ideas re. recurrent

[indytravl]

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I'd like to get some suggestions for the following case...

30year old gets recurrent sore throat with resp infections. this is quite symptomatic for the pt with faily enlarged adenoids & odynophagia. most recently has had a viral uri & consequent painful throat/swallow for a couple weeks. culture has been negative times two episodes. no relief with cepacol lozenges.

any recommendations for acute symptom relief as well as for long-term management of this recurrent complaint?

thanks, [email protected]

 

[srabiei]

The Sore throat is one of most common symptom for ENT.

Note:

Sore throat is a symptom of many medical disorders. Infections cause the majority of sore throats and are contagious. Infections are caused either by viruses such as the flu, the common cold, mononucleosis, or by bacteria such as strep, mycoplasma, or hemophilus.


The same pollens and molds that irritate the nose when they are inhaled also may irritate the throat. Cat and dog danders and house dust are common causes of sore throats for people with allergies to them.
During the cold winter months, dry heat may create a recurring, mild sore throat with a parched feeling, especially in the mornings. This often responds to humidification of bedroom air and increased liquid intake. Patients with a chronic stuffy nose, causing mouth breathing, also suffer with a dry throat. They need examination and treatment of the nose.
Pollutants and chemicals in the air can irritate the nose and throat, but the most common air pollutant is tobacco smoke. Other irritants include smokeless tobacco, alcoholic beverages, and spicy foods.

A person who strains his or her voice (yelling at a sports event, for example) gets a sore throat not only from muscle strain but also from the rough treatment of his or her throat membranes.

Reflux: An occasional cause of morning sore throat is regurgitation of stomach acids up into the back of the throat. To avoid reflux, tilt your bed frame so that the head is elevated four- to six-inches higher than the foot of the bed. You might find antacids helpful. You should also avoid eating within three hours of bedtime, and eliminate caffeine and alcohol.

I think: The main problem is Chronic Tonsillitis
Use
1-Tab Cetrizine 10 mg/day
2- Mouth wash
3- low potential corticosteroid such as Hydrocortisone 100mg

Avoid irritant

Hope be helpful

[email protected]