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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Tonsillitis

I believe I have a bacterial infection tonsillitus due to e.coli ..inflammed tonsil, it s tender, white spot on it, bad taste amd smell associated with it. Also feel great, no phlegm or sore throat, not sick. Will this clear on its own or should I take antibiotics my dr. presribed telling me it was up to me if I wanted to take it. I understand it can be bacterial or viral but I believe it is e.coli because I got a urinary tract infection the same week from sexual intercourse and I did also have oral sex.
Wed, 3 Sep 2014
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ENT Specialist,  's  Response
Hi. I dont think your tonsillitis is due to an e.coli infection??? It definitely is acute membranous or follicular tonsillitis based on the white spot that you describe.

Now based on your recent sexual history and UTI it is more likely that you have a viral infection called infectious mononucleosis alias. Kissings disease. This will subside on its own and a good gargling with (Betadine/Tantum) before and after meals for about 5 days will take care of it. Of Course, you will need to abstain from sexual activities for a week or two.

This still does not rule out a bacterial infection in which case it is most likely to be Streptococcus. An antibiotic is indicated if you have fever and throat pain. Do note that amoxicillin is contraindicated in infectious mononucleosis so if that is prescribed to you then I wouldn't take the chance.

If your antibiotic is not amoxycillin then I would suggest you take the course with oral antiseptic gargling for 5 days which will take care of any immediate infection and prevent the development of any new infection in the next few days. Would also suggest a blood workup to check your white blood cell counts.

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Suggest Remedies For Tonsillitis

Hi. I dont think your tonsillitis is due to an e.coli infection??? It definitely is acute membranous or follicular tonsillitis based on the white spot that you describe. Now based on your recent sexual history and UTI it is more likely that you have a viral infection called infectious mononucleosis alias. Kissings disease. This will subside on its own and a good gargling with (Betadine/Tantum) before and after meals for about 5 days will take care of it. Of Course, you will need to abstain from sexual activities for a week or two. This still does not rule out a bacterial infection in which case it is most likely to be Streptococcus. An antibiotic is indicated if you have fever and throat pain. Do note that amoxicillin is contraindicated in infectious mononucleosis so if that is prescribed to you then I wouldn t take the chance. If your antibiotic is not amoxycillin then I would suggest you take the course with oral antiseptic gargling for 5 days which will take care of any immediate infection and prevent the development of any new infection in the next few days. Would also suggest a blood workup to check your white blood cell counts.