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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Having Swollen Tonsil With White Patches And Dark Red Spots On The Roof Of The Mouth?

Hi,
Ive had a sore throat, headache for a few days now. I keep getting dizzy spells and feeling like my vision is being blurred. Ive been to the docs and he gave me phenoxymethyl penicillin with instructions to take 2 tablets 4 times a day. He couldn't remember the name of the infection i have but said its mostly in children and don't see it often in adults.

I also have swollen tonsils with white patches and also dark red spots on the roof of my mouth. Is this strep throat? He also said something about 0.6% case can develop in to rheumatic fever
Fri, 11 Mar 2016
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General & Family Physician 's  Response
Thank you for your query

Your description of the symptoms and signs point to Strep. throat.
Your doctor is right.
Strep. throat (infection of the throat caused by bacteria called Streptococcus) usually occurs in children and teenagers (4-16 years of age)

This infection, if severe, untreated or improperly treated may lead to complications like Rheumatic heart disease (where the bacteria infect heart valve and cause malfunction in the long run) ; glomerulonephritis (kidney damage) ; peritonsillar abscess (around the tonsils); toxic shock syndrome (when the bacteria releases toxins in the blood stream resulting in low blood pressure and organ failure).

Some may develop a red-pink rash with a characteristic sandpaper texture (scarlet fever).

Penicillin is the drug of choice to treat these infections. If you are allergic to penicillin (urticaria like rash, itching, swollen lips, stomach problems like diarrhea), you may be prescribed substitute antibiotics which are equally effective.
Make sure you complete the full course of antibiotics, even if you feel better half way through. Pain killer can help ease throat ache, as will steam inhalation.
The white patches and dark red spots will go away on their own. If you don't feel better after 5days of treatment or you develop new symptoms, see your doctor to check for complications.
It is important that you hydrate yourself adequately, get extra sleep and eat a nutritious diet. Hydration should ensure a light colored urine, wet tongue. If the pain prevents you from drinking adequately, talk to your doctor for pain management.
Preventing spread of the infection is also equally important. Cover your mouth while you cough or sneeze. Don't share utensils or pillows. Wash your hands frequently.

Hope I've answered your query. Wish you good health.
Please get back to us for further clarification, should you need it.
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Why Am I Having Swollen Tonsil With White Patches And Dark Red Spots On The Roof Of The Mouth?

Thank you for your query Your description of the symptoms and signs point to Strep. throat. Your doctor is right. Strep. throat (infection of the throat caused by bacteria called Streptococcus) usually occurs in children and teenagers (4-16 years of age) This infection, if severe, untreated or improperly treated may lead to complications like Rheumatic heart disease (where the bacteria infect heart valve and cause malfunction in the long run) ; glomerulonephritis (kidney damage) ; peritonsillar abscess (around the tonsils); toxic shock syndrome (when the bacteria releases toxins in the blood stream resulting in low blood pressure and organ failure). Some may develop a red-pink rash with a characteristic sandpaper texture (scarlet fever). Penicillin is the drug of choice to treat these infections. If you are allergic to penicillin (urticaria like rash, itching, swollen lips, stomach problems like diarrhea), you may be prescribed substitute antibiotics which are equally effective. Make sure you complete the full course of antibiotics, even if you feel better half way through. Pain killer can help ease throat ache, as will steam inhalation. The white patches and dark red spots will go away on their own. If you don t feel better after 5days of treatment or you develop new symptoms, see your doctor to check for complications. It is important that you hydrate yourself adequately, get extra sleep and eat a nutritious diet. Hydration should ensure a light colored urine, wet tongue. If the pain prevents you from drinking adequately, talk to your doctor for pain management. Preventing spread of the infection is also equally important. Cover your mouth while you cough or sneeze. Don t share utensils or pillows. Wash your hands frequently. Hope I ve answered your query. Wish you good health. Please get back to us for further clarification, should you need it.