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History Of Strep Throat. Pain When Swallowing In Adam's Apple. Thoughts?
I have a history of strep throat; I get it about once or twice a year. I can usually tell when I am getting it because of the quality of the pain and a strange taste in my mouth. Amoxicillin usually does the trick, but occasionally I have had to step it up to Augmentin or even Levaquin . For about the past two or three days, I have had strep-like pain when swallowing , but *only* in my Adam s Apple, which is not the usual place I get the strep pain. But the quality of the pain is the same...my gut says that it is strep. Does strep ever present as pain solely in the Adam s Apple when swallowing? Also (and this may sound strange and/or be insignificant), when I push my finger straight into my Adam s Apple (i.e., perpendicular to the surface of my Adam s Apple), the applied pressure relieves the pain when I swallow. But when I release my finger, the pain is back. Thoughts? I am female, age 43, no other health problems.
Thu, 12 Sep 2013
Hello
Welcome in H.C.M.
You have asked about the pain on your Adam's apple during swallowing which may be relieved by applying pressure on Adam's apple during above act but pain again appears after releasing the pressure.
Your clinical history favors for Acute Laryngopharyngitis, this is an infection of lower part of pharynx. About role of pressure for pain release is a common way of getting releaf as in case of headache, here actually pressure impulses blocks the neuronal path of pain.
To manage it you should do-
1- Culture and sensitivity of throat swab.
2- X-Ray paranasal sinuses.
By these investigation we may identify the infection and plan for treatment. But you are getting this infection again and again this demands the thorough examination of upper respiratory tract to rule out any chronic disease like sinusitis, chronic tonsillitis etc as a potential site of infection. If any of these are there than that should be properly treated to prevent relapse.
Regards.
Welcome in H.C.M.
You have asked about the pain on your Adam's apple during swallowing which may be relieved by applying pressure on Adam's apple during above act but pain again appears after releasing the pressure.
Your clinical history favors for Acute Laryngopharyngitis, this is an infection of lower part of pharynx. About role of pressure for pain release is a common way of getting releaf as in case of headache, here actually pressure impulses blocks the neuronal path of pain.
To manage it you should do-
1- Culture and sensitivity of throat swab.
2- X-Ray paranasal sinuses.
By these investigation we may identify the infection and plan for treatment. But you are getting this infection again and again this demands the thorough examination of upper respiratory tract to rule out any chronic disease like sinusitis, chronic tonsillitis etc as a potential site of infection. If any of these are there than that should be properly treated to prevent relapse.
Regards.
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