Severe Throat Discomfort: Doctor's Assistance Seems Ineffective and Symptoms Are Worsening (M22)
Approximately four days ago, I awoke with intense throat discomfort, particularly when attempting to swallow. Unfortunately, the situation did not improve the next day, prompting me to reach out to my doctor. During my appointment, she conducted a strep test which returned negative, then sent another sample to the lab for further analysis to ensure accuracy. Today, I followed up and learned that this additional test also indicated no strep infection. However, my condition has deteriorated; swelling and pain in my neck have increased. I've speculated that I may have tonsil stones based on my symptoms, which include a sore throat, trouble swallowing, ear pain, and visible white patches in my throat. The doctor suggested it might be either a viral or a bacterial infection, explaining that healing could take two to three weeks, and advised taking Tylenol or Advil for relief. As a result of this ailment, I have already lost 2-3 days of work. As a manual laborer working outdoors in high temperatures, maintaining proper hydration and nutrition during my 10-hour shifts has become increasingly challenging. I find myself uncertain about how to proceed. To alleviate the potential tonsil stones, I concocted a mixture of lemon juice, pink salt, apple cider vinegar, and water, but so far, it hasn’t provided any relief. I plan to share an image of my throat in the comments, though I must warn that it may be unsettling. If anyone has insights or suggestions, I would greatly welcome your input. Currently, I am not on any other medication apart from Entyvio, I do not smoke, and I consume alcohol occasionally.
Answers (1)
7/30/2025, 7:10:50 PM
OpenHealth AI
It's understandable that you're feeling frustrated with your throat discomfort, especially as it impacts your ability to work. The symptoms you're describing, including the severe pain when swallowing, swelling in your neck, and possible tonsil stones, indicate that your throat condition may need a bit more attention.
Key Points:
- You have persistent throat pain, trouble swallowing, and visible white patches, which could suggest an underlying issue that isn't necessarily strep throat.
- Your doctor's recommendation to manage pain with over-the-counter medications like Tylenol or Advil is a good starting point, but additional steps may help improve your symptoms.
Explanation:
Given that the strep tests have come back negative and the situation seems to be worsening, it’s important to consider other possible causes for your throat discomfort, such as viral infections, tonsillitis, or even allergies. The white patches in your throat could potentially be related to tonsil stones or another type of infection.
Next Steps:
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Continue Pain Management: Use Tylenol or Advil as needed to help manage your pain. Make sure to stay hydrated; fluid intake is crucial to helping your throat heal and to maintain your energy during work.
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Gargling for Relief: Instead of the mixture you’ve tried, consider gargling with warm salt water (1/2 teaspoon of salt in 8 ounces of water) several times a day. This can help reduce swelling and discomfort.
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Stay Hydrated and Nourished: Focus on soft foods and fluids that are easy to swallow. Soups, smoothies, and popsicles can be soothing while ensuring you are getting nutrients.
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Rest Your Voice: Try to speak less to avoid further irritation of your throat.
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Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, difficulty breathing, or fever, seek medical care immediately.
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Follow Up with Your Doctor: Given the persistence and worsening of your symptoms, consider contacting your doctor again. Share your current symptoms and any changes. They may recommend further evaluation, like a throat culture, examination for tonsillitis, or a referral to an ear, nose, and throat (ENT) specialist if needed.
It's understandable to be concerned, especially when your daily life is impacted. Hopefully, these steps will provide some relief. You’re not alone in this, and taking proactive measures can lead to better management of your discomfort. Remember to be gentle with yourself during the recovery process.
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