Seeking Help for Long-Term Tonsillitis: Finding the Right Path
Hello everyone! I’m a 22-year-old female, and I’ve been dealing with diagnosed tonsillitis since I was nine. Throughout these years, I haven’t received any medications, and here’s a brief rundown of my experiences: At the age of nine, I was diagnosed after coughing up tonsil stones. The physician warned me that treatment could be excruciating and advised my mother that it was best to leave it untreated unless it worsened. So, I was sent home with instructions to gargle warm saltwater every night. During my teenage years, starting at 13, I made several trips to various clinics but stopped seeking help at 18 due to financial constraints. Through a total of eight visits, mostly with different doctors, I consistently heard that the recovery would be too painful, and my only realistic method was to continue the saltwater gargling until the situation improved. After my first two visits when I was 13 and 14, I was told to return in a couple of weeks to evaluate if surgery might be necessary. Each follow-up concluded with the same advice—to wait and see, citing the significant discomfort associated with recovery as the reason not to proceed with treatment. Since I turned 17, I haven't seen a doctor because of the high out-of-pocket costs. I managed to cope with my nightly saltwater routine and occasional coughing up of stones until a few months ago when my condition deteriorated alarmingly. It started with larger stones and a severe sore throat that led to my tonsils swelling to the point where it felt like I was breathing through a straw. Eventually, the tonsils began to bleed whenever a stone was expelled, and they have swollen so drastically that now, when I eat, food gets stuck and is pushed up into my nasal cavity. I’ve also been experiencing sinus infection symptoms, such as bloody mucus containing food remnants, and there are days when I struggle to eat at all, resulting in a weight loss of about 10 pounds. I’m truly desperate for a solution but feel lost regarding whom to approach for help. I fear that I may be advised to simply wait it out once more, which is disheartening given my financial situation and ongoing pain. Can anyone advise me on what type of doctor would be the most appropriate for treating this issue? Additionally, how can I convey all my concerns effectively to ensure they are taken seriously?
Answers (1)

9/7/2025, 11:30:51 PM
OpenHealth AI
It sounds like you are experiencing significant distress and challenges with your chronic tonsillitis, which has worsened over time. The combination of pain, difficulty swallowing, and complications from tonsil stones certainly requires attention, and it's understandable that you're seeking clarity on how to proceed.
Summary of Main Points:
- You need to see an Ear, Nose, and Throat (ENT) specialist (otolaryngologist) who can evaluate your situation effectively.
- It’s crucial to communicate your symptoms clearly to ensure your concerns are addressed promptly during your visit.
Explanation:
Tonsillitis, especially when recurrent or chronic, can lead to severe complications if left untreated. The increase in the size of your tonsils, the bleeding, and food getting stuck are signs that you may need more than conservative management like saltwater gargles. An ENT specialist is trained to manage conditions related to the tonsils and may discuss options like medication or, if deemed necessary, surgical removal (tonsillectomy).
Next Steps:
-
Find an ENT Specialist: Look for an ENT who accepts your health insurance plan, as many specialists understand financial constraints and might offer payment plans or sliding scale fees. You can search online or ask for recommendations from pharmacies or health centers.
-
Prepare for the Appointment: Write down all your symptoms, including:
- When each symptom started
- Frequency and severity of sore throats and tonsil stones
- Any changes in your ability to eat or breathe
- Your weight loss and any occurrences of blood in your mucus.
-
Express Your Concerns Clearly: During your appointment, express:
- Your long history with tonsillitis
- The recent increase in severity
- Your struggles with eating and weight loss
- Your concerns about possible solutions and the need for an actionable treatment plan.
-
Explore Financial Options: Ask about financial assistance programs either at the clinic or through local health resources. Many hospitals have programs to help with care costs.
Being well-prepared will increase the chances of your concerns being taken seriously, and it will help you find an effective path forward for relief from your symptoms. Please let me know if you need more guidance!
Related Questions
Understanding My Symptoms: Seeking Clarity on Possible Diagnoses
Hello, everyone, I appreciate you taking the time to read and provide your insights. While I recognize that this is not a substitute for professional medical advice, I would be grateful for any informed opinions, guidance, or general knowledge you can share. Here's a bit about my situation: I’m a 44-year-old female experiencing a range of perplexing symptoms, which seem to appear randomly. Some of these include: - Instances of memory loss where I forget recent actions or lose track of what I was doing. - My ability to concentrate fluctuates significantly; I can be overly focused at times, while at other moments my thoughts drift, often without my awareness until I realize I’ve missed crucial information. - I struggle to retain information, leading to misunderstandings in my everyday interactions; I’ve been accused of failing to follow through on plans, even though I believed I was in agreement with the other person—this has left me feeling disoriented and confused about reality. - Occasionally, my hearing feels impaired. - My vision sometimes deteriorates suddenly, presenting as blurriness or a grayish shadow, along with occasional issues with depth perception. - I've noticed a certain clumsiness and a rigid walking style, accompanied by stiffness, particularly after waking up, but it can also occur sporadically throughout the day. - Sensory misperceptions have occurred, wherein I confuse hot and cold sensations. - I experience numbness and tingling in my limbs sometimes. - Pressure that should be soothing, such as a gentle massage on my thighs or lower back, can result in severe discomfort or feels bruised. - I suffer from headaches, which can be intense at times. - For several years, I’ve dealt with nausea that arises if I move too quickly upon waking, often resulting in dry heaving. Initially, I thought it was related to blood sugar, but it resembles symptoms of motion sickness. - Recently, I’ve experienced a few troubling episodes of choking on my saliva, seemingly without warning. - My most recent medical assessment indicated abnormal reflexes. - I often feel nerve-like shocks in my left pinky toe that can radiate up to my ankle, as well as similar sensations in my right thumb. - Occasionally, I hear ocean-like noises in my ears, which can come with ringing or a sudden pressure that temporarily obstructs sound in one ear. After discussing my symptoms, I requested a Nerve Conduction Test, but my provider opted for an MRI with and without contrast. The results indicated: **IMPRESSION:** 1. No acute cerebral infarct, hemorrhage, or mass effect. 2. Scattered mild foci exhibiting T2 hyperintensity in white matter suggestive of chronic microvascular ischemic disease, though this is more pronounced than expected for my age. There is less likelihood of a demyelinating condition based on these results. Further evaluation for vascular conditions, such as systemic lupus erythematosus (SLE), is recommended. **EXAMINATION:** MRI imaging of the brain was performed with and without the contrast agent gadobutrol. Circumstantial history includes abnormal reflexes and sudden vision impairment, raising concerns for a demyelinating condition or an intracranial mass. **FINDINGS:** No diffusion restrictions indicative of an acute infarct were found, though there are signs of microvascular ischemic changes in the white matter. No other concerning abnormalities were observed in the ventricles, sulci, or other structures. Additionally, my lab tests returned “normal” results, indicating no signs of SLE, autoimmunity, or inflammation. My prevailing diagnosis is Small Vessel Disease, and I have been referred to a specialist neurologist due to significant MRI findings and my current symptoms. Notably, my blood pressure, cholesterol levels, and blood sugar are all within healthy ranges. I'm seeking your input on whether these symptoms might point to anything beyond what I've been diagnosed with. Do you have suggestions for questions I should pose to my neurologist? Am I unreasonable in considering a spinal MRI to rule out multiple sclerosis, despite indications from the radiologist and my provider suggesting it’s less likely? In the context of my diagnosis, how would you classify the severity of these symptoms—are they mild, moderate, or severe, and are they typical based on what I’ve described? Thank you for your valuable feedback; it means a lot to me.
Auditory Hallucinations: Investigating the Role of Prednisone or Mental Health Issues
Summary: A 65-year-old female patient, with a medical history of lupus and rheumatoid arthritis, has been treated with prednisone (initially at 60 mg, then reduced to 40 mg) for temporal arteritis. Recently, she has been experiencing auditory hallucinations and increasing paranoia for a duration of two months, with a significant escalation over the last three. She has documented instances of hiding with weapons during the night, hearing voices commanding her to assume various positions until morning, and imagining a protective figure named “Kennedy.” She continues to fear arrest while hospitalized. An MRI of her brain appears mostly normal; however, psychiatric evaluation noted possible contributing factors, while her rheumatologist attributes the symptoms to prednisone. Currently, she is being treated with risperidone (dosage increased), showing slight improvement yet still encountering hallucinations, with potential discharge forthcoming. --- My mother, aged 65, has been diagnosed with lupus and rheumatoid arthritis. She was prescribed a high dosage of prednisone, starting at 60 mg for her temporal arteritis, and has since been reduced to 40 mg. Approximately two months ago, she began expressing that she hears voices, marking the first time she has discussed this phenomenon. Over the last three months, her condition has deteriorated, manifesting alarming symptoms including paranoia, emotional flatness, substantial weight loss of over 30 pounds, and notable behavioral shifts. She has been maintaining a journal, and some of her entries are deeply concerning. In various entries, she recounts incidents of concealing herself with a hammer and knives out of fear. She writes of hearing voices urging her to be cautious of supposed cultists outside her door, commanding her to “get down NOW” and to reposition herself continuously until morning arrives. She also claims to perceive persistent sounds outside her room. Additionally, her journal includes mentions of an individual named “Kennedy,” who she conceptualizes as a protector. Her handwriting displays significant variations throughout her writings. Even while admitted to the hospital, she retains the belief that she is on the brink of being arrested. Upon her admission to the hospital initiated through a court order related to mental health, the focus was on her medical status rather than psychiatric issues. The neurologist reviewed her MRI and deemed it largely normal. In contrast, a psychiatrist assessed the MRI, indicated possible "factors at play," and suggested that psychiatric elements might also be in effect. Both specialists have proposed that reducing her prednisone might alleviate, if not fully eliminate, the hallucinations in the upcoming weeks, while her rheumatologist attributes the symptoms to the steroid treatment. While hospitalized, she has begun a regimen of risperidone, with adjustments to the dosage already made. She reports feeling a bit better, though she is still experiencing daily auditory hallucinations and is on high alert. Nonetheless, physicians mentioned the possibility of her discharge as soon as Monday or Tuesday. We conveyed to the medical team that these issues aren’t entirely new; she has had a history of being somewhat “different,” but the severity of her symptoms has intensified in the past three months. It's important to note that these symptoms began before prednisone treatment, albeit the degree of severity is new. Inquiries: - What is the typical time frame for improvement in symptoms if they are indeed related to steroid use following a tapering process? - Is it common practice to consider discharging a patient who is still presenting with hallucinations, paranoia, and has documented engaging in unsafe behaviors such as arming herself at night? - Is risperidone a standard choice for addressing hallucinations attributed to prednisone, or could there be an underlying psychiatric rationale for its use in this case?
Seeking Clarity on Recurring Confusion Episodes
(M19) For the past week, I have been experiencing a troubling pattern of confusion. These episodes have been quite frequent, even occurring just yesterday and today. During these moments, I find my thoughts drifting away while I'm attempting to focus on simple tasks. For instance, while preparing ramen, I intended to fetch water but instead opened the fridge. It dawned on me afterward that this wasn’t my actual plan, leaving me puzzled about why I had done that. On another occasion, I nearly opened the fridge again to grab ingredients that would be necessary much later in the cooking process. While working on my homework, I faced another lapse: I meant to copy and paste some text but ended up taking a screenshot instead, which was unnecessary and not what I intended. Today, I had a fleeting thought that my parents had gone out to eat at Chipotle when, in reality, they were just having a meal at Golden Corral; my dad had actually gone to the gym. I should also mention that I struggle with generalized anxiety disorder (GAD). This week has been particularly overwhelming for me; sometimes I attempt to open Reddit but instead find myself searching for Discord. It’s hard to tell whether my anxiety is exacerbating these episodes of confusion or if there is an underlying mental health issue or a potential physical ailment affecting my brain. I am unsure whether I should seek medical advice regarding these troubling experiences.
Managing Bipolar II with Mixed Features and Co-occurring Alcohol Use Disorder
Greetings to all. I'm a 44-year-old male, standing at 6 feet 1 inch and weighing 240 pounds. I am seeking advice on effective first-line treatment options for someone diagnosed with Bipolar II, particularly when mixed features are involved, alongside a history of significant Alcohol Use Disorder. Although I have successfully maintained control over my alcoholism for the past two years, I feel that I may have already sustained considerable harm. Currently, I am experiencing Post-Acute Withdrawal Syndrome (PAWS). I would like to know if there are any medication regimens that could assist in re-establishing neurochemical balance and stability for someone with a background of severe alcohol dependency and mixed Bipolar II disorder. At present, my treatment consists of a combination of Seroquel and Ativan, which has brought me the closest to achieving consistent stability. However, I suspect my psychiatrist may not fully recognize the extent of the damage inflicted during my periods of heavy drinking.
Persistent Discharge from Bellybutton
Greetings. I am reaching out regarding my brother's health issues. He is a 36-year-old male weighing 330 pounds. Approximately three weeks ago, he began experiencing a discharge from his bellybutton. This fluid appeared to be a mixture of blood and other substances, which was indicative of an infection. After visiting urgent care, he underwent a culture test that confirmed an infection diagnosed as cellulitis of the umbilicus and omphalitis, specifically not for newborns. The physician prescribed Sulfamethoxazole antibiotics and Mupirocin ointment for a ten-day course. While there was a minor improvement, with the discharge occurring every few days instead of more frequently, the issue persisted. He attended several follow-up appointments, although the professionals he consulted could not provide much additional insight. An ultrasound was performed, yielding normal results, but further scans via a CT were suggested for the future. Subsequently, my brother visited the emergency room, where the physician prescribed Clindamycin 150mg, claiming it would address any additional infections that the previous antibiotic might not have treated. Unfortunately, no scans or cultures were conducted during this visit, as the doctor simply examined the area and adjusted the prescription for a week-long course. Later, urgent care contacted us to inform that a strep infection was also present, advising that he should continue with the prescribed Clindamycin. Although the discharge has ceased, upon cleaning his bellybutton, he still notices fluid accumulation inside. Urgent care wanted to reassess the situation, prompting another visit today. During this appointment, the urgent care physician expressed frustration that the ER had not performed any scans. Additionally, it turned out that the pharmacy provided extra Clindamycin pills, leading to a recommendation to extend the medication for an additional three days. This situation is troubling, as it appears there is some discrepancy and lack of communication between the two medical teams. We remain uncertain about the underlying issue at hand and plan to schedule a visit with his primary physician to discuss obtaining the suggested CT scans. Any advice or reassurance regarding the seriousness of this matter would be greatly appreciated. Thank you for your assistance!