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What causes sore throat in a chain smoker?

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Posted on Fri, 29 Jul 2016
Question: Hi, I am 23 years old smoked for about 3-4 years have soar throath for about 3-4 weeks worried about throat cancer
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Answered by Dr. Panagiotis Zografakis (23 minutes later)
Brief Answer:
mononucleosis?

Detailed Answer:
Hello,

mononucleosis sounds like a much more likely cause of persistent sore throat than cancer, particularly at your age. have you done any tests?

Please also describe your symptoms in more detail. The following questions will help you to include important information:
- do you have fever?
- do you have enlarged lymph nodes? Are they tender?
- skin lesions?
- symptoms besides sore throat?


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Panagiotis Zografakis (11 minutes later)
Fever no, I have like an air bubble below my jaw that seems to be apearing or disapearing ,becouse sometimes I cant even find it , not sure if its enlarged lymph nodes.Isnt mononucleosis treated with antibiotics ? becouse I mantioned i have almost complite cicle of amoxicillin 2 more days to go.
doctor
Answered by Dr. Panagiotis Zografakis (2 hours later)
Brief Answer:
can't be treated...

Detailed Answer:
Mononucleosis can't be treated with antibiotics. Mononucleosis syndromes have various causes. The most common one (particularly for a young individual) is by far the Epstein-Barr virus (EBV). There are certain tests (EBV antibodies) that can be used to diagnose it. Other potential causes include the HIV, CMV and hepatitis viruses. I can't comment on this "bubble". It requires clinical examination to tell what might be causing it.

I suggest doing the following tests:

- complete blood count
- EBV antibodies (IgG, IgM)
- HIV testing
- CMV antibodies (IgG, IgM)
- HBsAg, AntiHBs, AntiHBc IgG/IgM (hepatitis B virus tests)

If you haven't visited your doctor yet, then it's time to do it now.

If the aforementioned tests are negative, then an ENT specialist should check your throat.

So in conclusion, my opinion is that the best plan for your case is to do some blood tests for common (or less common) viruses and clinical examination by your primary care physician (first) and an ENT specialist (later, if required).

I hope it helps!
Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3801 Questions

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What causes sore throat in a chain smoker?

Brief Answer: mononucleosis? Detailed Answer: Hello, mononucleosis sounds like a much more likely cause of persistent sore throat than cancer, particularly at your age. have you done any tests? Please also describe your symptoms in more detail. The following questions will help you to include important information: - do you have fever? - do you have enlarged lymph nodes? Are they tender? - skin lesions? - symptoms besides sore throat?