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Date of last update: 9/4/2017.

Forum Name: Ear Nose and Throat

Question: chronic sore throat

Anonymous - Mon Jun 20, 2005 3:42 am

I have had a chronic sore throat for about a month now. Antibiotics (Amoxicillin) help with in a day or day and a half, and seem to clear it up after the 10 days. However, within 48 hours after finishing the Antibiotics - the sore throat is back with swollen glands. This has happened twice in a row now. Any suggestions?
Dr. Safaa Mahmoud - Wed Jun 28, 2006 11:41 pm

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 doesnt 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.
Best regards,

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