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Suggest Treatment For Granular Pharyngitis And Enlarged Tonsils
Question: One side of my nose is always blocked since taking an antibiotic called phenoxymethylpenicillin, in addition i have a sore tongue at front with yellow coating at back with some elongated stalks there, also i have pressure in my forehead. All of these symptoms vary throughout the day but I have never experienced them before in my life. I have tried antifungals, tongue scraping, hydrogen peroxide wash all to no effect. My doctor says I have inflammed sinuses and prescribed avamys spray but i have not used yet as recently developed infected post nasal drip too. The drip has now gone but other symptoms remain. Please see pictures attached. I have changed to a basic diet of veg and chicken, no allergens. Bloods tests are all normal and no allergies from tests.
Brief Answer:
You are having granular pharyngitis and enlarged tonsils.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the pictures you have attached.
You are having chronic granular pharyngitis and enlarged tonsils.
This is mostly associated with sinusitis too.
And all these are interconnected.
These are due to bacterial infection.
You need to start higher antibiotics, anti histamine and anti inflammatory drugs.
Do antiseptic gargles 5-6 times a day. Do steam inhalation 4-5 times a day.
You might need tonsillectomy once this is over.
Please let me know
1. Have you ever consulted ENT doctor?
Please reply me answer of above asked question, so I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
You are having granular pharyngitis and enlarged tonsils.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the pictures you have attached.
You are having chronic granular pharyngitis and enlarged tonsils.
This is mostly associated with sinusitis too.
And all these are interconnected.
These are due to bacterial infection.
You need to start higher antibiotics, anti histamine and anti inflammatory drugs.
Do antiseptic gargles 5-6 times a day. Do steam inhalation 4-5 times a day.
You might need tonsillectomy once this is over.
Please let me know
1. Have you ever consulted ENT doctor?
Please reply me answer of above asked question, so I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I don't think this is related to my tonsils. I have attached a picture of my tonsils from when I had none of these symptoms and they look the same. The changes I notice are in the tongue and redness of the throat. I have tried everything you mention to no change. I would like to avoid a tonsillectomy unless it is 100% the cause of my issues. These issues did not exist until the specific antibiotic mentioned was used.
Brief Answer:
Vitamin deficiency can also cause similar symptoms.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the new image. You are right about tonsils.
Sometimes vitamin b complex deficiency can also cause similar symptoms.
So please let me know
1. Are you taking any multivitamin tablets containing folic acid, vitamin b 12, riboflavin and zinc?
2. Have you ever undergone vitamin b 12 level?
3. How many days you have taken that antibiotic?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Vitamin deficiency can also cause similar symptoms.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the new image. You are right about tonsils.
Sometimes vitamin b complex deficiency can also cause similar symptoms.
So please let me know
1. Are you taking any multivitamin tablets containing folic acid, vitamin b 12, riboflavin and zinc?
2. Have you ever undergone vitamin b 12 level?
3. How many days you have taken that antibiotic?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my blood tests all returned normal. I have tried vitamin b complex supplement but no difference. I eat whole food diet with greens anyway and chicken so should br getting nutrients.
I took the phenoxymethylpenicllin for 7 days but after one day was experiencing dryness and congestion of nose and dry mouth; by day 7 painful tongue and forehead throbbing pressure. These symptoms have reduced in severity but are still remaining and fluctuate between mild to high levels.
The reason for the antibiotic was from XXXXXXX 2015 to August 2015 I had a lot of mucus collecting in throat from post nasal drip. This mucus was infecting tonsils to cause stones so was given antibiotic to stop oral bacteria. When I took the antibiotic the post nasal drip stopped but all mucus seemed to stop. I have recently started having green yellow discharge again as seen in picture.
I took the phenoxymethylpenicllin for 7 days but after one day was experiencing dryness and congestion of nose and dry mouth; by day 7 painful tongue and forehead throbbing pressure. These symptoms have reduced in severity but are still remaining and fluctuate between mild to high levels.
The reason for the antibiotic was from XXXXXXX 2015 to August 2015 I had a lot of mucus collecting in throat from post nasal drip. This mucus was infecting tonsils to cause stones so was given antibiotic to stop oral bacteria. When I took the antibiotic the post nasal drip stopped but all mucus seemed to stop. I have recently started having green yellow discharge again as seen in picture.
Brief Answer:
Have you ever taken penicillin group of antibiotic in the past?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You have tried almost all the things.
Now, in my opinion, you might be having hypersensitivity reaction due to penicillin.
Please let me know, have you ever taken penicillin group of antibiotic in the past?
I will be happy to help you further. Wish you good health. Thanks.
Have you ever taken penicillin group of antibiotic in the past?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You have tried almost all the things.
Now, in my opinion, you might be having hypersensitivity reaction due to penicillin.
Please let me know, have you ever taken penicillin group of antibiotic in the past?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In 2007 I took amoxycillin for tonsillitus and have taken amoxycillin as a child for chest infections. I don't remember having any side effects not even dry mouth.
Brief Answer:
Have you tested for auto immune diseases?
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Possibility of penicillin hypersensitivity is also less.
Auto immune diseases can also cause similar symptoms. These diseases are rare in occurrence but they do occur.
Multi system involvement like sinuses, oral cavity, throat, lungs, kidneys, joints are commonly involve in this.
So please let me know
1. Have you ever tested for connective tissue diseases (CTD s).
2. Do you have joint pain?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Have you tested for auto immune diseases?
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Possibility of penicillin hypersensitivity is also less.
Auto immune diseases can also cause similar symptoms. These diseases are rare in occurrence but they do occur.
Multi system involvement like sinuses, oral cavity, throat, lungs, kidneys, joints are commonly involve in this.
So please let me know
1. Have you ever tested for connective tissue diseases (CTD s).
2. Do you have joint pain?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I don't have any joint pain and haven't done any CTD test. I have done a blood test for inhalantallergies, urea + eGFR, XXXXXXX for vasculitus but all came back negative or in range.
I find when I talk I get pressure in the sinuses almost like blood pressure (as if body held upside down). I checked my blood pressure and it came back in normal range 130/80.
I find when I talk I get pressure in the sinuses almost like blood pressure (as if body held upside down). I checked my blood pressure and it came back in normal range 130/80.
Brief Answer:
Have you ever undergone endoscopic evaluation of sinuses.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of CTD s is less because you are not having joint pains.
Please let me know
1. Have you ever undergone sinus endoscopy?
2. Have you ever undergone CT scan of paranasal sinuses?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Have you ever undergone endoscopic evaluation of sinuses.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of CTD s is less because you are not having joint pains.
Please let me know
1. Have you ever undergone sinus endoscopy?
2. Have you ever undergone CT scan of paranasal sinuses?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have had an endoscopy done and was told my sinuses were dry but otherwise fine. I have attached a ct scan of sinus for you. The ct shows no mucus or inflammation but turbinate hypertophy which my radiologist said was normal nasal cycle. I do find the nose to be very blocked on one side only sometimes left or right. However when looking inside nose the congestion sometimes is not due to turbinates but seems more like blood pressure from deeper within nose.
Brief Answer:
You should start avamys nasal spray.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
In my opinion, you should start avamys nasal spray. It is having fluticasone. It is used for inflammation.
You should also take antihistamine nasal spray.
Both of these will relieve your nasal blockage.
Also take combination of antihistamine and anti allergic drugs.
Take all these drugs for 1-2 months to see any improvement.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
You should start avamys nasal spray.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
In my opinion, you should start avamys nasal spray. It is having fluticasone. It is used for inflammation.
You should also take antihistamine nasal spray.
Both of these will relieve your nasal blockage.
Also take combination of antihistamine and anti allergic drugs.
Take all these drugs for 1-2 months to see any improvement.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I was prescribed avamys and I actually just got it from the pharmacy. I was hesitant to use it as i had green discharge from the nose and the spray shouldn't be used if there is an infection. also, my tongue is yellow and it says in the drug notes that the spray can cause fungal infection.
Brief Answer:
No need to worry for fungal infection.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No need to worry for fungal infection.
You should rinse your mouth thoroughly after nasal spray use. This will prevent fungal infection.
And also don't worry for active infection and flare up of infection by nasal spray.
Start nasal spray without any fear.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.
No need to worry for fungal infection.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No need to worry for fungal infection.
You should rinse your mouth thoroughly after nasal spray use. This will prevent fungal infection.
And also don't worry for active infection and flare up of infection by nasal spray.
Start nasal spray without any fear.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks! Just one last question, which Nasal Antihistamine spray do you recommend for me? I am in the UK
Brief Answer:
Azalastine and fluticasone combination is available.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Azalastine and fluticasone combination is available in almost all parts of the world.
Azalastine is antihistamine and fluticasone is steroid.
Please let me know your weight so that I can guide you the dose and frequency of use.
I will be happy to help you further. Wish you good health. Thanks.
Azalastine and fluticasone combination is available.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Azalastine and fluticasone combination is available in almost all parts of the world.
Azalastine is antihistamine and fluticasone is steroid.
Please let me know your weight so that I can guide you the dose and frequency of use.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
170 lbs
Brief Answer:
Your weight is around 77 kgs.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Your weight is around 77 kgs. So you will need combination of azalastine and fluticasone two puffs into each nostril twice daily (in the morning and at night, 10-12 hours apart).
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX. I will love to hear your progress. Wish you good health. Thanks.
Your weight is around 77 kgs.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Your weight is around 77 kgs. So you will need combination of azalastine and fluticasone two puffs into each nostril twice daily (in the morning and at night, 10-12 hours apart).
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX. I will love to hear your progress. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks very much for your help!
Brief Answer:
Please close the conversation and rate my answer.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
It's always encouraging for doctors to hear positive feedback from patients. So thanks again for kind words.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Please close the conversation and rate my answer.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
It's always encouraging for doctors to hear positive feedback from patients. So thanks again for kind words.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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