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Sore throat that won't go away, gets better and worse, moves around, other symptoms
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ErikSTJ posted:
Hello, I was hoping to get some opinions as to what might be wrong with me. I'm waiting to get the results back from some blood work and cultures but in the meantime, it can't hurt to ask. I'm a 29 year old male, no allergies, no pre-existing conditions. This may or may not be related to my current symptoms but just in case, I'll start with this. A couple months ago I developed a cough. Started with just a tickle in my lungs that would make me cough, basically dry though. Over the next couple weeks it got worse and I began to cough up nasty tasting green phlegm. It would get a little better sometimes and then the next day it would be just as bad. I also had a mild fever that would come and go. I felt run down and tired. I finally went to the doctor and she prescribed a 5 day z-pack. I started taking the antibiotics and it didn't really seem to help at first, but a couple of days after I had finished them my symptoms started improving. I kept getting better and after another week my cough was just about totally cleared up. However, right around that time I began to get a sore throat. I figured I was just unlucky and had caught a cold. The strange thing is, it never progressed into that. For a few days I had nothing but a moderate sore throat. Then I began to get a mild fever. Over the next couple days the fever started getting a little worse, kind of a headache but more just a feeling of pressure. In the mornings I would have a little bit of green phlegm from my sinuses but I never had any congestion and could breathe through my nose just fine. Very slight cough, a little bit of clear fluid. Still had the sore throat. I finally went to the doctor again and this time she gave me amoxicil/clav 500/125 mg. A couple days later I began to feel better, fever was gone, no more green phlegm, more energy, no more pressure in head. The sore throat would pretty much go away but then at night or the next day it would start to come back again. That was about a week ago. I've was feeling pretty good besides the sore throat. It just won't go away. It gets better and then it gets worse. It's mostly when I swallow that I feel it, and until recently, mostly the right tonsil that was a bit swollen and sore. I could see a couple small white dots in the crags of the tonsil. Now it's moved to the left tonsil and the right one is no longer sore, still a little swollen. The lymph nodes in my neck are a little sore to the touch but not very swollen. In the last couple days the low grade fever has returned, mostly at night, like now as I type this, and the pressure in my head feeling too. The cough is gone but if I take a deep breath and breathe out as fast as I can, it sounds wheezy, definitely not normal. I've also been feeling a bit more tired/energetic. To me the best fit seems to be mono perhaps? Here is a link to a picture I was able to take with my cell phone. http://s14.postimage.org/rwzi8byhd/Throat.jpg It's pretty high res and if you zoom in you can see pretty well. You can see one or two white spots on the right tonsil (left in the picture) But to me the back of the throat looks terrible. Really red and irritated and there are these larger lighter colored bumps. Thanks in advance for any info or advice.
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Rod Moser, PA, PhD responded:
Your sore throat is still likely to be related to your sinuses; perhaps chronic sinusitis. Random courses of antibiotics often improve, but do not completely cure this condition (as you have experienced). Your doctor may consider getting a CT scan of your sinuses if clinically indicated by examination. A combination of chronic post-nasal drainage and nighttime mouth-breathing can cause that lingering sore throat.

Of course, another cause of a sore throat can by associated with the formation of tonsilliths (tonsil stones). This may be the nature of those bumps or white spots on your tonsils. If these are, indeed, tonsilliths, there is really not much that can be done other than to dislodge them physically or gargle them away. Once your medical provider offers a hands-on opinion, he/she may be able to offer you more patient-specfic advice.

A picture, regardless of the quality, is definitely not the same as a hands-on exam, so as a rule I do not view the pictures. Going off-site has been problematic for me in the past with on-line viruses, so I tend not to access those files. Sorry.
 
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ErikSTJ replied to Rod Moser, PA, PhD's response:
Thanks for the reply. I got my lab work back yesterday and apart from high cholesterol everything is clear. No stds, blood cell counts are all normal, throat culture was normal. She did forget to do the monospot test though, so she took more blood and sent that off. Yesterday my throat felt worse than usual and there were larger bumps far back on my tongue that I could just barely see. I could feel them if I stuck a finger down my throat and the bumps made it feel as though a piece of food was stuck in my throat. Also my lungs felt a bit irritated and last night I started getting this strong feeling of pressure in my sinuses. Still no congestion but I would get these sharp shooting pains from my sinus everyone and a while. That lasted all last night and is slowly feeling better today. I was able to blow out some thick green phlegm. Throat and tongue feel better but are still sore. It just seems to me that this infection, or whatever it is, is just moving from one place to another. First in my lungs, then to my throat, then to my sinuses, but my body isn't able to ever fully eradicate it. Anyways, my doctor did recommend me to a ear nose and throat specialist and I will be making an appointment soon. I understand not wanting to go offsite, I'll post the image here, I'm just not sure if you can view it full size here. Thanks
 
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Rod Moser, PA, PhD replied to ErikSTJ's response:
Those yellow bumps are ectopic lymph tissue...just a common (and normal) sign of inflammation. In the biz, we call thess "cobblestones".
 
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zimmte replied to Rod Moser, PA, PhD's response:
Just before Thanksgiving holiday, I came down with an extremely painful sore throat and sinus infection. The doctor treated with a 10-day antibiotic, saline nose spray, and cough medicine to help me get through night without coughing.

Two weeks later I thought it was better. Then the sore throat slowly came back and coughing got worse. I had gone through all of the cough medicine because coughing just would not stop.

Back to doctor, next on Prednisone, z-pack, and albuterol inhaler. Started to feel a little better, then this past week (5 weeks into this illness, now) I started getting really sever asthma attacks. Coughing out of control!!

Back to doctor and now using a nebulator. Started feeling like I could breath again, but still cannot stop coughing.

Now sore throat is coming back!

What in the world is going on?
 
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Rod Moser, PA, PhD replied to zimmte's response:
That is what your doctor is trying to determine....There can be many things at play: recurrent viral infection, a bacterial infection, or even allergies. Sore throats can be caused by any or all of them, including a few dozen other things. I know this is frustrating for you.

As much as I would like to offer you some profound insight, it is really impossibe for me to get a clinical grasp on your case based solely on the information in your posting. I don't know you or your medical history, nor do I have the ability to examine you and/or order my own diagnostic tests.

The best thing that you can do is stick with your medical provider until the problem is solved.
 
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Haus16 replied to zimmte's response:
This sounds pretty frustrating. I wonder if there's some kind of other irritating factor, in the background, that might be underlying these serial infections. I'm not a doctor, just interested in med, but do you ever experience heartburn, or wake up with a sour/stale food taste in your mouth? Regurgitation or reflux of stomach contents can irritate the throat causing cobblestoning (basically a "swelling" of the tonsillar tissue in the back of your throat) and even make its way into your larynx (voice box) causing cough and hoarseness. Any time there's something getting into the airway that isn't supposed to be there, it can disrupt the normal processes that are in place to clear the airway of pathogens and airborne irritants, which can predispose you do infection (smoking is actually the best example of this - it disrupts what is called the "mucociliary elevator" which is constantly shuttling mucus up your airway to clear out particulate junk that gets trapped, as a result smokers have to cough to clear their mucus and are more likely to develop respiratory infections) Talk with your doctor about trying a proton-pump inhibitor drug like Prilosec (omeprazole). Hopefully, as I'm posting this several months late, you have already sorted it all out, but if not good luck!
 
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frodo2kewl replied to ErikSTJ's response:
I have almost exactly the problems you were having a year ago, and my throat looks just like this. What did the specialist tell you?
 
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youngfreezy replied to Haus16's response:
hey man my throat feels the same way and i have anxiety so i worry alot so i was wondering if you had any suggestions on what i should do about it
 
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health104 replied to youngfreezy's response:
my throat feels the same way. I was kind of allergic to cats usually just a stuffy nose and watery eyes, but one day over at a friends house i felt like i was being choked or my throat was closing up but that wasn't the case. Doctor told me it was probably just a reaction to the cat. I had a yellow bump in the back of my throat too. He said my adenoids were swollen. However its been 3 months and i still have that bump in the back of my throat and its sometimes hard to swallow. I wonder if its allergies but im not sure because when searching on the internet they said swollen adenoids cannot be seen by just looking into someones mouth. i dont know if the internet is wrong or what.
 
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jjawts replied to Rod Moser, PA, PhD's response:
really need some help. because my sore throat wont go away. its almost a month now. i have tried a lot of medicine for this sore throat to go away but it will just remove the pain after an hour or two it will come back. how could i remove or heal this sore throat its killing me with the pain that i'm feeling. i need your expert advice if could you please even email me about this qwertyjiro@gmail.com. i'm sorry if i'm being such in a hurry to get this problem solve. because i cannot take this anymore the pain wont go away. and its killing me please give me your expert advice and ill do everything.
 
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jjawts replied to ErikSTJ's response:
really need some help. because my sore throat wont go away. its almost a month now. i have tried a lot of medicine for this sore throat to go away but it will just remove the pain after an hour or two it will come back. how could i remove or heal this sore throat its killing me with the pain that i'm feeling. i need your expert advice if could you please even email me about this qwertyjiro@gmail.com. i'm sorry if i'm being such in a hurry to get this problem solve. because i cannot take this anymore the pain wont go away. and its killing me please give me your expert advice and ill do everything.
 
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jjawts responded:
really need some help. because my sore throat wont go away. its almost a month now. i have tried a lot of medicine for this sore throat to go away but it will just remove the pain after an hour or two it will come back. how could i remove or heal this sore throat its killing me with the pain that i'm feeling. i need your expert advice if could you please even email me about this qwertyjiro@gmail.com. i'm sorry if i'm being such in a hurry to get this problem solve. because i cannot take this anymore the pain wont go away. and its killing me please give me your expert advice and ill do everything.
 
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jjawts replied to Rod Moser, PA, PhD's response:
really need some help. because my sore throat wont go away. its almost a month now. i have tried a lot of medicine for this sore throat to go away but it will just remove the pain after an hour or two it will come back. how could i remove or heal this sore throat its killing me with the pain that i'm feeling. i need your expert advice if could you please even email me about this qwertyjiro@gmail.com. i'm sorry if i'm being such in a hurry to get this problem solve. because i cannot take this anymore the pain wont go away. and its killing me please give me your expert advice and ill do everything. and by the way i don't have a cough or cold. its just the pain in my throat that is killing me so please give me an expert advice.
 
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chenryrn replied to jjawts's response:
Make an appointment to go see an ENT. I would and avoid acidic foods and beverages like sodas until I see the ENT. Try chewing gum frequently to neutralize acid.


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