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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Glands, Difficulty In Swallowing And Sore Throat?

I am 5ft ten inches and 11stone 8 lbs. 74 years old. I have swollen glands and an excessively sore throat. I am finding it so difficult to swallow. I also have excess saliva so have to keep bringing It up and my tongue is white and burning... Can you please give me some advice as to what will help. Thank you
Wed, 3 Jun 2015
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Dentist,  's  Response
Hi Dear ,

Welcome to HCM.

Understanding your concern.

Thanks for your query . Sore throat can be caused by bacteria or virus. In your case it seems to be a bacterial infection. In sore throat tonsils in neck get swollen and cause tonsillitis . The white burning tongue can be due to fungal infection called oral thrush (due to weakened immune system) .

I would suggest you to consult ENT specialist (ear,nose,throat) for proper examination and to rule out other condition like acid reflux (because you have excessive salivation ) and lichen planus .Doctor may order blood test and throat swab test to confirm diagnosis. He/she may prescribe antibiotics (amoxicillin, cephalexin or penicillin) course for around 10 days , anti fungal drugs for oral thrush and vitamin C supplement for quick recovery.

Dotor may also prescribe antacid and H2 blocker in case of acidic reflux disease.

For now what you can do is gargling and rinsing with warm saline water ,drink plenty of fluids to keep your self hydrate and take ibuprofen(if not allergic ) or acetaminophen for pain and inflammation. Avoid spicy and heavy meals at night .



Hope your concern has been resolved.

Get Well Soon.
Best Wishes,
Dr. Harry Maheshwari
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What Causes Swollen Glands, Difficulty In Swallowing And Sore Throat?

Hi Dear , Welcome to HCM. Understanding your concern. Thanks for your query . Sore throat can be caused by bacteria or virus. In your case it seems to be a bacterial infection. In sore throat tonsils in neck get swollen and cause tonsillitis . The white burning tongue can be due to fungal infection called oral thrush (due to weakened immune system) . I would suggest you to consult ENT specialist (ear,nose,throat) for proper examination and to rule out other condition like acid reflux (because you have excessive salivation ) and lichen planus .Doctor may order blood test and throat swab test to confirm diagnosis. He/she may prescribe antibiotics (amoxicillin, cephalexin or penicillin) course for around 10 days , anti fungal drugs for oral thrush and vitamin C supplement for quick recovery. Dotor may also prescribe antacid and H2 blocker in case of acidic reflux disease. For now what you can do is gargling and rinsing with warm saline water ,drink plenty of fluids to keep your self hydrate and take ibuprofen(if not allergic ) or acetaminophen for pain and inflammation. Avoid spicy and heavy meals at night . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari