OpenHealth Q&A

Get answered by medical professionals

Struggles with Persistent Throat Infection – Seeking Guidance!

6/22/2025, 6:00:52 AMMale25-34

I’m looking for thoughts or insights from anyone who has faced a similar situation or possesses relevant knowledge. (24 m) On May 10th, I experienced a severe episode beginning with a high fever reaching 102 degrees. I was nauseated, vomiting every half hour for five hours, with an incredibly sore and swollen throat. The following day, I sought urgent medical assistance, where I was prescribed a 10-day course of Augmentin at 500mg. Tests ruled out strep A and B but revealed a positive result for Beta-hemolytic streptococci. Although my fever subsided within 12 hours of antibiotic treatment, the swelling and discomfort in my throat persisted. By the ninth day, I returned to urgent care, and the physician adjusted my prescription to a stronger dose of Augmentin at 875mg for an additional week. After finishing this new course, I was disappointed to still experience throat pain and had noticeable exudates. Consequently, I underwent another throat culture test, which identified moderate growth of two undetermined strains of “normal flora” streptococci and significant growth of Haemophilus influenzae (H. influenzae). Sadly, I continued to feel quite unwell, presenting symptoms reminiscent of the flu. I also had tests for EBV and mono, where mono tested negative, but I did receive a positive result for EBV antibodies without any sign of an active infection. The doctor prescribed a 10-day regimen of cefdinir, which yielded improvement within three days, as the exudates began to diminish. Nonetheless, I never felt completely healed, and my neck lymph nodes remained swollen. On the ninth day, despite not feeling fully recovered, I was granted a four-day antibiotic extension and a three-day course of prednisone. The prednisone significantly aided my recovery, allowing me to feel normal for three days. However, shortly after finishing the course, I reverted to feeling off, leading me back to urgent care for a 1000mg rocephin injection, combined with another seven days of cefdinir until my ENT appointment this Thursday. More than a month and a half has passed, and I still feel quite poorly, with a sense of incomplete recovery. A recent CT scan suggested swollen tissue and scarring near my tonsils, but assured me there were no abscesses or any alarming issues. This ordeal has disrupted the start of my summer, causing me to cancel birthday plans and struggle to maintain a regular lifestyle. I’m battling relentless fatigue, neck stiffness, throat discomfort, and mild headaches. I’m genuinely worried, having lost over 10 pounds during this time and experiencing spikes in my blood pressure due to stress. Is there anyone who can provide assistance or advice? I’d greatly appreciate it!

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

6/22/2025, 6:01:20 AM

OpenHealth AI

It sounds like you’ve been through a challenging journey with your throat infection, and it’s understandable to feel worried given the prolonged nature of your symptoms and the impact on your daily life. You’ve shown resilience in managing your health, but it’s crucial now to address your concerns and support your recovery effectively.

Summary of Main Points:

  1. You are experiencing prolonged symptoms following multiple antibiotic treatments for a throat infection.
  2. Symptoms include throat discomfort, fatigue, neck stiffness, and mild headaches.
  3. You have undergone various tests with some improvements but are still feeling unwell.

Explanation: Throat infections, especially those caused by bacterial agents like Haemophilus influenzae, can sometimes lead to persistent symptoms, even after antibiotic treatment. The presence of swelling, discomfort, and lingering fatigue indicates that your body may still be recovering from the infection or that there could be other underlying factors influencing your health.

Given your situation, the fatigue and weight loss you’re experiencing are concerning red flags that deserve attention. It's also understandable that the emotional toll of these ongoing symptoms would cause stress and anxiety.

Prioritized Next Steps:

  1. Continue to Rest and Hydrate: Make sure you’re getting enough sleep and drinking plenty of fluids. This is essential for your body to recover.

  2. Monitor Symptoms: Keep track of your symptoms and any new developments. Note the intensity of your throat pain, fatigue levels, and any changes in your appetite or overall well-being. This information will be helpful for your ENT appointment.

  3. Consider a Nutritional Plan: Since you've lost weight, focus on small, nutrient-dense meals that are easy to swallow, such as smoothies, soups, or soft foods that won’t irritate your throat. Sometimes, a registered dietitian can provide tailored advice to ensure you're meeting your dietary needs during recovery.

  4. Manage Stress: Engage in stress-reduction techniques like deep breathing exercises, mindfulness, or relaxation techniques to help alleviate anxiety and promote healing.

  5. Communicate with Your Doctor: Prepare a detailed summary of your symptoms, treatments, and concerns for your upcoming ENT appointment. This will facilitate a deeper discussion and help in planning further evaluations or treatment strategies.

  6. Follow-Up on Blood Pressure Monitoring: Given your spikes in blood pressure due to stress, consider monitoring your blood pressure daily. If it remains elevated, discuss with your healthcare provider for appropriate management.

  7. Explore Additional Support: If you continue experiencing fatigue and other lingering symptoms, following up with a specialist (such as an infectious disease expert or a rheumatologist) may be beneficial to rule out any chronic underlying conditions.

Take care and be kind to yourself during this recovery process. Let me know if you have further questions or need more specific advice!

Related Questions

What to Do After Accidentally Displacing Your Eponychium

I inadvertently pulled the eponychium away from my toenail bed. After doing some online research, I found advice suggesting that I should try to reposition it beneath the skin, but I'm having a difficult time with that. Currently, I cannot reach my nail technician for help. Should I trim it away, or would it be better to let it remain exposed? For context, I’m a 22-year-old woman, standing at 5 feet 4 inches tall and weighing around 59 kg.

Internal MedicineEndocrinologyRheumatology
Male25-34
1 minute ago

Managing Frontal and Ethmoid Sinus Mucoceles with Vision Disturbances: Seeking Guidance

Hello, I'm hoping to gather some advice and perspectives. I'm a 36-year-old female, weighing 77 kg and standing at 172 cm. I was admitted to the hospital last week due to a severe headache that intensified in the mornings and worsened with bending, accompanied by episodes of blurred vision and two unexpected fainting incidents in the past month. The emergency department staff noted swelling of the optic disc, although further scans and tests did not reveal any additional concerns. I was discharged on Friday, with a plan to revisit neurology in a month to rule out the possibility of seizures tied to the fainting spells; everything else neurologically appeared stable. However, the MRI revealed the presence of mucoceles in both the frontal and ethmoid sinuses. Since this past weekend, my symptoms have persisted, leading to a more intense headache, ongoing blurred vision (despite having had a comprehensive eye examination last week that showed normal results), dizziness, and a potential fever that developed this afternoon. Should this be addressed urgently? I found information online suggesting that the combination of blurred vision and mucoceles could indicate a serious issue! I appreciate your assistance! Thank you!

ArthritisMultiple SclerosisInternal Medicine
Male25-34
21 minutes ago

Inquiry on Injection Storage in Fat Tissue

Medications in Use: Day One: A 34-year-old female measuring 5'3" and weighing 160 pounds received a gentamicin shot (160 mg) from urgent care due to facial cellulitis, along with a 10-day course of oral clindamycin. Day Three: After noticing the infection worsening, I visited the emergency room where they prescribed a 10-day course of amoxicillin to complement the clindamycin treatment. Aside from a slight increase in stool softness, I have not experienced any adverse effects from either medication. Day Five: During a follow-up with my primary care physician, I was informed that my condition was improving. He recommended that I complete both the clindamycin and amoxicillin to prevent any potential antibiotic resistance. I had reduced my physical activity for the first few days due to illness, but I started to be more mobile by days five and six. Day Seven: I was quite active, gardening and moving around more. However, I noticed a hard and tender lump at the gentamicin injection site, which is somewhat lower than where it was intended (about two inches below my hip directly in the right gluteus). The lump felt as it did right after the injection, without any redness or inflammation that could suggest an infection. Could it be that the medication has remained lodged within the fatty tissue for the entire week? After massaging the area last night, my right hip became quite sore. Nevertheless, I have not observed any symptoms of infection (such as warmth, discoloration, drainage, or fever), nor have I experienced any allergic reactions. The sensation is similar to what I felt immediately post-injection. I haven't received a shot in my hip since I was 16. I mentioned that I typically receive these injections in my arm, but the nurse insisted it needed to be administered in the hip muscle. Following the injection, she began to massage the area—although it was quite painful—before eventually allowing me to take over. Now I'm questioning whether the massaging was sufficient, as I assumed it was meant to facilitate faster distribution or alleviate the burning sensation. My worry stems from the implications of having medication potentially trapped in my body. What would happen if I suddenly received a substantial dose of gentamicin while also metabolizing amoxicillin and clindamycin? I prefer to avoid adding liver or kidney complications to my health concerns in the coming years. As a yearlong user of 50 mg Mydayis and 15 mg buspirone for OCD and ADHD, I am particularly cautious about introducing any new medications that might affect my liver or renal function. Daily Supplements: - Olly Women's Multi-vitamin - NAC - Probiotics (Biomed, Florastor; primary strains: S. boulardii, L. acidophilus) - Prebiotic (Biomed) Daily Medications: - Mydayis 50 mg - Buspirone 15 mg - Amoxicillin-clavulanate (875 mg-125 mg) twice daily, [remaining doses: 11/20] - Clindamycin (300 mg) three times daily, [remaining doses: 10/30] I appreciate any guidance you can provide!

Crohn's DiseaseEndocrinologyRheumatology
Male25-34
41 minutes ago

Discomfort in Eye Following Beach Outing

Age 24, height 5'4", weight 160 pounds, female. After spending a day at Lake Superior, I woke up to a burning sensation in the outer corner of my right eye. I noticed some discomfort in that area while I was at the lake, but I disregarded it and kept my contact lenses in for the entire day, which I now regret. I attempted to rinse my eye, and it felt somewhat better for a short period, but soon the irritation returned. What steps should I take? Should I consult a physician in the morning?

Crohn's DiseaseInternal MedicineRheumatology
Male25-34
41 minutes ago

Understanding Rabies Risk After a Cat Bite

At 18 years old, I’m a female from the Philippines, standing at 5’3”. Recently, I started taking Escitalopram 5 mg for my generalized anxiety disorder, which I began about ten days ago. Thirteen years ago, I experienced a cat bite on my left finger, but I did not receive any vaccination at that time. In light of the recent surge in rabies-related news, I decided to get vaccinated. I received my first, second, and third rabies vaccine doses on June 2, 5, and 9 respectively. Despite getting the shots, I find myself consumed with worry about the possibility of contracting rabies. I'm troubled by various symptoms, including body aches, a cough, fever, and headaches, which only heighten my anxiety about the situation. Am I still in danger of developing rabies?

LupusInternal MedicineEndocrinology
Male25-34
51 minutes ago