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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Smoking Marijuana Soon After Throat Infection Cause It To Reappear?

Hello, my name is Jeff. I am a very healthy guy, very rarely even get a cold, but 2 weeks ago I started to get a sore throat. it was only on the right side of my throat, and within two days the lymph nodes under my chin on the right side of my neck were sore and slightly swollen. On the third day when I returned home from work I had a low grade fever, and went to bed immediately. I felt better the next day, had no fever after that, and within 7 days my sore throat and swollen glands got better. Being a light marijuana smoker, and an occaisional cigarette smoker, I smoked marijuana after my sore throat had almost gone away almost completely. But now I have noticed it is slightly sore again, and my sinuses have been a little sore, but I haven t had any aches or felt ill in the rest of my body. Could smoking marijuana again so soon after my throat infection have caused me to restart the infection? I looked at my throat, it is a little red, with a few very small bumps of the same color.
Wed, 10 Sep 2014
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ENT Specialist 's  Response
Hi. More than the marijuana, the cigarette smoke may have restarted the pharyngitis. Whether it is infected or not will be indicated by fever, neck nodes and worsening pain. Cigarette smoke destroys the inner mucociliary lining of the throat that harbours a defence mechanism that fights early throat infection. It seems that the contact with smoke occurred without complete healing of the throat from the previous infection (even though the symptoms disappeared), the mucosa may therefore have a reduced threshold to inflammation.

The little bumps in your throat resemble the description of what is called a granular pharyngitis. That would explain why it feels a little sore.

The smoke may have precipitated the pharyngitis. This can lead to dryness and is a good bed for viruses and bacteria to start an infection. Most granular pharyngitis start as viral infections and are easily treatable.

A good oral rinse and gargle with betadine or an antiseptic mouthwash before and after meals for 3 days should take care of this. If you start developing pain, difficulty in swallowing or fever then have yourself started on an antibiotic and anti-inflammatory medications by your ENT surgeon.
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Can Smoking Marijuana Soon After Throat Infection Cause It To Reappear?

Hi. More than the marijuana, the cigarette smoke may have restarted the pharyngitis. Whether it is infected or not will be indicated by fever, neck nodes and worsening pain. Cigarette smoke destroys the inner mucociliary lining of the throat that harbours a defence mechanism that fights early throat infection. It seems that the contact with smoke occurred without complete healing of the throat from the previous infection (even though the symptoms disappeared), the mucosa may therefore have a reduced threshold to inflammation. The little bumps in your throat resemble the description of what is called a granular pharyngitis. That would explain why it feels a little sore. The smoke may have precipitated the pharyngitis. This can lead to dryness and is a good bed for viruses and bacteria to start an infection. Most granular pharyngitis start as viral infections and are easily treatable. A good oral rinse and gargle with betadine or an antiseptic mouthwash before and after meals for 3 days should take care of this. If you start developing pain, difficulty in swallowing or fever then have yourself started on an antibiotic and anti-inflammatory medications by your ENT surgeon.