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What Causes Patches On Back Of Throat Along With Difficulty Breathing And Wheezing?
Question: Good evening, i have been suffering respiractory problems for 4 months now which initially started with a difficulty breathing, wheezing and tickly cough. After 2 months the wheezing and cough disapeared and was replaced with a continious running nose, there has also been the presence of two red/brown patches on back of my throat for 2 months or so. My GP thought it was caused by GERD but a month prescription of acid tablets did not help. What has prompted me to use this service is the Apperance of a dull ache on the right hand side of throat along with ache on the right hand side of jaw/teeth. I hope i have/can upload a photo of the patches on throat for you to analyse. Many thanks XXXXXXXX
Brief Answer:
Those patches are known as Granular Pharyngitis.
Detailed Answer:
Hi,
Thank you for your query.
1. The patches on the back of the throat are known as Granular Pharyngitis. This is inflamed lymphoid tissue (tonsil like which is normally scattered all over the throat).
2. This signifies an irritation. inflammation of the throat. The most common causes include a Post Nasal Drip (PND), allergy, GERD and LPR (Laryngopharyngeal Reflux). The runny nose , tickly cough originate i the nose and sinuses. A plain sinus CT will help rule out chronic sinusitis.
3. The peculiar distribution along the sides of the throat suggests a mild PND. In allergy and sever PND, the whole of the back of the throat would have Granular Pharyngitis or the Cobblestone appearance.
4. The dull ache on one side (right) of the throat, jaw and teeth indicate spread of inflammation to the soft tissue of the neck including muscles and regional lymph nodes.
5. Since you have had a month of anti-acidity medications, check the exact medications. Add an anti-reflux medication, an anti-allergic, mucolytic, anti-inflammatory and medicated gargles. There is some congestion at the back of the throat (prominent blood vessels). Hence a course of antibiotics and a short course of steroids under antibiotic cover may solve this problem earlier. This decision can be left to the examining and treating physician. Local nasal steroids and steam inhalation are also recommended if the Sinus CT is abnormal.
If you have any more questions I will be available to answer them.
Regards.
Those patches are known as Granular Pharyngitis.
Detailed Answer:
Hi,
Thank you for your query.
1. The patches on the back of the throat are known as Granular Pharyngitis. This is inflamed lymphoid tissue (tonsil like which is normally scattered all over the throat).
2. This signifies an irritation. inflammation of the throat. The most common causes include a Post Nasal Drip (PND), allergy, GERD and LPR (Laryngopharyngeal Reflux). The runny nose , tickly cough originate i the nose and sinuses. A plain sinus CT will help rule out chronic sinusitis.
3. The peculiar distribution along the sides of the throat suggests a mild PND. In allergy and sever PND, the whole of the back of the throat would have Granular Pharyngitis or the Cobblestone appearance.
4. The dull ache on one side (right) of the throat, jaw and teeth indicate spread of inflammation to the soft tissue of the neck including muscles and regional lymph nodes.
5. Since you have had a month of anti-acidity medications, check the exact medications. Add an anti-reflux medication, an anti-allergic, mucolytic, anti-inflammatory and medicated gargles. There is some congestion at the back of the throat (prominent blood vessels). Hence a course of antibiotics and a short course of steroids under antibiotic cover may solve this problem earlier. This decision can be left to the examining and treating physician. Local nasal steroids and steam inhalation are also recommended if the Sinus CT is abnormal.
If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there a particular medication (eg brand) which I can purchase OTCfrom a local chemist. as the likelyhood i will be able to attend my GP before the new year is highy unlikely. So i would like to try something before then. Thanks.
Brief Answer:
Your approximate location?
Detailed Answer:
Hi,
Thank you for writing back.
1. Your approximate location or country will lep suggest brand names.
2. Alternately, the following generic medications are recommended.
anti-reflux medication (such as omeprazole/rabeprazole), an anti-allergic such as (cetirizine/ fexofenadine), mucolytic (such as ambroxol) and medicated gargles (Betadine). The rest are prescription medications.
If you have any more questions I will be available to answer them.
Regards.
Your approximate location?
Detailed Answer:
Hi,
Thank you for writing back.
1. Your approximate location or country will lep suggest brand names.
2. Alternately, the following generic medications are recommended.
anti-reflux medication (such as omeprazole/rabeprazole), an anti-allergic such as (cetirizine/ fexofenadine), mucolytic (such as ambroxol) and medicated gargles (Betadine). The rest are prescription medications.
If you have any more questions I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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