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Hello Doctor. I Want To Ask Something About My Sore.
Question: Hello doctor. i want to ask something about my sore. two days ago I start having cough and runny noise and a little sore throat. today i saw on the mirror and it seems like it is infected because there are little yellow spots. The problem is that I have no fever just the symptoms mentioned above. I usually have tonsil stones that time after time are created in my sore. the problem is should I use antibiotics? from one side I hate anitbiotics since twice gave me allergic reaction and I try avoiding them cause I am afraid that will be repeted with any antibiotic I use but from the other side i am scared of not using something because when I made a heart eco the doctor told me that I had some kind of insuficience because of one untreated tonsils. Is there any way to understand what is it? Tomorrow I will di blood analysis for other reason, should I do pcr so I understand if it is infection? thank you
Brief Answer:
You might wait...
Detailed Answer:
Hi,
I would advise to get a throat swab done before starting antibiotic. However from your description it doesn't seem it hurts very badly while swallowing food. If it is then, you should see a doctor immediately, get the swab test done and start antibiotic.
Usually a short duration sorethroat, cold and cough are from viral infection and resolves spontaneously. You may consider tylenol, zyrtec and saline water gargles. If the problem persists despite the aforementioned treatment or if you develop severe pain while swallowing, please visit a doctor for a swab.
Hope this helps. Let me know if you need clarifications.
PS: If total leucocyte count is high from the blood test tomorrow, it indicates a need to start antibiotic. Alternatively you might also consider a throat swab tomorrow if possible.
You might wait...
Detailed Answer:
Hi,
I would advise to get a throat swab done before starting antibiotic. However from your description it doesn't seem it hurts very badly while swallowing food. If it is then, you should see a doctor immediately, get the swab test done and start antibiotic.
Usually a short duration sorethroat, cold and cough are from viral infection and resolves spontaneously. You may consider tylenol, zyrtec and saline water gargles. If the problem persists despite the aforementioned treatment or if you develop severe pain while swallowing, please visit a doctor for a swab.
Hope this helps. Let me know if you need clarifications.
PS: If total leucocyte count is high from the blood test tomorrow, it indicates a need to start antibiotic. Alternatively you might also consider a throat swab tomorrow if possible.
Above answer was peer-reviewed by :
Dr. Prasad
thank you doctor. I have a litlle pain but not so much. I have pus and yellow patches this is the only thing that made me think that i might need antibiotics. May the patches be there and it is not infection?
Brief Answer:
Throat swab will be a good option...
Detailed Answer:
Hi,
The yellow patches and (pus) presence might either be due to bacterial infection or inflammation. I think use of antibiotic is a good option. However a throat swab should be done before starting antibiotic.
Hope this answered your question. Let me know if you need any other information.
Regards
Throat swab will be a good option...
Detailed Answer:
Hi,
The yellow patches and (pus) presence might either be due to bacterial infection or inflammation. I think use of antibiotic is a good option. However a throat swab should be done before starting antibiotic.
Hope this answered your question. Let me know if you need any other information.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
hello doctor! today I made the blood analysis and the results are. leukocyte 7.36 (4.00-10.00) normal values monocytes 10.6 (0.0-10.0] eosinofile 4.6 ( 0.0-4.0) pcr 8.2 ( 0.0.5.0) today I don't have pain at all Meanwhile I took the tampon and the result gets after 2 days. should I think to start antibiotic?
Brief Answer:
I wouldn't start antibiotic yet...
Detailed Answer:
Hi,
A normal leukocyte count with the absence of pain (throat pain), difficulty in swallowing and fever are atypical of bacterial infection. I would wait until we have throat swab test results.
Symptomatically, you seem to be recovering. So I would not be overly worried about infection. Your body defense seems to be treating any kind of infection you may have had. I would continue symptomatic treatment with Tylenol, Zyrtec, steam inhalation and salt water gargles.
If you develop fresh symptoms, let me know. We can then decide on antibiotic use. For now, we can wait for the test result.
Hope this helps. Let me know if you need clarifications.
Regards
I wouldn't start antibiotic yet...
Detailed Answer:
Hi,
A normal leukocyte count with the absence of pain (throat pain), difficulty in swallowing and fever are atypical of bacterial infection. I would wait until we have throat swab test results.
Symptomatically, you seem to be recovering. So I would not be overly worried about infection. Your body defense seems to be treating any kind of infection you may have had. I would continue symptomatic treatment with Tylenol, Zyrtec, steam inhalation and salt water gargles.
If you develop fresh symptoms, let me know. We can then decide on antibiotic use. For now, we can wait for the test result.
Hope this helps. Let me know if you need clarifications.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello doctor. Today the results of the swab came out and I were sensible to the staphilococ area. should I start any medication? i am breastfeeding and I am allergic to ceporin. Thank you
Doctor sorry to disturb you again but one doctor told me that it was impossible to have this kind of bacteria in the tbroat cause it is a skin bacteria and to not take the antibiotics but to make another test in another clinic. meanwhile I dont have symptoms except cough and the yellow patches in tbe throat that seems more like food stuck than infected. Please give me an advice. What symptoms does staphyloccoccus have? thank you
Brief Answer:
You may repeat the test...
Detailed Answer:
Hi,
Staphylococcus as the doctor mentioned rarely causes throat infection but not impossible. The doctor practising in your locality would have better knowledge of the community infections and therefore I will go by the doctor's opinion. It might be a good option to repeat the tests. Some times a contamination from skin surface while doing tests may have resulted in organism. So repeat the test.
If you also have yellow spots on tonsil, you may consider visiting an ENT surgeon to rule out tonsil stones.
Further if the yellow spots are more worse than earlier, you may start antibiotic (erythromycin) after repeating throat swab test.
Hope this is clear. Let me know if you need clarifications.
Regards
You may repeat the test...
Detailed Answer:
Hi,
Staphylococcus as the doctor mentioned rarely causes throat infection but not impossible. The doctor practising in your locality would have better knowledge of the community infections and therefore I will go by the doctor's opinion. It might be a good option to repeat the tests. Some times a contamination from skin surface while doing tests may have resulted in organism. So repeat the test.
If you also have yellow spots on tonsil, you may consider visiting an ENT surgeon to rule out tonsil stones.
Further if the yellow spots are more worse than earlier, you may start antibiotic (erythromycin) after repeating throat swab test.
Hope this is clear. Let me know if you need clarifications.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for the response. Can staphyloccoccus be in may tonsils and have no symptoms? Should I use erythromycin while breastfeeding? I am allergic to ceporin, may I use safely erythromycin? How long should I use the antibiotic? thank you again
Brief Answer:
Moxifloxacin is the alternate choice....
Detailed Answer:
Hi,
There are some normal commensal organism that are present in oral cavity including in the tonsil. But staphylococcus is not one among them. In other words, no Staphylococcus do not remain asymptomatic in tonsil. If it is indeed from Staph infection, you are more likely to have symptoms of bacterial pharyngitis/tonsilitis.
Now, if you have allergy to cephalosporin, there are high chances of allergy to pencillin and macrolides (erythromycin). In such case, moxifloxacin is a better choice. That being said, I will insist you take an opinion from an ENT doctor. Since you don't have throat pain, it is highly unlikely that is from an infection.
Hope this is clear. Let me know if you need clarification.
Regards
Moxifloxacin is the alternate choice....
Detailed Answer:
Hi,
There are some normal commensal organism that are present in oral cavity including in the tonsil. But staphylococcus is not one among them. In other words, no Staphylococcus do not remain asymptomatic in tonsil. If it is indeed from Staph infection, you are more likely to have symptoms of bacterial pharyngitis/tonsilitis.
Now, if you have allergy to cephalosporin, there are high chances of allergy to pencillin and macrolides (erythromycin). In such case, moxifloxacin is a better choice. That being said, I will insist you take an opinion from an ENT doctor. Since you don't have throat pain, it is highly unlikely that is from an infection.
Hope this is clear. Let me know if you need clarification.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Use is acceptable...
Detailed Answer:
Hi,
Inview of your cephalosporin allergy, my choice is moxifloxacin. As discussed the choice is based on the fact that there is high chances of allergies to macrolides and pencillin when you are allergic to cephalosporin. And further it is acceptable to use moxifloxacin during lactation. If you notice diarrhea or any gastrointestinal disturbance, either with you or your child, stop the drug.
Regards
PS: As indicated earlier I strongly recommend you take an opinion from an ENT doctor. It is highly likely that you don't have infection and antibiotic usage may not be warranted.
Use is acceptable...
Detailed Answer:
Hi,
Inview of your cephalosporin allergy, my choice is moxifloxacin. As discussed the choice is based on the fact that there is high chances of allergies to macrolides and pencillin when you are allergic to cephalosporin. And further it is acceptable to use moxifloxacin during lactation. If you notice diarrhea or any gastrointestinal disturbance, either with you or your child, stop the drug.
Regards
PS: As indicated earlier I strongly recommend you take an opinion from an ENT doctor. It is highly likely that you don't have infection and antibiotic usage may not be warranted.
Above answer was peer-reviewed by :
Dr. Prasad
Thank you doctor! Another last question. Should I use moxifloxacin while breastfeeding?
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