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Suggest Treatment For Swollen And Painful Tonsil

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Posted on Wed, 18 Nov 2015
Question: hi i have a swollen left tonsil which is very painful, was prescribed amoxopen but they did not work, stop taking them after 3 days and no relief so i returned to the doctor who gave me ciprofloxacin, its only been my second dose but absolutely no relief at all what should i do
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
more information is needed

Detailed Answer:
Hello,

please provide the following information:
- do you have fever?
- are your neck lymph nodes swollen and painful?
- do you have cough or runny nose?
- have you taken any antibiotics recently (at least the last 3-4 months)?

I'll be waiting for you input.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (18 minutes later)
No fever
No swollen lymph nodes
No cough or runny nose
No antibiotics within the last 3 to 4 months
doctor
Answered by Dr. Panagiotis Zografakis (8 minutes later)
Brief Answer:
need ENT assessment

Detailed Answer:
Thanks for the additional info!

A swollen and painful tonsil is a strange finding. Normally a patient with an upper respiratory tract infection will have both tonsils enlarged and perhaps also the neck lymph nodes. Unilateral tonsil enlargement raises suspicion for abscess and tumors. I'm not suggesting that you do have either of them (I couldn't without examining you, at least) but an ENT assessment would be appropriate.

I don't understand the reason that your doctor changed the regimen. Amoxicillin is a broad spectrum antibiotic and should be more than enough for most cases of tonsillitis. Ciprofloxacin is a strange choice for tonsillitis. I'm sure your doctor had some reasons but I don't know them (and can't guess them). For example, did you do a throat culture?

Please note that most cases of tonsillitis get better even by themselves. The antibiotics are given to prevent complications and to lessen the duration of the disease a little bit.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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Suggest Treatment For Swollen And Painful Tonsil

Brief Answer: more information is needed Detailed Answer: Hello, please provide the following information: - do you have fever? - are your neck lymph nodes swollen and painful? - do you have cough or runny nose? - have you taken any antibiotics recently (at least the last 3-4 months)? I'll be waiting for you input.