Unilateral throat pain and tongue issues?
Hello Dr.
Zheng,
Since last Saturday, I have been experiencing unilateral pain in my right throat.
On Sunday, my tongue felt strange; I didn't burn it, but it has a stinging sensation similar to a burn.
There are small bumps on the front part of my tongue.
Could this be a cold? I had an egg retrieval surgery at National Taiwan University last Wednesday, and that evening I started having a low-grade fever of 37.2 degrees Celsius (I usually have a lower body temperature, around 35 degrees Celsius).
This low-grade fever has persisted for seven days now.
I'm unsure if the fever is due to ovarian inflammation from the surgery or if it's related to a cold.
Could the low-grade fever be connected to the unilateral throat pain and the strange sensation in my tongue?
After the egg retrieval surgery, I took antibiotics (cephalexin) for three days.
In the past, I had some antibiotic resistance issues identified through bacterial cultures at National Taiwan University, and the obstetrician who performed the egg retrieval advised me not to take any other antibiotics until the report comes out next Tuesday, which will indicate whether there is any inflammation in the ovaries post-surgery.
Regarding my tongue, based on your previous responses to other cases, it might be glossitis, and treatment could potentially be topical without the need for antibiotics, correct? The pain in my tongue and throat is quite uncomfortable.
If I wait until next week to see a doctor, could this allow bacteria or viruses to spread further into my oral cavity and worsen the situation?
Additionally, I would like to ask if having a continuous low-grade fever for two weeks could harm my brain.
Thank you for taking the time to respond.
mm, 30~39 year old female. Ask Date: 2021/04/21
Dr. Zheng Jueyi reply Otolaryngology
Hello: Currently, the body temperature does not exceed 38 degrees Celsius, and there is no significant fever, which generally does not affect the brain.
For the sore and inflamed tongue, it is advisable to drink plenty of water and avoid spicy foods.
If discomfort persists, it is recommended to visit an ENT clinic for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/04/21
More Info
It sounds like you're experiencing a range of concerning symptoms following your recent egg retrieval surgery, including one-sided throat pain, a strange sensation in your tongue, and a persistent low-grade fever. Let's break down these symptoms and their potential causes.
Firstly, the one-sided throat pain could be attributed to several factors. After surgery, especially one involving anesthesia and potential intubation, it's not uncommon to experience throat discomfort. This could be due to irritation or minor trauma to the throat from the breathing tube used during the procedure. However, if the pain persists or worsens, it could indicate an infection or inflammation, especially if accompanied by other symptoms like fever.
The strange sensation in your tongue, particularly the prickling feeling and the appearance of small bumps, could suggest a condition known as glossitis, which is inflammation of the tongue. This can occur due to various reasons, including irritation, allergic reactions, or even infections. Given your recent surgery and the antibiotics you were prescribed, it's possible that your oral flora has been disrupted, leading to these symptoms.
The low-grade fever you mentioned (37.2°C) is also noteworthy. While it is slightly elevated for you, it could be a normal response to surgery as your body heals. However, if this fever persists for more than a week, it could indicate an underlying infection, possibly related to the surgical site or another area of your body.
Regarding your concerns about whether the low-grade fever could be related to your throat pain and tongue issues, it is indeed possible. Infections can manifest in multiple areas, and systemic symptoms like fever can accompany localized symptoms. The fact that you have a history of antibiotic resistance is also significant; it may complicate your treatment options if an infection is present.
As for your question about whether waiting until next week to see a doctor could allow bacteria or viruses to spread further, it is generally advisable to seek medical attention sooner rather than later if you are experiencing persistent or worsening symptoms. Delaying care could potentially lead to complications, especially if an infection is present.
In terms of treatment for your tongue and throat symptoms, topical treatments may be effective for mild cases of glossitis or irritation. However, if there is a bacterial infection, systemic antibiotics may be necessary, and it's crucial to wait for your culture results before starting any new antibiotics to avoid further complications with resistance.
Lastly, regarding your concern about the prolonged low-grade fever affecting your brain, while a low-grade fever itself is usually not harmful, persistent high fevers can lead to complications. However, a fever of 37.2°C is unlikely to cause any direct harm. If your fever rises significantly or is accompanied by severe symptoms such as confusion, severe headache, or other neurological signs, you should seek immediate medical attention.
In summary, I recommend that you consult with your healthcare provider sooner rather than later to evaluate your symptoms comprehensively. They may want to perform a physical examination, consider additional tests, and possibly adjust your treatment plan based on your current condition. Your health and comfort are paramount, and timely intervention can help prevent further complications.
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