Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Can Clindamycin Be Safely Taken For Severe Oral Thrush After A Tonsillectomy?
Question: Dear Doctor, on 29 march Tonsillectomy,UPPP, partiall Midline,uvular flap surgery was done, Started Amoxicillin, mouth rinse, after 3-4 days severe oral thrush developed, under emergency they started Clindamycin 300mg every 6 hours, Nystatin 6 hours., today surgeon who have surgery mentioned with clindmysin - side effects are possible. worried - what can I do ? should I stop clindamycin . How many days - the full recovery will take? Does Obstructive sleep apnea - get some cure ? Surgeon also send tonsills for pathology- what this test will tell-, does any reason for cancer?
Brief Answer:
Clindamycin should be continued
Detailed Answer:
Hello,
1. With regards to the side effects of Clindamycin
Side effects can occur with any antibiotic. But in your case, these side effects are not life-threatening. They will subside in the due course of therapy. Clindamycin is indicated as there is no response to Amoxycillin. Duration of therapy may extend up to 5 to 7 days. Significant improvement is usually noted. It's advisable to finish the full course of prescribed medication as usual.
2. With regards to OSA cure
Extensive surgery has been done to offer near cure in your case.
3. Pathologic examination of postoperative tonsil specimen is usually indicated as a part of routine management to rule out malignancy (cancer). Update me with test reports. Nothing to worry much as cancer is a rare event in a tonsil.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Clindamycin should be continued
Detailed Answer:
Hello,
1. With regards to the side effects of Clindamycin
Side effects can occur with any antibiotic. But in your case, these side effects are not life-threatening. They will subside in the due course of therapy. Clindamycin is indicated as there is no response to Amoxycillin. Duration of therapy may extend up to 5 to 7 days. Significant improvement is usually noted. It's advisable to finish the full course of prescribed medication as usual.
2. With regards to OSA cure
Extensive surgery has been done to offer near cure in your case.
3. Pathologic examination of postoperative tonsil specimen is usually indicated as a part of routine management to rule out malignancy (cancer). Update me with test reports. Nothing to worry much as cancer is a rare event in a tonsil.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Above answer was peer-reviewed by :
Dr. Remy Koshy
Test reports of pathology are enclosed please.and surgery note.
Brief Answer:
Cancer of tonsil is ruled out
Detailed Answer:
Hello,
I have worked through your attached pathological reports (surgical specimen of both tonsils) in detail.
The reports did not show any cancerous changes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Cancer of tonsil is ruled out
Detailed Answer:
Hello,
I have worked through your attached pathological reports (surgical specimen of both tonsils) in detail.
The reports did not show any cancerous changes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Above answer was peer-reviewed by :
Dr. Prasad
ok, What do you think- Non invasive Actinomyces colonies found, in both right and left tonsils.
It is very much clear - in case there would be any cnocerns of cancers then for sure Alberta health is more than concerned.
I am concerned to -- medical words -- Non invasive Actinomyces ,, please clarify these.
does need treatment is required like long term antibiotic?
Any system of candida or fungal you observed.
Can you please clarify and guide- with last follow up question
It is very much clear - in case there would be any cnocerns of cancers then for sure Alberta health is more than concerned.
I am concerned to -- medical words -- Non invasive Actinomyces ,, please clarify these.
does need treatment is required like long term antibiotic?
Any system of candida or fungal you observed.
Can you please clarify and guide- with last follow up question
Brief Answer:
Short term antibiotic therapy is sufficient
Detailed Answer:
Hello,
Non-invasive actinomyces implies benign bacterial infection localized to tonsil.
Hence you need not worry about it. This infection can be adequately controlled by antibiotics (which you are already put on). Long-term antibiotic treatment is not required.
This is already resolved with tonsil removal.
No candidal or fungal elements observed.
Hope I have answered your query.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Short term antibiotic therapy is sufficient
Detailed Answer:
Hello,
Non-invasive actinomyces implies benign bacterial infection localized to tonsil.
Hence you need not worry about it. This infection can be adequately controlled by antibiotics (which you are already put on). Long-term antibiotic treatment is not required.
This is already resolved with tonsil removal.
No candidal or fungal elements observed.
Hope I have answered your query.
Regards,
Dr. Suresh Heijebu, General & Family Physician
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
