Persistent Throat Issues: When to Seek Medical Attention Again? - Otolaryngology

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Throat issues


Previously, I had a case of tonsillar suppuration and visited a doctor, taking medication for three days.
After finishing the medication, I initially had no issues, but two days later, I developed a few isolated areas of suppuration again.
They disappear after a while, but then new areas of pus appear elsewhere.
Additionally, I have been experiencing white phlegm in my throat, which quickly accumulates again even after I spit it out.
This condition has persisted for 4 to 5 days.
Although it hasn't significantly affected my daily life, should I consider seeing a doctor again?

Mr. Huang, 20~29 year old female. Ask Date: 2017/08/23

Dr. Zheng Jueyi reply Otolaryngology


Hello: Please finish the medication prescribed by your doctor.
If there is no improvement, it is recommended to return for follow-up examination.
Wishing you peace and health! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/23

More Info


It sounds like you are experiencing a frustrating and persistent throat issue following a previous episode of tonsillitis. Given your symptoms of recurrent pus formation and the presence of white phlegm in your throat, it is advisable to seek medical attention again. Here’s why:
1. Recurrent Symptoms: The fact that you had an episode of pus formation in your tonsils that initially improved with medication but then recurred suggests that the underlying issue may not have been fully resolved. Infections can sometimes linger or recur, especially if they are not completely eradicated by the initial treatment.

2. Potential for Complications: While your current symptoms may not significantly impact your daily life, persistent throat issues can lead to complications if left untreated. For instance, recurrent tonsillitis can lead to chronic inflammation, abscess formation, or even systemic infections. It’s essential to address these symptoms before they escalate.

3. Underlying Conditions: The presence of white phlegm and recurrent pus could indicate a chronic infection or another underlying condition, such as allergies, gastroesophageal reflux disease (GERD), or even a more serious issue like a chronic bacterial infection. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly additional tests, to determine the root cause of your symptoms.

4. Treatment Options: If you return to the doctor, they may consider a different treatment approach. This could include a longer course of antibiotics, a different class of medication, or even a referral to an ear, nose, and throat (ENT) specialist for further evaluation. In some cases, if tonsillitis is recurrent and severe, a tonsillectomy (surgical removal of the tonsils) may be recommended.

5. Monitoring Symptoms: It’s also important to monitor any changes in your symptoms. If you experience increased pain, difficulty swallowing, fever, or any other concerning symptoms, you should seek medical attention sooner rather than later.

In conclusion, while your symptoms may not currently be debilitating, the persistence and recurrence of throat issues warrant a follow-up visit to your healthcare provider. They can assess your condition more thoroughly and provide you with the appropriate treatment to help alleviate your symptoms and prevent further complications. Remember, it’s always better to err on the side of caution when it comes to your health.

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