
What Causes Recurring Strep Throat Despite Taking Medications?

Question: Hi,
I have had a throat infection close to a month now. It came out as strep twice, even after I took two rounds of antibiotics - 10 days each Ratio-Aclavulanate 875/125mg.Amoxizillin/Clavulanic acid . I have an ear nose and throat appointment and I really don't want a scope. Can you suggest what might be wrong? And is there another way around the scope situation? Can you ask for twilight sedation??
I have had a throat infection close to a month now. It came out as strep twice, even after I took two rounds of antibiotics - 10 days each Ratio-Aclavulanate 875/125mg.Amoxizillin/Clavulanic acid . I have an ear nose and throat appointment and I really don't want a scope. Can you suggest what might be wrong? And is there another way around the scope situation? Can you ask for twilight sedation??
Brief Answer:
Need few clarifications...
Detailed Answer:
Hi
Thanks for posting the query
If you could kindly clarify few things, I will be able to help you in a better way.
1. Do you have fever along with sore throat?
2. Is there nasal block?
3. Do you have heart burn/regurgitation of acid from the stomach into the throat?
4. After taking the antibiotic, what symptoms have improved?
5. Do have any habits of smoking/consuming chilled food and beverages/fizzy drinks?
Awaiting for your reply...
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Need few clarifications...
Detailed Answer:
Hi
Thanks for posting the query
If you could kindly clarify few things, I will be able to help you in a better way.
1. Do you have fever along with sore throat?
2. Is there nasal block?
3. Do you have heart burn/regurgitation of acid from the stomach into the throat?
4. After taking the antibiotic, what symptoms have improved?
5. Do have any habits of smoking/consuming chilled food and beverages/fizzy drinks?
Awaiting for your reply...
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Raju A.T


Hi,
1. No fever
2. No nasal block
3. No heartburn
4. After taking the antibiotic, it feels just like in my mouth, and not so much at my adam's apple area. Now, it just feels like a sore throat.
5. I do consume icecream nightly? But, I did that as more of a relief for my sore throat.
6. My tonsils do look inflamed with pus modules on one side and very red.
7. What are the chances of having a scope? Can I get around this?
1. No fever
2. No nasal block
3. No heartburn
4. After taking the antibiotic, it feels just like in my mouth, and not so much at my adam's apple area. Now, it just feels like a sore throat.
5. I do consume icecream nightly? But, I did that as more of a relief for my sore throat.
6. My tonsils do look inflamed with pus modules on one side and very red.
7. What are the chances of having a scope? Can I get around this?
Brief Answer:
You may not require endoscopy...
Detailed Answer:
Hi
Welcome back and thanks for providing the additional information.
You seem to be having acute follicular tonsillitis not responding to amoxycillin and clavulanic acid combination.
A throat swab with change of antibiotics can give you relief from the present symptoms.
Also, an endoscopy may not be required as the signs of follicular tonsillitis seems to be obvious.
My suggestions to you are:
1. Drink plenty of warm water
2. Avoid chilled food and beverages; this will worsen the congestion and thus the inflammation.
3. Avoid coffee
4. Try doing gargles with povidone iodine mouth gargles.
5. OTC pain reliever such as ibuprofen or diclofenac can be tried.
Hope I have answered your query; I'll be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
You may not require endoscopy...
Detailed Answer:
Hi
Welcome back and thanks for providing the additional information.
You seem to be having acute follicular tonsillitis not responding to amoxycillin and clavulanic acid combination.
A throat swab with change of antibiotics can give you relief from the present symptoms.
Also, an endoscopy may not be required as the signs of follicular tonsillitis seems to be obvious.
My suggestions to you are:
1. Drink plenty of warm water
2. Avoid chilled food and beverages; this will worsen the congestion and thus the inflammation.
3. Avoid coffee
4. Try doing gargles with povidone iodine mouth gargles.
5. OTC pain reliever such as ibuprofen or diclofenac can be tried.
Hope I have answered your query; I'll be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Raju A.T


Thank you!
Why would my GP be so puzzled about why the antibiotics wouldn't work? Why wouldn't he have prescribed me anything different, instead of the same course of antibiotics? What would you suggest for a different antibiotic? Is this common?
Thank you, XXXXXXX
Why would my GP be so puzzled about why the antibiotics wouldn't work? Why wouldn't he have prescribed me anything different, instead of the same course of antibiotics? What would you suggest for a different antibiotic? Is this common?
Thank you, XXXXXXX
Brief Answer:
Clarithromycin is another alternative medicine...
Detailed Answer:
Hi
Welcome back
I apologize for the delayed reply.
1. Penicillin group of drugs is the first choice for the treatment of tonsillitis. If it fails, then the second line would be Clarithromycin to treat atypical bacteria.
2. Yes, in many of the cases the amoxycillin-clavulanic acid combination may not work due to the resistance developed by the bacteria for the former drug.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Clarithromycin is another alternative medicine...
Detailed Answer:
Hi
Welcome back
I apologize for the delayed reply.
1. Penicillin group of drugs is the first choice for the treatment of tonsillitis. If it fails, then the second line would be Clarithromycin to treat atypical bacteria.
2. Yes, in many of the cases the amoxycillin-clavulanic acid combination may not work due to the resistance developed by the bacteria for the former drug.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
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. Yogesh D

Answered by

Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2545 Questions
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