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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Throat Pain, Difficulty Swallowing, Using Cold Lazer On Shoulder

Dear Doctor: Pain in the throat: About 8/30/12 first notice a pain doing chest presses. At first I thought that I strain a muscle while doing the lifting (perhaps I could of hurt my vocal cords if I grunted ). On 9/7 it seems that it fades and returns. I now believe it might be from my thyroid that may be damaged by the cold laszer that I have been using on my shoulder because notice less discomfort after a few days after I stopped using the cold laszer over labor day weekend. Notice more discomfort three days after restarting the use of the cold laszer. Therefore stopped using the cold laszer on 9/7/12. (I have not used it since.) FYI: According to the manufacturer, the cold laszer may cause a problem to the thyroid gland or the pancreas gland. However, I do not have any of the symptoms of a thyroid problem such as weight gain or loss, fatigue , etc. The pain in my throat is mostly when I swallow , and it is most noticeable when I first wake up in the morning. The details of the pain are as follow: 9/8: pain is slightly worse than yesterday. 9/9: pain is slightly less than yesterday. 9/10: Pain is the same or slightly less thas yesterday. 9/11: Pain is the same as yesterday. 9/16: the pain has become less noticeable, with on average, has seemed to slightly decrease every day for the last four days. 9/22/12: For the last few days only notice a slight pain when first waking up. 10/22/12: Same as 9/22/12 entry. In Conclusion: I have no thyroid symptoms, the pain has stabilize for the last month, and I do not notice any other symptoms.
Sat, 7 Dec 2013
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to Pharyngitis.
Investigations like complete blood count & Laryngoscopy will be helpful in clinching the diagnosis.

Management involves:
1. Gargle with warm salt water to relieve throat pain.
2. Analgesics like paracetamol
3. Antibiotics depending upon culture & sensitivity reports to remove the causative organism.
4. Antihistamine preparations can also be used to provide symptomatic relief.
5. Avoid taking cold food & drinks, maintain adequate hydration & take soft, non-spicy foods.

If the symptoms persist, kindly consult an ENT specialist & get a complete clinical examination done.

There is no need to worry, you will be fine.
Till then, maintain adequate hydration & proper nutrition status, exercise regularly and avoid stress.

Wishing you a Good Health.
Take care.
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Throat Pain, Difficulty Swallowing, Using Cold Lazer On Shoulder

Hello dear, The symptoms as mentioned in your post can be attributed to Pharyngitis. Investigations like complete blood count & Laryngoscopy will be helpful in clinching the diagnosis. Management involves: 1. Gargle with warm salt water to relieve throat pain. 2. Analgesics like paracetamol 3. Antibiotics depending upon culture & sensitivity reports to remove the causative organism. 4. Antihistamine preparations can also be used to provide symptomatic relief. 5. Avoid taking cold food & drinks, maintain adequate hydration & take soft, non-spicy foods. If the symptoms persist, kindly consult an ENT specialist & get a complete clinical examination done. There is no need to worry, you will be fine. Till then, maintain adequate hydration & proper nutrition status, exercise regularly and avoid stress. Wishing you a Good Health. Take care.