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1. If she is getting recurrent attacks, thus in best interest it is wise to see an
ENT specialist who will inspect the throat for a hidden septic focus with a good torch and
tongue depressor to exclude pharyngitis/ chronic
granular pharyngitis apart from tonsillitis
2. because she already had
fever, and now has
sore throat, check with Medicine specialist to rule out R.H.D. [rheumatic heart disease], who might give Penicillin cover [as prophylaxis]
3. check /ask for:
hemoglobin, WBC, ESR, ASLO titre, C- reactive protein, X-ray chest, EKG [as routine]
4. If symptoms comes out to be mainly concerned with throat region only:
. rest at home with voice rest.
. hot drinks to sip
. steam inhalations 3-4 times a day
. warm salt water gargles.
. avoidance of allergen
PS. If no response to antibiotics [as suggested in history] it could be allergic
5. till acute stage is there
. Avoid: Heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping,
smoking, Potato, green leafy vegetables. Cold water/food
. Take: Old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey, mulethi.
6. calamansi juice from calamondin has its advantages and disadvantages:
. If there is presence of cough in your daughter, it can be given along with pepper or mixed with green tea to expel the phlegm, BUT because it is a citrus fruit and sour fruits are avoided in cough problems.
. being an natural anti inflammatory, it will help in alleviation of pain but being sour in nature it may irritate the throat.