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.