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Persistent Throat Pain Weeks After Antibiotics: Is It Just Recovery or a New Infection?

7/7/2025, 2:50:31 PMMale25-34

Hello everyone, I’m a 42-year-old man who experienced what I believed to be a bacterial infection of the throat a few weeks ago, which manifested as sudden pain, fever, and green mucus. My physician prescribed a course of Cefuroxime (Cefurax) at a dosage of 500 mg to be taken for a week, and I noticed significant improvement fairly quickly. However, approximately two to three weeks after completing the antibiotic treatment, I find myself battling recurrent throat discomfort accompanied by occasional mild fever and yellow phlegm. Though the symptoms seem to subside for a while, they invariably return. I consulted with another doctor, who noted the absence of pus in my throat, attributing my symptoms to irritated throat tissue, likely a side effect of the antibiotics. She recommended I take Symbioflor 1, which contains probiotic drops. Considering this situation, is it typical to experience recurring throat irritation after antibiotic use, or is there a chance I might have contracted a new infection, whether viral or bacterial? What steps can I take to alleviate this issue? I would greatly appreciate any insights or suggestions!

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

7/7/2025, 2:50:47 PM

OpenHealth AI

It sounds like you're experiencing lingering throat discomfort after a bacterial infection and antibiotic treatment. Here’s a summary of your situation and how to approach it moving forward.

Key Points:

  1. It's not uncommon to have throat irritation and mild symptoms after antibiotic treatment, as medications can disrupt the natural balance of bacteria and irritate tissues.
  2. Recurrent symptoms could indicate either lingering irritation, a new infection, or possibly even an allergic response or irritation from irritants like smoke or pollutants.

Explanation: After a bacterial infection, even when antibiotics seem to be effective, some individuals experience lingering symptoms due to:

  • Post-infection irritation: The throat tissue can remain sensitive for weeks after an infection, leading to discomfort and a sensation of a sore throat.
  • Secondary infections: It’s also possible for a new viral or bacterial infection to develop, especially if you’re exposed to others who are ill.
  • Allergy or irritant: Allergies or exposures to smoke, dust, or other irritants can provoke similar symptoms.

Next Steps:

  1. Hydration and Humidification: Stay well-hydrated. Using a humidifier in your living space may also help soothe your throat.
  2. Warm Salt Water Gargle: Gargling with warm salt water can reduce throat irritation and inflammation. Try this 2-3 times a day.
  3. Rest Your Voice: Avoid excessive talking, whispering, or throat clearing which can further irritate the throat.
  4. Monitor Symptoms: Keep track of any patterns in your symptoms, including your activities and diet that might coincide with flare-ups.
  5. Consider Probiotics: Continue with the probiotic approach your doctor suggested, as restoring gut health can sometimes positively affect throat issues following antibiotics.

If your symptoms persist or worsen, or if you develop high fevers or difficulty swallowing/breathing, consider seeking further medical assessment to rule out any other underlying issues.

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