Sore Throat and Lymph Node Infections: Causes and Remedies

My throat is very itchy?

Two nights ago, I turned on the air conditioning, and the next morning I woke up with a slight sore throat.
I didn't think much of it, but the following morning I felt very dry, and when I coughed, I produced thick phlegm.
My throat was very painful, so I looked in the mirror and noticed that the sides of my throat were swollen, with some white spots.
There were also some white patches at the back of my throat that looked like pus.
When I lightly pressed on the sides of my neck, it hurt, so I went to see a doctor.
The doctor said it was a bacterial infection of the lymph nodes, and I received an injection and went home to take my medication on schedule.
However, every night when I try to sleep, the sides of my throat itch intensely, as if there is a tube connected to my ears.
The middle area itches a lot, and scratching or cleaning my ears doesn't help.
I looked in the mirror again and saw that the inside of my throat had patches that looked like the surface of a custard apple.
Is this normal, or am I overreacting? I have difficulty sleeping at night, and it’s been like this every day.
Can you tell me what’s wrong? Am I infected with something? I had oral sex with someone before, and that person seemed to have necrotizing fasciitis.
Could this be the reason?

Niming, 10~19 year old female. Ask Date: 2008/08/10

Dr. Hong Guangliang reply Otolaryngology

Hello, the swelling you mentioned is likely due to enlarged tonsils or tonsillitis.
It is recommended that you see a doctor for a thorough examination.
Additionally, medication usually takes about a week to show improvement!

Reply Date: 2008/08/10

More Info

Based on your description, it sounds like you are experiencing a significant throat infection, possibly accompanied by lymphadenopathy (swollen lymph nodes). The symptoms you mentioned, such as a sore throat, dry cough with thick phlegm, swollen tonsils with white patches, and tender lymph nodes in your neck, suggest a bacterial infection, possibly tonsillitis or pharyngitis. The presence of white spots on your tonsils could indicate pus, which is often associated with bacterial infections like streptococcal throat infections.

The itching sensation you described in your throat and the connection to your ears could be due to referred pain or irritation of the Eustachian tubes, which connect the throat to the middle ear. This can happen during infections, as the inflammation can affect the surrounding areas.

It's essential to follow your doctor's advice regarding treatment. Since you mentioned receiving an injection and taking prescribed medications, it's crucial to complete the full course of antibiotics if that is what was prescribed. Antibiotics are effective against bacterial infections but will not help if the infection is viral.
If you have had sexual contact with someone who has necrotizing fasciitis, it is understandable to be concerned about potential infections. However, necrotizing fasciitis is a severe and rare condition that typically presents with rapid onset of severe pain, swelling, and systemic symptoms like fever. If you are feeling well otherwise and your primary symptoms are localized to your throat and neck, it is less likely that you have contracted such a severe infection.

To manage your symptoms and improve your comfort, consider the following remedies:
1. Hydration: Drink plenty of fluids to stay hydrated. Warm liquids like herbal teas or broths can soothe your throat.

2. Saltwater Gargle: Gargling with warm salt water can help reduce throat inflammation and discomfort.

3. Throat Lozenges: Over-the-counter throat lozenges can provide temporary relief from throat irritation and pain.

4. Humidifier: Using a humidifier in your room can help keep the air moist, which may alleviate dryness in your throat and nasal passages.

5. Rest: Ensure you get plenty of rest to help your body fight off the infection.

6. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help reduce pain and fever.

If your symptoms persist or worsen, or if you develop new symptoms such as difficulty breathing, severe swelling, or a high fever, it is crucial to seek medical attention immediately. Additionally, if you have concerns about sexually transmitted infections (STIs) or other complications, discussing these with your healthcare provider is essential for appropriate testing and treatment.

In summary, while your symptoms are concerning, they are likely due to a throat infection rather than a more severe condition. Following your doctor's recommendations and taking care of yourself at home can help you recover. If you have any doubts or if your condition does not improve, do not hesitate to return to your healthcare provider for further evaluation.

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