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Date of last update: 9/4/2017.

Forum Name: Ear Nose and Throat

Question: chronic mild sore throat, dull ear pain

millet411 - Wed Jul 06, 2005 8:26 pm

About 7 weeks ago I began with a moderate Fever (101) and severe back and Neck pain. The following day the pain and Fever were gone but I had a severe sore throat. I lost my voice completly for 11 days. About three days after loosing my voice, I visited the local primary care doctor who gave me antiobiotics. My inability to speak got worse - my lower throat felt swollen and I had trouble swallowing. About 3 days after starting antiobiotics, my voice began to come back. After about 3. 5 weeks, my voice was normal again. The sore throat was no longer severe but very mild.

Since then, I have had a chronic mild sore throat that is worse in the mornings. I re-visited the doctor who mentioned that perhaps I have a post nasal drip at night, for which he gave me another week's worth of medicine. The medicine has not helped at all. I have been done with the medicine for 2 weeks now. My ears feel clogged and I have dull pain behind my ears. I have also had slight Nausea lately.

I don't have any white abcesses or swollen glands that I have noticed. I no longer have Fever. Do I need to visit a doctor again? What could this be?
Dr. Safaa Mahmoud - Fri Jun 30, 2006 7:13 pm

Dear millet411,
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.
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. In some cases it is believed to be due to a postnasal discharge. 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.

You better try to avoid exposing yourself to any precipitating factor like cold drinks, smoking etc.

A sore throat that does not 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. Keep on follow up with your doctor.

Best regards,

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