Hello. Thank you for posting your query at DoctorSpring.com
I understand your concern.
Throat pain in acute cases like these can be attributed to acute pharyngitis. It sometimes also involves the tonsils, hence the pain becomes severe. Did you take any medicine for the same? Did you have fever at any point? Since it was associated with body pain, it points towards a bacterial infection and hence you need treatment for the same. Kindly start the following medicines and you can expect recovery in 2-3 days time :
1) Tab. Amoxycillin-Clavulanic Acid 650 mg two tablets daily 1-0-1 for 5 days.
2) Tab. Tylenol, one tablet SOS, if you develop fever/ myalgia.
Apart from these, i want you to do saline water gargling at least 2-3 times a day. This is probably the best method for recovery from throat infection and pain in the acute stages.
It is possible that the bump you're feeling, can be an enlarged lymph node, which is possible in infective conditions and will be alright once you take the medicines.
If it is not settling in 2 days time, it is better to get yourself examined by a local ENT specialist.
Regards.
Patient replied :
Hi again,
Thank you so much for answering my answer last week. I ended up going to the clinic that next morning and was uncorrectly diagnosed with strep throat. That doctor prescribed to me some antibiotics which did not work at all and I ended up going to the E.R. that evening. They then told me I had tonsilitis and gave me antibiotics and a steriod shot for it. After a little over 24 hours of not going away, I ended up back at the E.R. with extreme throat-tonsil pain. After getting a CAT scan, I was diagnosed with a peritonsillar abscess. They had to inject it out and then I felt a whole lot better. I am on antibiotics for 10 days and have been feeling great. I was supposed to go back for a check up to the clinic but my insurance didnt cover it so I haven't. Do you know if there is anything I should be watching for or anything I should be worried about in particular so that I don't get the infection again?
Thank,
Cristina
Hello.
Thank you for the follow up.
Since you have been feeling great and they initiated appropriate antibiotics at the right time, there is nothing to worry about. Once it resolves, it has a recurrence rate of only 10 % in patients who also have a concurrent chronic tonsillitis, and who are immunocompromised, since there is a source of infection in the throat all the time.
So in your case, there is nothing to worry about.
Feel free to discuss further,
Regards.
Hello.
Wish you a speedy recovery!
Regards.
Patient replied :
HI Dr Deepu Sebin Sebastia,
I had been feeling fine in regards to my throat since I got the abscess removed. Unfortunately, this morning I woke up with a pain in my throat located on the same side where my abscess was last month and I am slowly developing sick symptoms. I feel as if the infection is coming back even though I took the necessary precautions last time. I took a look at the back of my throat and I see a small ball developing where my abscess was, as well as feeling some swelling on my throat. I was supposed to take my tonsils out after they removed my abscess but with lack of money, I have been unable to do so.
Is there anything that can be done for this infection or should I seek medical attention?
Thanks,
Cristina
Hello.
Thank you for the follow up.
I will advise you get yourself evaluated by the doctor who drained your abscess. Even though the chances of recurrent abscess is low, it can't be ruled out completely. Especially for people who get chronic tonsillitis and throat infections, most doctors prefer simultaneous tonsillectomy along with the drainage of abscess. So you may need to discuss the possibility of getting your tonsils removed if it keeps happening like that. Since you just finished a course of antibiotics it won't be prudent to start you on a new regimen without finding out the exact cause of infection. So kindly get yourself evaluated.
Regards.