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Hi Dr. I Have Chronic Granular Pharyngitis Since Mar.. I
Question: Hi dr. I have chronic granular pharyngitis since mar.. i feel.something stuck in my throat.. my ige serum level came out 275 and esr 50.
My weight reduced 5 kgs in last 6 months.. may be i eas very stressed at that time which lead to weight decrease..
Please suggest id it something yo worry about, what should i do
What is this.. is something to worry
My weight reduced 5 kgs in last 6 months.. may be i eas very stressed at that time which lead to weight decrease..
Please suggest id it something yo worry about, what should i do
What is this.. is something to worry
Hi dr. I have chronic granular pharyngitis since mar.. i feel.something stuck in my throat.. my ige serum level came out 275 and esr 50.
My weight reduced 5 kgs in last 6 months.. may be i eas very stressed at that time which lead to weight decrease..
Please suggest id it something yo worry about, what should i do
What is this.. is something to worry
My weight reduced 5 kgs in last 6 months.. may be i eas very stressed at that time which lead to weight decrease..
Please suggest id it something yo worry about, what should i do
What is this.. is something to worry
Brief Answer:
Further investigations are required.
Detailed Answer:
Hi Sir
Thank you for asking ask a doctor service.
I have gone through your query with diligence. Chronic granular pharyngitis is a benign condition and nothing to worry. It can be due to recurrent viral or bacterial infections or due to laryngopharyngeal reflux.
For this I would suggest proper antibiotic therapy.Proton pump inhibitors like Esomeprazole and anti emetic agents like domperidone should be taken for 4 to 6 weeks. Not irritant diet should be followed. Taking vitamin C regularly also advised. I would also suggest keeping mouth full of water morning after brushing and evening before going to sleep for 15 minutes and spit out.
But your ESR value is high plus there is weight loss also. It indicates some strong inflammatory process running in body. Sputum AFB test should be done to rule out TB. C reactive protein and auto immune profile should be tested. ASO titre also should be checked. These are blood tests you can carry out in most laboratories. Chest X ray also should be taken.
Please upload your blood reports if possible.
Let me know if anything not clear.
I am happy to help.
Thanks.
Further investigations are required.
Detailed Answer:
Hi Sir
Thank you for asking ask a doctor service.
I have gone through your query with diligence. Chronic granular pharyngitis is a benign condition and nothing to worry. It can be due to recurrent viral or bacterial infections or due to laryngopharyngeal reflux.
For this I would suggest proper antibiotic therapy.Proton pump inhibitors like Esomeprazole and anti emetic agents like domperidone should be taken for 4 to 6 weeks. Not irritant diet should be followed. Taking vitamin C regularly also advised. I would also suggest keeping mouth full of water morning after brushing and evening before going to sleep for 15 minutes and spit out.
But your ESR value is high plus there is weight loss also. It indicates some strong inflammatory process running in body. Sputum AFB test should be done to rule out TB. C reactive protein and auto immune profile should be tested. ASO titre also should be checked. These are blood tests you can carry out in most laboratories. Chest X ray also should be taken.
Please upload your blood reports if possible.
Let me know if anything not clear.
I am happy to help.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Further investigations are required.
Detailed Answer:
Hi Sir
Thank you for asking ask a doctor service.
I have gone through your query with diligence. Chronic granular pharyngitis is a benign condition and nothing to worry. It can be due to recurrent viral or bacterial infections or due to laryngopharyngeal reflux.
For this I would suggest proper antibiotic therapy.Proton pump inhibitors like Esomeprazole and anti emetic agents like domperidone should be taken for 4 to 6 weeks. Not irritant diet should be followed. Taking vitamin C regularly also advised. I would also suggest keeping mouth full of water morning after brushing and evening before going to sleep for 15 minutes and spit out.
But your ESR value is high plus there is weight loss also. It indicates some strong inflammatory process running in body. Sputum AFB test should be done to rule out TB. C reactive protein and auto immune profile should be tested. ASO titre also should be checked. These are blood tests you can carry out in most laboratories. Chest X ray also should be taken.
Please upload your blood reports if possible.
Let me know if anything not clear.
I am happy to help.
Thanks.
Further investigations are required.
Detailed Answer:
Hi Sir
Thank you for asking ask a doctor service.
I have gone through your query with diligence. Chronic granular pharyngitis is a benign condition and nothing to worry. It can be due to recurrent viral or bacterial infections or due to laryngopharyngeal reflux.
For this I would suggest proper antibiotic therapy.Proton pump inhibitors like Esomeprazole and anti emetic agents like domperidone should be taken for 4 to 6 weeks. Not irritant diet should be followed. Taking vitamin C regularly also advised. I would also suggest keeping mouth full of water morning after brushing and evening before going to sleep for 15 minutes and spit out.
But your ESR value is high plus there is weight loss also. It indicates some strong inflammatory process running in body. Sputum AFB test should be done to rule out TB. C reactive protein and auto immune profile should be tested. ASO titre also should be checked. These are blood tests you can carry out in most laboratories. Chest X ray also should be taken.
Please upload your blood reports if possible.
Let me know if anything not clear.
I am happy to help.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello sir, i got these two tests done recently... does this rules out anything.. or i should get those tests done which you said.. my esr in nov last year was 20 then in apr it was 25 and now it is 50...
Hello sir, i got these two tests done recently... does this rules out anything.. or i should get those tests done which you said.. my esr in nov last year was 20 then in apr it was 25 and now it is 50...
Sir xray was done in nov. Last year and this year in apr.. both the times, report was normal with normal bronchovascular markings
Sir xray was done in nov. Last year and this year in apr.. both the times, report was normal with normal bronchovascular markings
Brief Answer:
Thyroid problems are ruled out.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. It rules out problem with thyroid gland. But culture report shows klebsiella bacterial infection. Antibiotics should be started according to the sensitivity. From that Coprofloxacin can be started. High ESR can be a sign of acute infection also. Better to do sputum AFB to rule out tuberculosis, C reactive protein ASO titre and auto immune profile tests to rule out those
Thanks
Thyroid problems are ruled out.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. It rules out problem with thyroid gland. But culture report shows klebsiella bacterial infection. Antibiotics should be started according to the sensitivity. From that Coprofloxacin can be started. High ESR can be a sign of acute infection also. Better to do sputum AFB to rule out tuberculosis, C reactive protein ASO titre and auto immune profile tests to rule out those
Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Thyroid problems are ruled out.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. It rules out problem with thyroid gland. But culture report shows klebsiella bacterial infection. Antibiotics should be started according to the sensitivity. From that Coprofloxacin can be started. High ESR can be a sign of acute infection also. Better to do sputum AFB to rule out tuberculosis, C reactive protein ASO titre and auto immune profile tests to rule out those
Thanks
Thyroid problems are ruled out.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. It rules out problem with thyroid gland. But culture report shows klebsiella bacterial infection. Antibiotics should be started according to the sensitivity. From that Coprofloxacin can be started. High ESR can be a sign of acute infection also. Better to do sputum AFB to rule out tuberculosis, C reactive protein ASO titre and auto immune profile tests to rule out those
Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello sir..
I have started ciprofloxacin.. will do other tests as well in 1-2 days..
Sir does this bacteria heals or not..
m just scared after reading in google..there isn't much info on it and secondly it says that this is very rare.. no other info is available..
plz tell me sir.. will antibiotics definitely heal this bacterial problem
I have started ciprofloxacin.. will do other tests as well in 1-2 days..
Sir does this bacteria heals or not..
m just scared after reading in google..there isn't much info on it and secondly it says that this is very rare.. no other info is available..
plz tell me sir.. will antibiotics definitely heal this bacterial problem
Hello sir..
I have started ciprofloxacin.. will do other tests as well in 1-2 days..
Sir does this bacteria heals or not..
m just scared after reading in google..there isn't much info on it and secondly it says that this is very rare.. no other info is available..
plz tell me sir.. will antibiotics definitely heal this bacterial problem
I have started ciprofloxacin.. will do other tests as well in 1-2 days..
Sir does this bacteria heals or not..
m just scared after reading in google..there isn't much info on it and secondly it says that this is very rare.. no other info is available..
plz tell me sir.. will antibiotics definitely heal this bacterial problem
Brief Answer:
Coprofloxacin can clear.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Coprofloxacin is a sensitive antibiotic listed in the culture and sensitivity test. It will clear the infection. There is no need to worry. Taking vitamin C will be helpful for fast recovery also.
Thanks.
Coprofloxacin can clear.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Coprofloxacin is a sensitive antibiotic listed in the culture and sensitivity test. It will clear the infection. There is no need to worry. Taking vitamin C will be helpful for fast recovery also.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Coprofloxacin can clear.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Coprofloxacin is a sensitive antibiotic listed in the culture and sensitivity test. It will clear the infection. There is no need to worry. Taking vitamin C will be helpful for fast recovery also.
Thanks.
Coprofloxacin can clear.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Coprofloxacin is a sensitive antibiotic listed in the culture and sensitivity test. It will clear the infection. There is no need to worry. Taking vitamin C will be helpful for fast recovery also.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
Hello sir
I have attached other reports...
AFB SPUTUM and CRP .
Also sir i wanted to check my esr again with a different lab because heard some wrong things about the previous lab.
Now esr is down
I am on 3rd day of my antibiotic..
Can esr change because of the use of antibiotics and it will be back to that value once i finish my antibiotic course..
or m actually getting cured??
Or there is a possibility that esr doesn't change this frequently , it is the error of any one lab??
Please ans. this sir.. this is very imp for me to know
I have attached other reports...
AFB SPUTUM and CRP .
Also sir i wanted to check my esr again with a different lab because heard some wrong things about the previous lab.
Now esr is down
I am on 3rd day of my antibiotic..
Can esr change because of the use of antibiotics and it will be back to that value once i finish my antibiotic course..
or m actually getting cured??
Or there is a possibility that esr doesn't change this frequently , it is the error of any one lab??
Please ans. this sir.. this is very imp for me to know
Hello sir
I have attached other reports...
AFB SPUTUM and CRP .
Also sir i wanted to check my esr again with a different lab because heard some wrong things about the previous lab.
Now esr is down
I am on 3rd day of my antibiotic..
Can esr change because of the use of antibiotics and it will be back to that value once i finish my antibiotic course..
or m actually getting cured??
Or there is a possibility that esr doesn't change this frequently , it is the error of any one lab??
Please ans. this sir.. this is very imp for me to know
I have attached other reports...
AFB SPUTUM and CRP .
Also sir i wanted to check my esr again with a different lab because heard some wrong things about the previous lab.
Now esr is down
I am on 3rd day of my antibiotic..
Can esr change because of the use of antibiotics and it will be back to that value once i finish my antibiotic course..
or m actually getting cured??
Or there is a possibility that esr doesn't change this frequently , it is the error of any one lab??
Please ans. this sir.. this is very imp for me to know
Brief Answer:
Decreasing ESR and Normal CRP indicates- responding to antibiotic.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. Decreasing in ESR is a good sign and it indicates you are responding well to antibiotic. Your CRP is with in normal limits. So no need to worry. CRP level is a very good indicator for showing signs of infection or inflammation than ESR and it will rapidly change when infection get resolved also.
No need to test ESR again. It will gradually decrease to normal range. You are getting cured only. No need to worry at all.
Thanks.
Decreasing ESR and Normal CRP indicates- responding to antibiotic.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. Decreasing in ESR is a good sign and it indicates you are responding well to antibiotic. Your CRP is with in normal limits. So no need to worry. CRP level is a very good indicator for showing signs of infection or inflammation than ESR and it will rapidly change when infection get resolved also.
No need to test ESR again. It will gradually decrease to normal range. You are getting cured only. No need to worry at all.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Decreasing ESR and Normal CRP indicates- responding to antibiotic.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. Decreasing in ESR is a good sign and it indicates you are responding well to antibiotic. Your CRP is with in normal limits. So no need to worry. CRP level is a very good indicator for showing signs of infection or inflammation than ESR and it will rapidly change when infection get resolved also.
No need to test ESR again. It will gradually decrease to normal range. You are getting cured only. No need to worry at all.
Thanks.
Decreasing ESR and Normal CRP indicates- responding to antibiotic.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
I have gone through your reports. Decreasing in ESR is a good sign and it indicates you are responding well to antibiotic. Your CRP is with in normal limits. So no need to worry. CRP level is a very good indicator for showing signs of infection or inflammation than ESR and it will rapidly change when infection get resolved also.
No need to test ESR again. It will gradually decrease to normal range. You are getting cured only. No need to worry at all.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Hello sir..
My cipro course is complete.. took it for 10 days.. sir my pain is gone but when i see , i can still see very little swelling on inside of my throat and those granules are still there but they cause any problem now.. its just i feel extreme dryness in my throat and some thorns type feeling... sir plz advice.. do i need to repeat the throat culture to check if the bacteria is gone..how can i get rid of this.. i get extremely scared sonetimes..
My cipro course is complete.. took it for 10 days.. sir my pain is gone but when i see , i can still see very little swelling on inside of my throat and those granules are still there but they cause any problem now.. its just i feel extreme dryness in my throat and some thorns type feeling... sir plz advice.. do i need to repeat the throat culture to check if the bacteria is gone..how can i get rid of this.. i get extremely scared sonetimes..
Hello sir..
My cipro course is complete.. took it for 10 days.. sir my pain is gone but when i see , i can still see very little swelling on inside of my throat and those granules are still there but they cause any problem now.. its just i feel extreme dryness in my throat and some thorns type feeling... sir plz advice.. do i need to repeat the throat culture to check if the bacteria is gone..how can i get rid of this.. i get extremely scared sonetimes..
My cipro course is complete.. took it for 10 days.. sir my pain is gone but when i see , i can still see very little swelling on inside of my throat and those granules are still there but they cause any problem now.. its just i feel extreme dryness in my throat and some thorns type feeling... sir plz advice.. do i need to repeat the throat culture to check if the bacteria is gone..how can i get rid of this.. i get extremely scared sonetimes..
Brief Answer:
If completed antibiotic course then its ok.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
If you have completed the full course of Coprofloxacin then its enough to clear infection. Checking for bacteria is not necessary. Laryngopharyngeal reflux can still irritate your throat. So taking a proton pump inhibitor like Esomeprazole (Nexium) for 4 weeks on empty stomach early morning is also advised.
Taking a spoonful of honey morning and evening will give soothing for your throat also.
Vitamin C ( Limcee) you can take. Taking one third of 500 mg will be enough daily. Zincovit daily not required if you are taking a balanced diet. Steam inhalation is good to avoid dryness in throat. But excess steam inhalation is not recommended.
If still irritation is there then throat examination by ENT specialist should be done.
Thanks.
If completed antibiotic course then its ok.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
If you have completed the full course of Coprofloxacin then its enough to clear infection. Checking for bacteria is not necessary. Laryngopharyngeal reflux can still irritate your throat. So taking a proton pump inhibitor like Esomeprazole (Nexium) for 4 weeks on empty stomach early morning is also advised.
Taking a spoonful of honey morning and evening will give soothing for your throat also.
Vitamin C ( Limcee) you can take. Taking one third of 500 mg will be enough daily. Zincovit daily not required if you are taking a balanced diet. Steam inhalation is good to avoid dryness in throat. But excess steam inhalation is not recommended.
If still irritation is there then throat examination by ENT specialist should be done.
Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
If completed antibiotic course then its ok.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
If you have completed the full course of Coprofloxacin then its enough to clear infection. Checking for bacteria is not necessary. Laryngopharyngeal reflux can still irritate your throat. So taking a proton pump inhibitor like Esomeprazole (Nexium) for 4 weeks on empty stomach early morning is also advised.
Taking a spoonful of honey morning and evening will give soothing for your throat also.
Vitamin C ( Limcee) you can take. Taking one third of 500 mg will be enough daily. Zincovit daily not required if you are taking a balanced diet. Steam inhalation is good to avoid dryness in throat. But excess steam inhalation is not recommended.
If still irritation is there then throat examination by ENT specialist should be done.
Thanks.
If completed antibiotic course then its ok.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
If you have completed the full course of Coprofloxacin then its enough to clear infection. Checking for bacteria is not necessary. Laryngopharyngeal reflux can still irritate your throat. So taking a proton pump inhibitor like Esomeprazole (Nexium) for 4 weeks on empty stomach early morning is also advised.
Taking a spoonful of honey morning and evening will give soothing for your throat also.
Vitamin C ( Limcee) you can take. Taking one third of 500 mg will be enough daily. Zincovit daily not required if you are taking a balanced diet. Steam inhalation is good to avoid dryness in throat. But excess steam inhalation is not recommended.
If still irritation is there then throat examination by ENT specialist should be done.
Thanks.
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. Yogesh D
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