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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Sore Throat And Headache Be Treated?

Hi i have had this bad sore throat and headache for the past six days. The lower left side of my throat or lymph node area is tender to palpation. I have had no fever or body aches, however my scalp is tender to touch. Its also painful to swallow and my appeptite has decreased since Friday. I saw a NP on Saturday and they thought it was allergies and prescribed flonase and loratidine. It has gotten worse since then so I just saw a a PA today and she prescrib d antibiotics. The only clinical findings they both saw was and inflammed throat. Ear, heart, temperature, and lungs were all normal. I also had a bloodborne exposure 6 weeks ago from a sharp instrument. I was working on a patient (I am a dental student). The sharp instrument that ive already used on the patient punctured my glove and finger. There was minimal blood coming out. Patient reported he was HiV neg and I opted not to report the incident (but I had blood tests for HIV on Sat and still waiting on results). Im a little bit nervous now since i understand that hiv symptoms typically occur within 4 to 6 weeks. Since the allergy meds have not worked and i just had one tab of penvk, I dont know what other disease this could be. I have never experienced anything this severe and long before. I would greatly appreciate any input on this matter.
Sat, 11 Aug 2018
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Dentist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Well, the symptoms looks more like viral throat infection and is very less probability of HIV symptoms..
Secondly if the patient is already negative for HIV then the risk further subsides.
If there is an infection then improvement with allergy medicines will not take place.
So my suggestion is to get a throat swab culture test done to rule out infection.
In case if it is a viral infection then you can take anti inflammatory painkillers like Ibuprofen and along with it do warm saline gargles and antiseptic mouthwash gargles
Do steam inhalations and suck Cepacol lozenges.
It will help in improvement.
In case if there is superseded bacterial infection then a course of antibiotics like Azithromycin can be advised..

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Honey Arora
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How Can Sore Throat And Headache Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Well, the symptoms looks more like viral throat infection and is very less probability of HIV symptoms.. Secondly if the patient is already negative for HIV then the risk further subsides. If there is an infection then improvement with allergy medicines will not take place. So my suggestion is to get a throat swab culture test done to rule out infection. In case if it is a viral infection then you can take anti inflammatory painkillers like Ibuprofen and along with it do warm saline gargles and antiseptic mouthwash gargles Do steam inhalations and suck Cepacol lozenges. It will help in improvement. In case if there is superseded bacterial infection then a course of antibiotics like Azithromycin can be advised.. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora