Managing Severe Throat Inflammation from Influenza: Expert Advice - Otolaryngology

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Throat inflammation issues?


Hello, doctor.
I started having a fever on Sunday and saw a doctor that day.
I took medication for the fever, but it hasn't subsided.
Yesterday, I went to the clinic for a rapid flu test, which confirmed that I have type B influenza.
Currently, I have throat inflammation, and after taking medication for a day, my throat still hasn't improved.
The amount of saliva has increased, making swallowing very difficult.
I haven't slept well all night.
What should I do? Below is the prescription from the clinic: COMBICLLINVOREN 25 TINTEN (500 mg) and FUCOUSTROCAINTAMIFLU (75 mg).
My throat is really painful, and I'm feeling extremely miserable.
What should I do?

A Zhe, 20~29 year old female. Ask Date: 2019/05/08

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the situation you described may be due to unresolved influenza type B or a new bacterial infection.
It is advisable to seek medical attention if symptoms persist, including an endoscopic examination of the throat to rule out any masses, and to consider increasing medication treatment.
In addition to medication, please pay attention to the following daily living tips: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and health.

Sincerely,
Kuo Chao-Yun, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2019/05/08

More Info


Managing severe throat inflammation due to influenza can be quite challenging, especially when symptoms like difficulty swallowing and increased salivation occur. It sounds like you are experiencing significant discomfort, and it's important to address both the underlying viral infection and the inflammation in your throat.


Understanding Your Condition
Influenza, particularly type B, can lead to various symptoms, including fever, body aches, and throat inflammation. The inflammation in your throat is likely due to the body's immune response to the viral infection, which can cause swelling, pain, and difficulty swallowing. Increased salivation can occur as a reflex to the irritation in the throat, making swallowing even more uncomfortable.


Medications Prescribed
From your medication list, it appears you have been prescribed:
1. COMBICLLINVOREN (500 mg): This medication likely contains a combination of antibiotics and anti-inflammatory agents. However, antibiotics are not effective against viral infections like influenza unless there is a secondary bacterial infection.

2. FUCOUSTROCAINTAMIFLU (75 mg): This is likely Tamiflu (oseltamivir), an antiviral medication that can help reduce the duration and severity of influenza if taken within the first 48 hours of symptom onset.


Recommendations for Management
1. Continue Antiviral Treatment: Since you have been diagnosed with influenza and are taking Tamiflu, continue this medication as prescribed. It can help mitigate the severity of your symptoms.

2. Pain Relief: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce throat pain and inflammation. Ensure you follow the dosing instructions on the package or as advised by your healthcare provider.

3. Hydration: Staying well-hydrated is crucial. Drink plenty of fluids, such as water, herbal teas, or broths. Warm liquids can be soothing for your throat, while cold drinks may help numb the pain temporarily.

4. Gargling Salt Water: Gargling with warm salt water can help reduce throat inflammation and provide temporary relief. Mix about half a teaspoon of salt in a glass of warm water and gargle several times a day.

5. Throat Lozenges: Throat lozenges or sprays containing menthol or benzocaine can provide temporary relief from throat pain. They work by numbing the throat and reducing the urge to cough.

6. Humidifier: Using a humidifier in your room can help keep the air moist, which may soothe your throat and reduce irritation.

7. Rest: Ensure you are getting plenty of rest. Your body needs energy to fight off the virus, and adequate sleep can aid in recovery.

8. Monitor Symptoms: Keep an eye on your symptoms. If you experience worsening pain, difficulty breathing, or signs of a secondary infection (such as a high fever or pus in the throat), seek medical attention promptly.


When to Seek Further Medical Attention
If your symptoms do not improve within a few days, or if they worsen, it is essential to follow up with your healthcare provider. They may need to evaluate for potential complications, such as a secondary bacterial infection that may require antibiotics.

In conclusion, managing severe throat inflammation from influenza involves a combination of antiviral treatment, pain relief, hydration, and supportive care. By following these recommendations, you should start to feel some relief. However, do not hesitate to reach out to your healthcare provider if your condition does not improve or if you have any concerns.

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