Tonsillitis: Pain Relief and Treatment Options Abroad

Tonsillitis

Hello doctor, I would like to ask about my current situation.
I am abroad and medical expenses are high.
I have been taking pain relievers containing acetaminophen that I brought from Taiwan for a sore throat for the past seven days.
After that, I started to feel swelling and pain in my right ear and the area below the earlobe, and my joints occasionally ache.
I also have some tightness and pain in my chest.
On the eighth day in the afternoon, I took a medication called Omeprazole, which helped a bit, but there is still some swelling and pain below my ear.
I would like to know if I still need to take pain relievers along with antibiotics, or if I can just take antibiotics alone.
How long should I take the antibiotics before stopping? If I want to buy over-the-counter medication abroad, what ingredients do you recommend for treating tonsillitis?

M, 30~39 year old female. Ask Date: 2022/06/16

Dr. Li Jiaxuan reply Otolaryngology

Antibiotics should be taken for at least three days, along with pain relievers if there is pain or fever.
In Taiwan, first-generation cephalosporins are commonly used for tonsillitis.
Wishing you good health.

Reply Date: 2022/06/16

More Info

Tonsillitis, an inflammation of the tonsils, can be caused by viral or bacterial infections. Symptoms typically include sore throat, difficulty swallowing, fever, and swollen lymph nodes. In your case, it seems you are experiencing not only throat pain but also referred pain in your ear and some systemic symptoms like joint pain and chest discomfort. This could indicate that the infection is more extensive or that you are experiencing complications related to the tonsillitis.

When it comes to pain relief, acetaminophen is a common over-the-counter medication that can help alleviate pain and reduce fever. However, if you are still experiencing significant pain, especially in the ear, it may be beneficial to consider additional pain relief options. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can also be effective for pain relief and may help reduce inflammation.

Regarding antibiotics, they are only necessary if your tonsillitis is caused by a bacterial infection, such as streptococcal bacteria (strep throat). If your doctor has prescribed antibiotics, it is crucial to complete the entire course, even if you start feeling better before finishing the medication. This helps ensure that the infection is fully eradicated and reduces the risk of developing antibiotic resistance. Typically, a course of antibiotics for bacterial tonsillitis lasts about 10 days, but your healthcare provider will give you specific instructions based on your condition.

If you are in a foreign country and considering over-the-counter medications, look for products that contain ingredients like ibuprofen or naproxen for pain relief and inflammation. Additionally, throat lozenges or sprays containing anesthetics can provide localized relief for sore throats. If you suspect that your tonsillitis is viral, supportive care is essential, which includes staying hydrated, resting, and using pain relievers as needed.

If your symptoms persist or worsen, or if you develop new symptoms such as difficulty breathing or swallowing, it is crucial to seek medical attention promptly. Complications from untreated bacterial tonsillitis can include abscess formation or the spread of infection to other areas, such as the ears or sinuses.

In summary, if you are taking antibiotics for bacterial tonsillitis, continue with them as prescribed and consider adding NSAIDs for pain relief. If your symptoms do not improve or if you have concerns about your treatment, consult a healthcare professional for further evaluation. Remember, self-medication can sometimes lead to complications, so it’s always best to follow up with a doctor, especially when dealing with infections.

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