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Continusely redness on backside of throa
Hello Doctor. From the past 1 and half months, the back of my throat has been constantly red. My throat feels dry and I also feel little pain. Recently I have noticed white and little peeled skin under my lower lip.I have taken medicines in which antibiotics, pain reliever and steroids was added. But kush fark nahi dikh raha. I don't drink alcohol and have never used any other kind of intoxicant. I have taken the 4 ARV shots in Jan due to little puppy bite me in the foots toe, Although there was no skin tear or wound, I just felt a little pain, so I got it applied as a precaution. After some time I had a cold, the cough and cold got cured but this throat problem has persisted since then. Pls guide me and suggest the correct medicine.
Answers (14)
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Do the following,
1. throat swab- microscopy and culture testing. then
2. Nystatin oral drops 1ml- 4 times a day for 5 days
3. It is possible, you may have been anxious after needing ARV shots
All the best.
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The persistence of your throat symptoms for 1.5 months, especially after using antibiotics and steroids, suggests that the issue may not be a simple bacterial infection. The "white and peeled skin" you noticed under your lip is a significant clinical clue.
Clinical Impression:
Oral Candidiasis (Thrush): Use of steroids and antibiotics can trigger an overgrowth of yeast (fungus) in the mouth and throat, causing redness, dryness, and white patches.
Laryngopharyngeal Reflux (LPR): Chronic throat redness and dryness are often caused by "silent reflux" of stomach acid into the throat, which does not always feel like typical heartburn.
Vitamin Deficiency: Persistent oral mucosal changes can sometimes be linked to deficiencies in B-complex vitamins or iron.
Next Steps & Recommendations:
Physical Examination: It is essential to have a doctor (General Physician or ENT specialist) physically examine the white patches. If they can be easily scraped off, it further points toward a fungal infection.
Diagnostic Tests: A Complete Blood Count (CBC) and Vitamin B12/Iron profile are recommended to rule out underlying deficiencies.
Oral Hygiene:
Stop any further self-medication with antibiotics or steroids.
Rinse your mouth with warm saltwater 2–3 times daily.
Use a soft toothbrush and avoid spicy or acidic foods that irritate the mucosa.
Consultation:
I recommend a formal consultation to confirm if an antifungal mouth paint or oral gel (like Clotrimazole or Miconazole) is required. If reflux is suspected, a course of Antacids/PPIs may be necessary.
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Betadine gargle add 3ml solution in hot to warm water gargle it before meals two times.
Zerodol sp three times a day after food for five.
Montek lc one at night for five days.
QUERY. IS LONG WITHOUT ANY CO RELATION EG THROT RED THAN ARV VACCINE.
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The Anti Rabies Vaccine doesn't cause long term throat problems. Your issues likely started from the cold you had afterward.
Next Steps
Since this lasted for 1.5 months, it is best to see an ENT doctor for physical examination
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-Your symptoms suggest chronic throat irritation rather than an acute infection
-Common causes include post nasal drip, allergy, acid reflux or dryness of throat
-Long duration redness with dryness and mild pain is less likely to be bacterial infection especially since antibiotics did not help
-White peeled skin under lip may be due to local dryness, fungal infection or vitamin deficiency
-Recent cold may have triggered persistent throat sensitivity
Next Steps
Need to take
-CBC
-Vitamin B12 levels
-Throat swab if symptoms persist
-Laryngoscopy if no improvement
Take
-Tab Pantoprazole 40 mg once daily before breakfast for 14 days
-Tab Levocetirizine 5 mg once daily at night for 7 days
-Capl Vitamin B complex once daily for 15 days
-Betadine gargle twice daily for 7 days
Health Tips
-Avoid spicy and oily food
-Drink warm fluids
-Maintain oral hygiene
-Avoid late meals
-Steam inhalation
contact me anytime on practo for further consultation
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Need to take some tests
U will get the relief after knowing the cause
So if u have any kind of pics share here
Next Steps
U can visit near by health centre
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Better if you consult with general surgeon in nearby hospital hospital.
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Will u please share the picture of lesion?
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
Thanks for sending across your query.
Please consult us personally for details and treatment. Your complete history is required for evaluation of your condition
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Please consult an ENT surgeon physically.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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