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The Doctors Lounge - Primary Care Answers

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Forum Name: Ear Nose and Throat

Question: Throat Problems


Lil Kis - Fri Jun 24, 2005 11:25 am

Ok well about 5 days ago I woke up and realized I had a really bad sore throat. It felt horrible and still hasn't gone away even today. I always have these to. I went to the doctor the last time I had one of these and put me on a medication I don't remember which I took and finally it went away. He recommend I need my tonsils removed but he said this was a maybe and only if I keep on getting them. Really do you recommend my tonsils removed? What is the purpose of tonsils anyways? I never had surgery before so I'm afraid to do this. Also I looked up information about this on the internet the other day and found articles about having too many sore throats could mean Laranyx or throat cancer? SHould I get this checked out too? WHat machines would they need to use if I wanted to get these checked out? Thanks
Dr. Safaa Mahmoud - Mon Aug 07, 2006 9:54 pm

Dear Lil Kis,

Most cases of sore throat are due to viral infection e. g. as part of flu and cold attack. Bacterial infections on the other hand represent a smaller number of cases.

Usually there are other associated symptoms and signs that can point to the possible causative agent. Viral induced sore throat usually subsides in week with rest and plenty fluid intake.

Bacterial infections (group A streptococci is the commonest) causing sore throat need to be treated with Antibiotics. Infectious Mononucleosis is a type of virus EBV induced sore throat that lead to recurrent sore throat with swollen tonsils and Lymph nodes in addition to other specific symptoms and signs.

Streptococcal pharyngitis and EBV infection are usually difficult to be differentiated.

If you suffer from recurring sore throats, it's also possible that
your toothbrush needs to be changed as it may transmit the infection for you after you have recovered from your first attack.

Experts says that a sore throat that lasts for longer than a week is often caused by allergies, or exposure to humidity, smoking, irritation from heating and cooling systems.

Repeated pharyngitis can also happen seasonally or all year long most commonly due to allergies and in this case usually the allergic individual wake up early in the morning with sore throat.

A sore throat that doesn’t improve or repeated with a short period of time should be investigated properly. By complete history and proper examination your physician can evaluate the cause of this recurrent sore throat and recommend treatment.

Recurrent pharyngitis is the most frequent indication for tonsillectomy. The goals of surgery include amelioration of symptoms, avoidance of sick days and reduction of complications such as peritonsillar abscess, streptococcal cervical adenitis and the immunologic sequel of streptococcal infections.

Follow up with your doctor is essential.
Best regards,

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