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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mild Sore Throat, Swelling In Left Tonsil, Ear Pain, Neck Stiffness. Taking Azithromycin. Treatment?

Hello Dr. I have had a sore throat (mild) on the left side only. I think my left tonsil is swollen. The first week it was accompanied by ear pain. I went to the ER and was prescribed azithromycin for 5 days. Since completion of azithromycin my left tonsil/throat is still sore when swallowing and my left ear feels plugged. My neck gets stiff and sore only on the left side and i will occasionally still get slight ear pain. Symptoms are more apparent at the end of the day.
Tue, 11 Sep 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
You are most likely suffering from acute viral pharyngitis with spread of infection and involvement of middle ear.
although azithromycin works but if it viral then it will take 2-3 days for recovery.
Nasopharynx and middle ear are connected by eustachian tube and infection may spread upto middle ear.
Your neck muscle gets stiff because of myalgia and pain.
You should consult with physician and ENT surgeon.
You should also take complete antibiotic course (to prevent secondary bacterail infection), anti-inflammatory medicines.
You should alsoperform3 times gargling with lukewarm water and pinch of salt.
Take care,
Dr.Mayank Bhargava
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Mild Sore Throat, Swelling In Left Tonsil, Ear Pain, Neck Stiffness. Taking Azithromycin. Treatment?

Hi, Thanks for posting your query. You are most likely suffering from acute viral pharyngitis with spread of infection and involvement of middle ear. although azithromycin works but if it viral then it will take 2-3 days for recovery. Nasopharynx and middle ear are connected by eustachian tube and infection may spread upto middle ear. Your neck muscle gets stiff because of myalgia and pain. You should consult with physician and ENT surgeon. You should also take complete antibiotic course (to prevent secondary bacterail infection), anti-inflammatory medicines. You should alsoperform3 times gargling with lukewarm water and pinch of salt. Take care, Dr.Mayank Bhargava