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Suggest Remedies For Throat Pain Despite Taking Erythromycin

Posted on Thu, 27 Oct 2016

Question: Hello Doctor, I am having severe throat pain from last 2 days. currently I am taking Erithromycin and montaire LC with broncorex syrup. but still not the pain exist. can you please suggest any immediate remedy

Answered by Dr. Dr.Arnab (2 hours later)

Brief Answer:
Follow the Advises..provide some further details..

Detailed Answer:
Hello XXXX, Welcome to HCM,
I've gone through your query and understand your concern..

First of all, please let me know the following details properly so that I can guide you more specifically-

1. Is there any fever ? if yes how much and how often ? any chills/rigors/rashes/joint pain ?

2. Any cough/cold/congestion/runny nose ? Any secretions while coughing ?

3. Any phlegma ? if yes, what is the color ?

4. Any hoarseness of voice ?

5. Any pain while eating/drinking ? Any pain while talking ?

6. Have you visited any doctor yet ? Have you consulted any doctor prior taking Montair-LC / Erythromycin/ Broncorex ? If yes, provide the details.. let me know how much dosage of Erythromycin are you taking..

7. Any other problems ?

8. Any investigations done yet ?

Meanwhile You can start gargling with XXXXXXX warm water with a pinch of salt, three to four times a day and observe.. avoid smoking, if you do..

Start taking steam inhalation, 3 times a day, will help reducing the symptoms..

Awaiting for the details..

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.Arnab (8 hours later)

Hello Doctor,

1. Yes it started with a sudden fever in the evening of 1 Oct. it stayed for 2 days. I took paracetamol and then the fever was gone. Night was chilling. Had to take blanket

Answered by Dr. Dr.Arnab (11 minutes later)

Brief Answer:
proper details needed in order to provide proper guidance..

Detailed Answer:
Hello XXXX, Welcome back,

Take your time and Kindly provide all the details so that I can guide you specifically in this regard..

Please go through all the questionnaire carefully and let me know..

Also let me know how are you at present compared to before ?

Awaiting..

Take Care
Kind Regrds

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.Arnab (28 minutes later)

Hello Doctor, to answer your further questions-
2. yes I have cough and congestion
3. Yes, creamy in color
4. No hoarseness in voice
5. pain while swollowing food or water
6. Have consulted a doctor yesterday, started taking Erithromycin, Montaire LC and broncorex after that.
7. No other problem
8. No investigation done yet

I am doing gargling with salt water. It gives relief.

Today morning I feel much better. I have taken Erithromycin again in the morning and broncorex syrup.

Answered by Dr. Dr.Arnab (26 minutes later)

Brief Answer:
good to know the details..

Detailed Answer:
Hello XXXXX, Welcome back,
Thanks for following up,

From these descriptions, it seems like pharyngitis or tonsillitis (mostly bacterial but can also be secondary to viral)..good to know there's no hoarseness of voice..

In my patients, I usually prescribe Azithromycin 500mg once daily for 7-14 days, depending on the clinical presentation, however since you've already started on Erythromycin as per your doctor's advice, please continue it and finish the full course as advised..

Ideally speaking, in acute episodes like this, Montair-LC is not needed as it's mostly beneficial for long term allergies etc..

Yes, Please continue the Broncorex-Expectorant 10ml twice to thrice daily for next 5-7 days..

In addition, continue the gargling as advised for symptomatic improvement..

Start taking the steam inhalation also as already advised and observe how you stay..

Avoid sour foods/drinks, cold drinks as well as dairy products for the time being, have plenty of warm liquids (hot soups, porridge, green tea, broths etc.), stay well hydrated by drinking a lot water (~2.5 ltr per day)..

If fever recurs, take Tab PARACETAMOL 650 mg two-three times daily after food for next 2-3 days..

Since you've started feeling better already, it should get over within the next few days only, don't worry..but in case fever recurs, symptoms worsen later, I'd suggest a CBC along with throat swab culture sensitivity and Chest X-ray to look in to it further..

Wish you a good health and fast recovery..

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee