Thanks a lot in advance.

doctor1 MD

Can I use clarithromycin for a uti

doctor1 MD

I am 75 yrs old and have had bypass surgery and 1 stent put in .I had my bypass surgery at 49 yrs old and my stents at 59 yrs old. I still work 1 day a week and very active. I take the following medications: Pravastatin40 mg, AmLoDIpine Besylate...

doctor1 MD

We have examined my 4 month old baby stool, she is passing frequently in form of liquid, and in report found pus cells 10-12 and red blood cells 1-2 , so please tell us what to do, we are worried

doctor1 MD

Hi..I got a problem with my penis area...at times I feel pain on my penis head or nearby area, when i pee, I do feel some pain and burning feeling, sometime discomfort pain on the groin area well..this problem has been bother me for a year plus.. i went to see couple of doctors for the checkup on sexual disease( tested negative) Finally I decided to visit a urologist for check up..according to the doctor, i might have some infection on nerve or others tissue...they gave me 6 weeks of antibiotic (cefuroxime axtetil) & serratiopeptidase..with 2weeks alternate consume and rest...but its seems don't work on it..on the second visit, the doctor

suggest to me to consider for some "burning treatment" on my penis urinary skin tissue area.. it might cure me but not 100%, as others who has gone through it has the problem arise again after some period of time... can anyone advise me on my problem??will wearing tight underwear is the root cause at the start?? I tried wearing bigger size but don't solve the pain issue at all...helpless....