Question: hi! I am having an episode of sore throat. I also have a higher that usual heart rate. 105b/m vs 70 b/m. I am on holiday with my family. I am ophtalmologist. We are at the sea side. The second day we ve got here my sinuses bagan to drenate (maybe because of the aerosols). when we first got here the heart rate was about 70 b/m on rest. after 3 days the sore throat started. after that the heart rate stabilized at 105b/mmaybe because of the inflamation. There are no signs on the tonsils of bacterian infection (checked that with 2 ENTs doctors). they concluded that the sinusdranage must have caused the sore throat through leakage and immune stimulation with sinus secretions. As a treatment I ve had only bucal showers with simple tap water from shower (i try to avoid specialised antiseptic solutions for the reasons bellow). I have only mild pain when swallowing. No fever, no enlarged ganglya. No problems what s so ever until today when after the meal in the afternoon I got a strong adrenergic response with 135 b/m at reast and 150mmHg(sistolic)/100mHg(diastolic) after I ate (maybe from mecanic stress on the tonsils). the interesting thing is that the throat pain totaly was gone during this episode of adrenergic release (even for swallowing). i tooked a 1.25 bisoprolol and in 20 minutes or so I was ok. The throat pain when swallowing returned. after 2 hours of heart rate ok (heart rate of 80b/m, 110 diastolic, 70mmHg sistolic). I went to the bathroom and had another bucal shower with 28 degrees water. Another adrenergic episode was trying to restart but because of the beta blocker it stopped. Questions: 1. are inflammed tonsils more reflexogenic. 2. could they have triggered the adrenergic symptoms 3. are chronic inflammed tonsils more likley to trigger adrenergic responses when in contact with various chemichals like tooth paste, oral lotions containing strong additives (mentho, alcohol, etc..?), different smels like parfumes or even parfume propulsor gases like propane (bare in mind the sudden death from sneaffing syndrome described in chronic inhalers or first time inhalers for propane gas). The reason for the third question is that it seems i have adrenergic sensitivity for alcohol, alcohol vapors, tooth paste and parfumes with about four episodes of panic attacks (hospital diagnosed)/hyperadrenergic events triggered by bucal lotion containing alcohol and mint, alocohol vapors from car wind shield cleaning liquid (methanol 45%), parfume with propane and alcohol.