Throat issues
Hello, doctor.
I have been experiencing a sore throat for about three weeks now.
For the first two days, it was just a sore throat, but on the third day, it became severe (it hurts to swallow, eat, and talk).
After that, I started to have greenish phlegm and a cough, but the sore throat comes and goes.
Two days ago, I felt much better, but today the sore throat has returned (it hurts a lot to swallow).
During this time, I have visited the clinic four times and have been taking my medication as prescribed, but after feeling a bit better, I stopped going.
I also followed the doctor's advice to avoid fried, spicy, and cold foods.
Additionally, over 20 people in my class caught a cold after the 228 holiday (several students in class have colds and are not wearing masks).
Should I go to a large hospital to see an ENT specialist? Thank you.
log, 10~19 year old female. Ask Date: 2017/03/12
Dr. Zheng Jueyi reply Otolaryngology
Hello: It is common for throat inflammation to be caused by a viral infection.
If symptoms persist without improvement, it is recommended to continue follow-up treatment at the clinic.
If necessary, the clinic physician will refer you to a hospital for further examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/03/12
More Info
Persistent throat pain can be a frustrating and concerning symptom, especially when it interferes with daily activities such as swallowing, eating, and speaking. Based on your description, it seems that your throat pain has been ongoing for about three weeks, with fluctuations in severity and the development of additional symptoms like greenish phlegm and coughing. Given the context of recent illnesses in your environment, it is understandable to be concerned about the underlying cause of your symptoms.
In general, throat pain can arise from various causes, including viral infections (like the common cold or flu), bacterial infections (such as strep throat), allergies, irritants, or even more serious conditions like tonsillitis or laryngitis. The presence of greenish phlegm may suggest a bacterial infection, but it can also occur with viral infections. The fact that your symptoms have improved at times but then returned could indicate that your body is struggling to fully resolve the infection or that there may be an underlying issue that needs to be addressed.
Given that you have already visited clinics multiple times and have been following your doctor's advice regarding medication and dietary restrictions, it may be time to consider seeking care from an Ear, Nose, and Throat (ENT) specialist. Here are several reasons why this could be a beneficial step:
1. Specialized Evaluation: An ENT specialist has the training and tools to conduct a thorough examination of your throat, including the use of endoscopy if necessary. This can help identify any structural issues, infections, or other abnormalities that may not be apparent during a standard examination.
2. Persistent Symptoms: Since your throat pain has persisted for three weeks and has been severe enough to affect swallowing and speaking, this duration warrants further investigation. In general, if symptoms last longer than a week without improvement, it is advisable to seek specialized care.
3. Potential for Complications: Untreated throat infections can lead to complications, such as abscess formation or the spread of infection to other areas. An ENT can assess the risk of these complications and provide appropriate treatment.
4. Treatment Options: An ENT specialist can offer a range of treatment options, including prescription medications, throat sprays, or even procedures if necessary. They can also provide guidance on managing symptoms effectively.
5. Peace of Mind: Finally, consulting with an ENT can provide reassurance. Understanding the cause of your symptoms and having a clear treatment plan can alleviate anxiety and help you feel more in control of your health.
In summary, given the persistence and severity of your throat pain, along with the associated symptoms, it would be prudent to schedule an appointment with an ENT specialist. They can provide a comprehensive evaluation and tailored treatment plan to address your concerns. Additionally, if you experience any worsening symptoms, such as difficulty breathing, high fever, or severe swelling, seek immediate medical attention. Your health is important, and taking proactive steps to address your symptoms is essential for your well-being.
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