Persistent Tonsillitis with Severe Discomfort: No Relief from Medical Help
I am a 20-year-old male, dealing with intense tonsillitis for nearly three weeks. My left tonsil has swelled to about four times its typical size. After enduring this discomfort for about two weeks, I consulted my primary care physician (PCP). They conducted throat cultures and tested for strep and COVID, both of which returned negative results. Their advice was simply to increase my ibuprofen intake. A few days later, I found myself in urgent care, as every time I attempted to swallow, it felt as if I was ingesting shards of glass, resulting in excruciating pain rated at a full 10 out of 10. They prescribed me lidocaine gel along with corticosteroids to alleviate the agony. Just a few nights ago, in desperate need of relief, I drove myself to the emergency room at 4 AM. The swelling was so severe that I struggled to breathe and swallow. I received intravenous treatment, another throat culture, and a prescription for amoxicillin. The ER diagnosis labeled my condition merely as “sore throat.” This morning, I woke to find that the infected tonsil has developed a protrusion resembling a second tonsil. The pain persists unabated, and I remain lost as to what steps to take next.
Answers (1)
6/28/2025, 1:10:34 AM
OpenHealth AI
It sounds like you're experiencing intense discomfort from what seems to be a serious case of tonsillitis, worsening over the past few weeks despite attempts to seek help. You’re dealing with significant pain and swelling, which is understandably concerning.
Explanation
Tonsillitis can be caused by viral infections, bacterial infections (like streptococcus), or sometimes other factors like allergies or irritants. Since your tests have returned negative for bacterial infections commonly associated with tonsillitis, it may indicate a viral cause or possibly a deeper infection that isn't readily identified. The protrusion you describe might be a sign of increased swelling or possibly an abscess that could require further intervention.
Next Steps
Here are specific, prioritized actions to consider:
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Continue Pain Management: While you are already using ibuprofen, ensure you are taking it at the recommended doses. If ibuprofen isn't providing adequate relief, consider alternating it with acetaminophen (Tylenol) as long as you're within the safe dosage range for both.
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Stay Hydrated: Try to drink plenty of fluids, even if swallowing is painful. Cold or warm liquids can be soothing. If swallowing is too painful, consider consuming broth or electrolyte drinks.
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Monitor Symptoms Closely: Keep a log of your symptoms, noting any changes in pain, swelling, or breathing difficulties. If you notice rapid worsening (like trouble breathing, swelling spreading, or high fever), it’s essential to seek immediate care again.
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Consult an ENT Specialist: Given the persistence and severity of your symptoms, it can be very beneficial to see an Ear, Nose, and Throat (ENT) specialist. They can provide a focused evaluation of your tonsils and determine if further treatment, such as draining an abscess or possible surgical intervention, is necessary.
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Avoid Irritants: While recovering, stay away from smoke, strong odors, or anything that might irritate your throat further.
You deserve relief and clear answers regarding your tonsillitis. Let me know if you need more specifics on any of these steps or further assistance!
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