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What Causes Constant Soreness In Throat, Burning Mouth And Neck Stiffness?

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Posted on Wed, 29 Jun 2016
Question: Hii Doctor,
What would be the reason of contineous soar throat , mouth burnings.

My neck is completely stiff and pain is at left side of nect , shoulder and pain going till arm and fingers of left hand.
Tingling of hand and shoulder and back.

Feeling always something lump in the throat. Dont know the reason of all such disconforts and physical issues.

Please suggest and insight with your expert advice.

Regards
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Visit a doctor and get investigated soon

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
You may be having tonsils enlarged or an abscess collection if you have a swelling in oral cavity with neck spasm.
You need to get examined by a neurologist or ENT specialist and get imaging of spine preferably Mri.
Treatment depends upon diagnosis and can be decided by treating doctor.
Consult a doctor as soon as possible.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Neeraj Kumar (2 hours later)
Dear i have brief history of tests as below
After 34 days of possible encounter
Hiv1-2 Elisa - Neg
Hep B and C - neg
Herp simplex virus 1-2 - neg
TMT , KFT , LFT - Normal
ECG - Normal

67 days
Ent doc checked throat with tube from nose and didnt find any abnormality.

After 87 days
Hiv1-2 Elisa - Neg
Hep B and C - Neg
VDRL- neg
Hiv 1 PCR RNA. <72

After 110 days
C-Protein - Normal
Vitamin D - 19
Vitamin B12- 330
Tsh -5.5
Esr -Normal
Rethemic arthiristis - Normal
CBC - normal
Uric acid - 420

After 150 days
Full Gluscose BC - normal
Glucose - 105
Cbc - normal
Vitamin D - 26
uric acid - 470

After 180 days

Hiv1-2 elisa - neg
Uric acid -7.9
Discussed with multiple ENT doctors in last 6 months but they are not getting problem in throat.

Internal medicine doctors suggesting no problem at all.

Inspite of so many test results below problem are persisting
- burining mouth and throat
- pain in left hand , shoulder , arm and neck.
- tremors in body parts

Now all these symptoms are suggsted as part of ARS on many sites. But if all my test are negative then why so much discomfort at all.

No fever from
Last 8 months, encounter was on sept last year which was lots of oral and protected intercourse.
Please suggest what to do next to settle down all such things.

According to doctors incubation period is 3 months but why some doctors are suggesting 1 year as well.
M feeling very sad and disappointed and concerned for my family furure and feeling lost if i am good or still in dark situvation.

Regards
doctor
Answered by Dr. Neeraj Kumar (6 hours later)
Brief Answer:
Get evaluated by a neurologist and undergo a cervical MRI

Detailed Answer:
Hello XXXX,
In case all your blood tests and ENT examination are normal, possibility of cervical radiculopathy to be evaluated.
Get examined by a neurologist and go for MRI cervical spine to detect any spinal lesion.
Possibility OF HIV is unlikely if tests are repeatedly negative even after 3 months.
Hope you recover soon.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Neeraj Kumar (11 hours later)
Hi Doctor,

I had my MRI test done two days back and i am expecting my results today.

I have examined by many internal medicine doctors and according to them 6 month elisa are conclusive.
They are suggesting to take psycological treatment. But my below 2 symptoms are so much persistent from last 4-5 months

Burning And Sour throat
Yellow color of tonge ( with no coating)

I am living in hell due to these problem and no way to understand if results are negative , why such issues?
Can i am still under risk of getting some XXXXXXX later in my life. What do to next to close this chapter with full assaurence and no additional fears.
Pls suggest
doctor
Answered by Dr. Neeraj Kumar (11 hours later)
Brief Answer:
Upload tongue image and MRI

Detailed Answer:
Hello XXXXXXX
Upload MRI and images of your tongue.
If testing is normal, then nothing to fear about.
Sore throat requires antibiotics and gargles.
Regards
DR N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Neeraj Kumar (14 hours later)
Hi Doctor ,
Please refer MRI , Xrayand Tongue pictures.
What i understand Yellow tongue is associated with hiv positive patients after long progression of disease.Not on early stage.
On top of it my hiv elisa test are negative at 5 weeks , 13 weeks and 26 weeks along with PCR RNA test negative at 13 week.

So please check image if this is color of yellow tongue or just my idioitc imagination.

Secondly for neck , back , shoulder and hand pain what would be the next step after MRI and Xray results.

Regards

XXXX
doctor
Answered by Dr. Neeraj Kumar (7 hours later)
Brief Answer:
Get treatment as advised and physiotherapy

Detailed Answer:
Hello XXXXXXX
I have gone through your tongue pictures MRI report.
There is nothing wrong with the tongue. Oral hygiene is poor and requires a dentist visit.
MRI report is suggesting mild compression of nerve root leading to radiating pain in the upper limb.
Physiotherapy comprising neck isometric exercises need to be done regularly.
A short course of pain killer and muscle relaxant like zerodol MR, zerodol TH, ezaact MR can be used for muscle spasm.
Hope you found the answer helpful.
Wishing you good health and early recovery.
Regards
Dr N Kumar
neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neeraj Kumar (27 hours later)
Hello Doctor,

One last question, i have planned my physiotherapy sessions and completed 2 in last two days.
My neck movment of one side is completely jammed and pain is persistant in left arm.

Now mild pain is also i am experiencing on right shoulder.

Secondly getting some mark on head pls refer the enclosed picture . Is it any rash or all normal

Feeling locking of muscle while moving neck from north to south or east to west direction.

Could you please let me know if anything i can do to settle this immence pain apart from therapy.

Should i competely forgot my fears of hiv after 6 month negative test and do not pay much attention on such marks and other symptoms.

Regards
doctor
Answered by Dr. Neeraj Kumar (19 hours later)
Brief Answer:
Continue medication as advised

Detailed Answer:
Hello,
The rash over face is not related to neck pain.
If such lesions are not present elsewhere then nothing to worry.
Hiv issue should be clear as negative test at 6 months clarifies the situation.
Neck pain and restriction may be related to nerve compression and associated muscle spasm.
Pain killers and muscle relaxant will have to be continued. Avoid to much neck exercises during pain. Local ointment or spray can be used.
In case problem persists or increases, visit a neurologist for detailed examination again.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neeraj Kumar (2 days later)
Dear Doctor XXXXXXX

The rash was appered only at head and now disapperead.
But from yesterday onwards i am getting below problems

Fever 38.5-39
Strep throat with yellow pus type substance at the back of throat and tonsilus.( cant even sollow water)
Apathus ulcers 2-3 inside right side of uppar lips.
Numbness and diffrent touch sensation on left hand Thumb.

These all are sign of ARS , why even after 9 months of protected entercourse and 6 month negative elisa . Such symptoms are keep on coming.
Do i need to retest for hiv or other STD's.?
I hope Elisa are the best screening test when we talk about hiv screening in XXXXXXX , when done by best hospital ( XXXXXXX hospital).

Pls clear my doubts , do i need to scare more or it should be due to diffrent reason.
Regard

s
doctor
Answered by Dr. Neeraj Kumar (15 hours later)
Brief Answer:
Get examined by an ENT specialist for tonsillitis

Detailed Answer:
Hello XXXXXXX
This time it can be tonsillitis caused by infection which can occur in any person.
Forget about Hiv.
Visit and consult an ENT specialist for examination and antibiotics.
Ulcers can occur due to vitamin deficiency too.
No need to repeat elisa test for hiv.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Constant Soreness In Throat, Burning Mouth And Neck Stiffness?

Brief Answer: Visit a doctor and get investigated soon Detailed Answer: Hello, I have gone through your question and understand your concerns. You may be having tonsils enlarged or an abscess collection if you have a swelling in oral cavity with neck spasm. You need to get examined by a neurologist or ENT specialist and get imaging of spine preferably Mri. Treatment depends upon diagnosis and can be decided by treating doctor. Consult a doctor as soon as possible. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist