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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Sore Throat?

Hi Doctor. I had a sore throat 6 weeks ago.No flu, no pain but just lightheadedness and dizziness. Without seeing any specialist, I started taking antibiotics-amoxillin 250mg without much fifference. I went see the doctor and prescribed me the same antibiotics to taken for4 days. He also prescribed some paracetamol for any pain thet may come up.After completing the course,My throat cleared but only for one day and again it recurred. I again consulted another doctor and gave me only ofloxacin to be taken as 400mg per day for five days.I had also my blood pressure measured at 140/100. After completing the course, the throat cleared but after a week or so it recurred again. The doctor this time prescribed me augmentin 2grams a day for 7 days and cough syrup for dry cough because I had started getting cough. Till to date the my throat has cleared and do not cough any more. In between the course of the augmentin dose, that is on sixth day of the augmentin treatment, I started feeling some bit of cold and started experincing headaches-sort of migraine types of headaches. I also had HIV test done and it went negative. Off to the doctor again.The doctor ordered me to CBC-blood count. The results were that RBC were in normal range. The WBC were in normal range with diffrential being Neutrophills at 48% and Lympho at 47 %. The doctor adviced that there is nothing to worry about as there is no infection. He prescribed me Ebastin-antihistamin to negate the effect of a dry throat. But litlle bit of cold in my body and those headaches still persisted. Off to the doctor. The doctor prescribed me mefenamic acid 500mg to be taken for five days. The headaches appears and disappears after taking the medicine. The doctor also measured my blood pressure and read 136/100. The doctor also ordered me to take some blood test for widal agglutination, vitamin b12, fasting blood sugar, thyroid and urine routine test. Widal was negative.Fasting blood sugar was in the normal lab range. TSH levels were in the normal lab range. In urine routine, there was scanty RBC but no pus cell. There was vitamin b12 deficiency and it was showing-92.8 with normal lab range being 208-903. The doctor started giving me vitamin b12 supplements through direct injections. Two injection in a week. I have had two injections but still those headaches and drowsiness, lightheadedness is still there. Please help me and advice.
Mon, 3 Nov 2014
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Dentist 's  Response
Hello,
I would suggest that you check your oral health. Please make sure that you have ruled out any dental infections that may contribute to your symptoms or habits. Dental infections from a tooth or periodontal condition can drain and contribute to a sore throat with systemic effects. Secondary oral infections such as a yeast infection could explain your continued throat discomfort. Try acidophilus to help establish and maintain normal flora. Nystatin is an anti fungal prescription drug that may be needed to treat an oral infection. Throat discomfort might be treated with prescription comfort rinses. Antibiotics can be harsh on your intestinal tract and affect your ability to absorb proper nutrients. Inflammation needs time to become reduced and heal. Give your system some time to get back in balance. Your diet should avoid all irritants and be bland. Avoid alcohol, acidic, and spicy foods. Dehydration is a great concern. Make sure that you are well hydrated by drinking plenty of fluids especially water. It is necessary to obtain proper hydration to help maintain your blood pressure.
I hope these suggestions combined with your test results will result with a decrease in your discomfort. Thank you for your inquiry.
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What To Do For Sore Throat?

Hello, I would suggest that you check your oral health. Please make sure that you have ruled out any dental infections that may contribute to your symptoms or habits. Dental infections from a tooth or periodontal condition can drain and contribute to a sore throat with systemic effects. Secondary oral infections such as a yeast infection could explain your continued throat discomfort. Try acidophilus to help establish and maintain normal flora. Nystatin is an anti fungal prescription drug that may be needed to treat an oral infection. Throat discomfort might be treated with prescription comfort rinses. Antibiotics can be harsh on your intestinal tract and affect your ability to absorb proper nutrients. Inflammation needs time to become reduced and heal. Give your system some time to get back in balance. Your diet should avoid all irritants and be bland. Avoid alcohol, acidic, and spicy foods. Dehydration is a great concern. Make sure that you are well hydrated by drinking plenty of fluids especially water. It is necessary to obtain proper hydration to help maintain your blood pressure. I hope these suggestions combined with your test results will result with a decrease in your discomfort. Thank you for your inquiry.