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What Causes Constant Sore Throat And Inflamed Tonsils?
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I went to another ENT specialist who had done fibre optic laryngeoscopy (FOL) which said some observations like DNS right with spur, GERD feature, chonsabullosa, sinonasal disease, vocal cord odematus gerd features etc. (please see the reports). he prescribed me some medicin like anti inflammatory, mucain and omeprazole etc. He told me my nasal duct blockage (picture attached) and advised me surgery. He even told me that since I am living in a dusty city (in Dubai) hence will have some allergic issues.
Now after six month, I am still having my sore throat. One of my previous doctor told me to CT PNS scan. it came more or less normal only showing DNS. Whenever, I wake up in the morning I have some dryness in my throat and constantly there are some mild irritation in my throat. When i give presentation or speak for long time, i feel pain in my throat. Sometimes my throat lymph nodes are swollen. I am scared of cancer although all my doctors said negative about it after physical as well as after fibric optic laryngeoscopy or endoscopy. My recent test showed negative H. pylori. My C- reactive protein is 1.2. My entire blood work is normal.
I want to know whether I have to live my rest of life like this throat irritation ? Is it curable or not? Do you consider that anything susceptible to throat cancer? Presently taking omeprazole 20 mg in breakfast and mucaine. please suggest me any advice to remove from this.....thanks in advance.
Following answers to your queries...
Detailed Answer:
Hi there,
I have gone through your medical history carefully and would give the following suggestions:
- First of all, I'd suggest to run culture of throat swabbing in order to determine the pathological flora and treat it accordingly.
- Next, another reason for your inflamed tonsils could be reflux. Therefore, I suggest to run pH study and to increase the dose of omeprazole to up to 80 mg/day.
- you are also reporting allergy history, which might precipitate your problems. Thus, I advise to take anti-histamine drug too.
In order to remove H.pylori infection, there are 2 main schemes of treatment we do usually follow:
1. Metronidazole + Amoxycillin
2. Chlarythromycin + Metronidazole
In cases of resistance, Levofloxacin is prescribed.
With regards to ordering Ct-scan from your ENT specialist, do not think the worst. Ct-scan is ordered in difficult cases where treatment is not successful, and not necessarily in malignancies. Please follow doctor's advice and discuss with him/her my options too.
Hope it was of help!
Dr.Klerida
Let me know if anything unclear!
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