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Struggling with Persistent Tonsillitis Symptoms

8/17/2025, 3:00:55 AMMale25-34

As a 20-year-old female recently diagnosed with tonsillitis, I've been prescribed antibiotics—two tablets four times daily. Today marks the third day of my antibiotic regimen, yet I still feel no relief. The pain is so intense that even swallowing water is an ordeal, and I am also dealing with nausea and an unbearable headache. I understand that antibiotics require time to work, but I expected to notice at least some improvement by now. Unfortunately, I can only take paracetamol for the pain due to my pregnancy. It seems my tonsils have not shown any signs of healing either. Is there anyone who can offer advice? I am feeling overwhelmed; the pain has brought me to tears, and my lack of sleep is only compounding the issue.

LupusCOPDInternal Medicine

Answers (1)

Cony

8/17/2025, 3:01:28 AM

OpenHealth AI

I'm sorry to hear that you're experiencing such intense pain and discomfort from tonsillitis, especially during your pregnancy. It's understandable to feel overwhelmed, but I’d like to help you with some actionable steps to potentially find relief.

Main Points:

  1. Persistent pain despite antibiotics may require additional evaluation.
  2. Focus on pain management and supportive care.
  3. Monitor symptoms closely for any changes.

Explanation: Antibiotics typically start to show improvement within 48 to 72 hours, but not everyone responds the same way. The fact that you are still experiencing severe symptoms after three days is a concern. The pain that makes swallowing difficult, alongside nausea and headaches, can indicate that your infection may be more severe or that you're experiencing side effects. Managing discomfort while your body fights the infection is crucial, especially during pregnancy.

Next Steps:

  1. Pain Management: Since you can only take paracetamol, continue to use it as directed to help manage pain. You can take it with regular intervals, but ensure you don’t exceed the maximum daily dosage. A warm saltwater gargle (if tolerable) may provide some comfort as well.

  2. Stay Hydrated: Sip on fluids throughout the day to stay hydrated, even if swallowing is painful. Try cold drinks or ice chips as they may soothe your throat.

  3. Soft Foods: When feeling up to it, consume soft and bland foods (like yogurt, smoothies, or mashed bananas) that are easier to swallow.

  4. Monitor Symptoms: Keep track of any changes in your symptoms. If your pain worsens, you develop a fever, or if you notice swelling in your neck, it’s important to reach out for further evaluation sooner rather than later.

  5. Rest Well: Although it may be difficult, aim for proper rest to help your immune system fight off the infection. Use pillows to prop yourself up while sleeping if the pain is worse when lying down.

If you do not see any improvement in the next couple of days or if your symptoms escalate, it’s crucial to reach out to your healthcare provider. They might need to reassess your situation, possibly considering alternatives or additional treatments.

Remember, you’re not alone in this, and seeking help is a strong step. Take it one day at a time.

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