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Suggest Treatment For Drowsiness, Sore Throat And Pain In The Ears

Posted on Fri, 11 Nov 2016

Question: I have dengue last month but still filling drowzinees, Pain in ear which goes and come ,Throt is not sore and no problem in swelling my doctor said is due to 3 reason

Answered by Dr. Nishad BN (4 hours later)

Brief Answer:
Can be post viral infection fatigue.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. Your problem can be most likely due to post viral infection fatigue. Some will have this usually for 1 to 2 months after viral fever like dengue. Check your blood routine and platelet count again to rule out anaemia and low platelet count.
Take plenty of fluids. Taking supplements containing vitamin C and amino acids like citravite chewable tablets 1 daily is good. Taking protein powders like B protein powder in a glass of milk daily is also good.
If ear pain persist then better to have an examination with ENT specialist to rule out any inflammation in ear.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Nishad BN (45 hours later)

Hi my throat is paining and muscle below jaw paining by back neck is also paining shown to doctor said it's due to throat infection will go in 5day

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
Then that could be the reason of ear pain.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Throat infection could be the reason of ear pain also. Taking antibiotics for 5 days usually clear it. If not improving then have a follow up with your ENT specialist.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Nishad BN (1 hour later)

It's not paining now but it's goes and come it's not nagging me and I have completed course not of antibiotics given cough syrup esozd 40 doc says do garallin with saline water now felling better pain also reduced and I have no problem in swolling I have muscular pain arround neck is it due to dengue post dengue

Answered by Dr. Nishad BN (33 minutes later)

Brief Answer:
Most likely from throat infection.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Muscle pain around neck can be most likely due to throat infection. Throat infection can give pain or swelling on lymph nodes and muscles around neck. Warm saline gargle and warm compress on neck will be helpful for this. If not improving then a short course of antibiotics like Azithromycin will be helpful. This is a prescription drug and is given in dosage of 500mg once daily for 3 to 5 days. Chewable vitamin C like citravite or celin is good also.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Nishad BN (24 hours later)

Doctor my throat paining less now but it's pain comes and goes same with ear also it's improved but it's comes and goes not continuous

Answered by Dr. Nishad BN (3 hours later)

Brief Answer:
If it persists then I would suggest antibiotics.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Pain which comes and goes can be due to presence of infection. If it is persisting and not decreasing after the measures like gargling , warm compress on neck and taking chewable vitamin C then I would suggest a course of antibiotic like Azithromycin like I mentioned earlier.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Nishad BN (7 minutes later)

Iam taking alocksp are they antibiotics ? Ear pain is comes and goes also I have yellow spit in the morning I am doing gargaling with betaine iodine given by my doc is it ok

Answered by Dr. Nishad BN (8 minutes later)

Brief Answer:
alock sp is not antibiotic.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Alock Sp is not a antibiotic. It is anti inflammatory drug (NSAID) which just relieves pain and inflammation. Yellowish spit indicates there is presence of bacterial infection. So antibiotic will be helpful to clear it. Gargling with betadine iodine is helpful if it is beginning. As you have pain on ears , I would suggest taking antibiotic for not to get complications like ear infection.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Nishad BN (17 hours later)

Now 10-20% pain is there and no yellow spit in morning what should I do should I take azithromicin I am taking celein vitamin c table please guide what to do

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
If improving then you can avoid antibiotic.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

If pain is improving and yellowish phlegm is absent then you can avoid antibiotic. In that case you can continue taking vitamin C tablet.
If there is no improvement then it is better to take antibiotic like Azithromycin.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Nishad BN (5 hours later)

I taken 2- c vitamin table it's hurt my tongue and talu (palatal) it's hurt and skin is tear off due to which blood is cmn what to do

Answered by Dr. Nishad BN (12 minutes later)

Brief Answer:
one tablet is enough for 1 day.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

One tablet is enough for 1 day. Take it after food. Most likely the infection causing your bleeding. I would suggest antibiotics like Azithromycin for 3 to 5 days in such case.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Nishad BN (13 minutes later)

Blood is not from cough it's from mouth when I eat c vitamin tablet it hurt my toung and upper are of jaw due to hurt it's coming I have started azithromicin

Answered by Dr. Nishad BN (38 minutes later)

Brief Answer:
You can dissolve it in water or honey.

Detailed Answer:
Welcome again.

Thank you for your follow up

You can dissolve vitamin c tab in water or honey if it causes irritation and bleeding.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Nishad BN (12 hours later)

Hi good afternoon doctor now I have minimal pain in throat and ear so it indiacate that infection is now going and I have taken one azythromicin last afternoon should I continue or not as still have pain comes and goes should I take 3days azythromicin course but feel pressure at back of neck if seat for long time please help

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Azithromycin better to take for at least 3 days.

Detailed Answer:
Welcome again.
Good afternoon.

Thank you for your follow up query.

It is better to take Azithromycin for at least 3 days. All the discomfort will usually disappear in 5 days time. There can be some dizziness and pressure feeling in head while taking Azithromycin but it will disappear once you stop it. So there is nothing to worry.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Nishad BN (17 minutes later)

Good afternoon sir my stomach is also upset after taking azythromicin please confirm

Answered by Dr. Nishad BN (10 minutes later)

Brief Answer:
Following measures will be helpful.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Stomach upset can come after taking Azithromycin. It is an usual side effect of antibiotics. It usually clear up once you finish the antibiotic.
Take Azithromycin 1 hour after food . You can also take ranitidine (zantac ) twice daily 1/2 hr before food till you complete the antibiotic to avoid stomach upset.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Nishad BN (3 hours later)

Thanks doctor should I take 3days or 5 days course please comfirm after टेकिंग २tablet I got गुड relief please tell me or can you suggest other tablet than antibiotic

Answered by Dr. Nishad BN (6 minutes later)

Brief Answer:
If you attain full improvement then 3days is enough.

Detailed Answer:
Welcome again.

Thank you for your follow up

If you attain full improvement then 3 days will be enough. If some discomfort is there then complete 5 day course. After that you can go on with vitamin C half tablet a day.

Let me know if anything not clear.
I am happy to help you.
Thanks

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Nishad BN (2 days later)

Hi doctor good evening i have no problem with throat but now my nose is running and I have taken 4 days acizthromycin my doctor given me nexfox 120 please ggiode

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
You can use nexofex.

Detailed Answer:
Welcome again.

Thank you for your follow up.

It is better to finish the 5 day course of azithromycin. Running nose can be due to allergy and nexofex is helpful for that. It is an antihistamine. You can take it for 5 days once daily. If your nose is blocked then you can use nasal sprays like otrivin (xylometazoline) for 5 days also. This is used one or two sprays on each nostrills twice daily for 5 days.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nishad BN (5 hours later)

Hi good morning doctor I wanted to know is my running nose started after taking the nexofex 120 ? Coz I have taken 2 does thn my running nose started can it be tht effect

Answered by Dr. Nishad BN (9 hours later)

Brief Answer:
Nexofex is an anti allergic medicine.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Nexofex is an anti allergic medicine. It gives only relief to running nose. It doesn't cause a running nose. If you don't have sneezing and excessive running nose then you can avoid taking it. If nose is blocked then you can use otrivin nasal spray as I mentioned before.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Nishad BN (21 minutes later)

I have taken 5 th tablet of azythromicin but still little bit pain which comes in ear and throat what should I do please tell me

Answered by Dr. Nishad BN (7 minutes later)

Brief Answer:
ENT examination should be carried out.

Detailed Answer:
Welcome again.

Thank you for your follow up.

If you still have ear pain then an examination by ENT specialist should be done to rule out any complications like inflammation or infection of middle ear.
Do you have nasal block?
Persisting nasal block can give block to auditory tube and gives ear pain . In such case using nasal decongestant sprays like otrivin on nostrills will be helpful to relieve it. Persisting acid reflux also gives such persisting throat and ear pain. So I would suggest taking proton pump inhibitors like Esomeprazole nexium once a day 1 hour before break fast for 1 week.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Nishad BN (28 minutes later)

Ok but ear pain is in only I left side and throat pain is not that much and I don't feel that much pain it's very mild I also quite smoking last year I don't have any problem of swallowing or anything and no heart burn even though i would have acid reflux if yes what mg should I take

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
You can take Esomeprazole (Nexium)

Detailed Answer:
Welcome again.

Thank you for your follow up.

You can take Esomeprazole (Nexium) for acid reflux. This one you can take 1 hour before breakfast daily for 1 week. This is available in strength of 20mg. Also raise your head end more with extra pillows while sleeping. Make your dinner at least 2 hours before bed also.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Nishad BN (4 days later)

Good afternoon I have started taking nexium and taking nexofex also but my tougue back side vallate papille sollowen and tounge is also white layer I have no issues with food and water intake i have taken azythromicin 8 tablet of 500 mg

Answered by Dr. Nishad BN (11 hours later)

Brief Answer:
Iron and B12 supplementation will be helpful.

Detailed Answer:
Good afternoon and Welcome again.

Thank you for your follow up.

Iron and B12 deficiency can give such symptom on tongue. You can check your haemoglobin levels and B12 levels in blood. If it is low then taking iron and B12 supplements will be helpful to clear it.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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