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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Swollen Tonsils, Pale Palate With White Patches While On Doxycycline A Cause For Concern?

I have swollen tonsils, pale palette and what appears to be some white patches and ulcers on my tonsils. I went to urgent care and got some antibiotics for the sinus infection I also have. This is my second round of Kephlex. It worked the first time and now I have Doxycycline Do you think I should still be concerned?
Wed, 6 May 2015
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General & Family Physician,  's  Response
Hello,

Welcome to Health Care Magic.

Thanks for writing.

I am Dr.Saddiq ul Abidin. I have read your question completely, I understand your concern and will try to help you in best way possible.

First of all, It would have been more appropriate, if we had known your age, the frequency of tonsillitis attacks per year and in the preceding years, as more than 3 attacks in one year is one of the indications for the surgical removal of the tonsils, as recurrent tonsillitis is associated with a number of complications as presence of an infection source, at the base of the skull, housing your brain, is not advisable, though, it is one of the rare complications but one needs to be aware of all complications and treatment options.

Now that you have carefully explained the appearance of tonsils, it appears as if you have pus discharge or a coating of debris over tonsils, with ulcerations indicating quite a pronounced degree of infection.

Since you have been started recently on doxycycline, Iwould suggest to wait for its action, and don't switch antibiotic so promptly, because it may lead to a subsequent resistance for a future use. However, having said that, if i were your physician i would have preferred amoxycillin with a clavulanic acid combination available in the form of augmentin, but after ordering the blood and the pus or the plaque over your tonsils been sent for the cultures and sensitivity spectrum.

It would be more comforting to use a good anti inflammatory drug if contraindication towards use of an NSAID drug isn't there. That will help towards a quicker response and symptomatic relief. Also a use of anti histamine would be comforting addition. I would suggest you to do gargles whether with a saline water or with a mouth wash.

Once your infection settles, get a detailed ENT review and discus for the surgical options also.

I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate before closing the discussion

Regrads.

Dr.Saddiq ul Abidin
M.B.B.S(Licensed Family Physician)
Resident Medicine.
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Are Swollen Tonsils, Pale Palate With White Patches While On Doxycycline A Cause For Concern?

Hello, Welcome to Health Care Magic. Thanks for writing. I am Dr.Saddiq ul Abidin. I have read your question completely, I understand your concern and will try to help you in best way possible. First of all, It would have been more appropriate, if we had known your age, the frequency of tonsillitis attacks per year and in the preceding years, as more than 3 attacks in one year is one of the indications for the surgical removal of the tonsils, as recurrent tonsillitis is associated with a number of complications as presence of an infection source, at the base of the skull, housing your brain, is not advisable, though, it is one of the rare complications but one needs to be aware of all complications and treatment options. Now that you have carefully explained the appearance of tonsils, it appears as if you have pus discharge or a coating of debris over tonsils, with ulcerations indicating quite a pronounced degree of infection. Since you have been started recently on doxycycline, Iwould suggest to wait for its action, and don t switch antibiotic so promptly, because it may lead to a subsequent resistance for a future use. However, having said that, if i were your physician i would have preferred amoxycillin with a clavulanic acid combination available in the form of augmentin, but after ordering the blood and the pus or the plaque over your tonsils been sent for the cultures and sensitivity spectrum. It would be more comforting to use a good anti inflammatory drug if contraindication towards use of an NSAID drug isn t there. That will help towards a quicker response and symptomatic relief. Also a use of anti histamine would be comforting addition. I would suggest you to do gargles whether with a saline water or with a mouth wash. Once your infection settles, get a detailed ENT review and discus for the surgical options also. I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate before closing the discussion Regrads. Dr.Saddiq ul Abidin M.B.B.S(Licensed Family Physician) Resident Medicine.