Tonsillitis and throat polyps?
Hello Doctor: About a week ago, I had mild inflammation of my tonsils and was treated with Ampicillin for five days.
However, after finishing the treatment, my throat still feels dry, and there are indentations on the edges of my tongue.
I also experience intermittent throbbing pain in my left temple (is there a lymph node there?), and sometimes my lower lip visibly twitches.
Additionally, the area behind my left tonsil appears irregular, resembling a bitter melon with small protrusions about half a centimeter high.
I would like to ask if I need to continue taking antibiotics (should I take Ampicillin or Amoxicillin?).
I sometimes take ibuprofen 200 mg when I'm uncomfortable.
Will this resolve on its own?
QQQ, 20~29 year old female. Ask Date: 2021/01/25
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possibilities for lumps in the oral cavity and throat.
Although the most likely cause is unresolved tonsillitis, it is recommended to consult an otolaryngologist if symptoms persist.
Reply Date: 2021/01/25
More Info
Tonsillitis, an inflammation of the tonsils, can be caused by viral or bacterial infections, with symptoms including sore throat, difficulty swallowing, and swollen lymph nodes. Your description indicates that you have experienced some inflammation in your tonsils, which was treated with Ampicillin for five days. However, the persistence of symptoms such as a dry throat, teeth marks on the tongue, and the appearance of small growths resembling "bitter melon" on the back of your throat suggests that further evaluation may be necessary.
The presence of these small growths, or "polyps," could indicate a few possibilities. They may be benign hyperplastic changes due to chronic irritation or inflammation, or they could represent a more significant issue that requires further investigation. The fact that you are experiencing pain in your temple area, which may be related to lymphatic drainage from the throat, could also be a sign that the inflammation is affecting nearby structures.
Regarding your question about continuing antibiotics, it is essential to consider a few factors. If your symptoms have not improved after completing the course of Ampicillin, it may be worthwhile to consult your healthcare provider for a reassessment. They may consider performing a throat culture to determine if a bacterial infection persists, which could warrant a different antibiotic, such as Amoxicillin, which is often preferred for treating streptococcal tonsillitis due to its efficacy and better taste for children.
Ibuprofen can be helpful for managing pain and inflammation, but it is not a substitute for antibiotics if a bacterial infection is present. It is crucial to monitor your symptoms closely. If you experience worsening pain, difficulty breathing, or swallowing, or if the growths increase in size or number, seek medical attention promptly.
In terms of self-care, staying hydrated, using throat lozenges, and maintaining good oral hygiene can help alleviate some discomfort. Additionally, if you have allergies or acid reflux, addressing these underlying issues may also improve your throat symptoms.
In summary, while some cases of tonsillitis can resolve on their own, the persistence of your symptoms, particularly the changes in your throat's appearance, warrants further evaluation by a healthcare professional. They can provide a more accurate diagnosis and appropriate treatment plan tailored to your specific condition.
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