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What Causes Hoarse Voice And Painful Throat Despite Being On Clarithromycin For Sinus Infection?

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Posted on Mon, 29 Jun 2015
Question: I am being treated for a sinus infection with clarithromycin (250 mg. to begin with, upped to 500 mg 2 times per day). Now, I have swelling of my soft palate, very hoarse voice, no sore throat, really, but my mouth and throat feel like sunburn. Any ideas?
doctor
Answered by Dr. Sumit Bhatti (5 hours later)
Brief Answer:
Its time to change the medications.

Detailed Answer:
Hi,

Thank you for your query.

1. There are a few possibilities to for your healthcare providers to consider here.

2. A viral infection would not respond to antibiotics. The dose of Clarithromycin was definitely less and it is good that it has been corrected.

3. The dry mouth and throat (burned feel) may be due to side effects of clarithromycin and the anti histamines that you are taking or from mouth breathing due to sinusitis and nasal obstruction.

4. The swelling on the palate may be due to sinusitis. Get an X=ray or better still a plain Sinus CT Scan.

5. The hoarse voice is usually laryngitis suggesting a post nasal drip of mucus.

6. Get a throat swab done and since it has been 2 weeks, request for a change of medications to differentiate side effects from the disease process. Add a medicated oral rinse and get the imaging done.

7. Upload these test results for further treatment options.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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What Causes Hoarse Voice And Painful Throat Despite Being On Clarithromycin For Sinus Infection?

Brief Answer: Its time to change the medications. Detailed Answer: Hi, Thank you for your query. 1. There are a few possibilities to for your healthcare providers to consider here. 2. A viral infection would not respond to antibiotics. The dose of Clarithromycin was definitely less and it is good that it has been corrected. 3. The dry mouth and throat (burned feel) may be due to side effects of clarithromycin and the anti histamines that you are taking or from mouth breathing due to sinusitis and nasal obstruction. 4. The swelling on the palate may be due to sinusitis. Get an X=ray or better still a plain Sinus CT Scan. 5. The hoarse voice is usually laryngitis suggesting a post nasal drip of mucus. 6. Get a throat swab done and since it has been 2 weeks, request for a change of medications to differentiate side effects from the disease process. Add a medicated oral rinse and get the imaging done. 7. Upload these test results for further treatment options. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.