Regarding pharngytis. What should i do?

Hi, I am Dr. Atul Kumar Nimawat MS ENT Thank you for your detailed query. From your description, it appears that you are dealing with chronic pharyngitis or laryngopharyngeal reflux (LPR)—both of which can cause throat irritation, frequent throat clearing, and discomfort while speaking. Despite being on appropriate antibiotics and supportive medications, partial relief suggests one or more of the following: 1. Underlying allergy or post-nasal drip – can persist even after antibiotics; Montair LC helps but may take longer to act. 2. LPR (acid reflux to throat area) – which is why Rantac has been prescribed. Dietary and lifestyle changes are also crucial (avoid spicy, oily food, late-night meals, caffeine). 3. Overuse of voice/vocal strain – if you’re speaking a lot or loudly, voice rest and hydration are important. 4. Incomplete course duration or chronicity – some cases need a longer duration of treatment or inhaled corticosteroids.

• Continue the medications for the full prescribed course. Since you’re only on day 4, improvement may continue over the next few days. • Stay well hydrated and avoid irritants like smoking, dust, cold drinks, or very spicy food. • Do steam inhalation 2–3 times daily and gentle saline gargles in addition to the tetracycline gargle. • Avoid throat clearing, as it irritates the throat further. Sip water or suck on lozenges instead. • Voice rest is essential. Avoid loud speaking or long conversations.

If symptoms persist beyond 7–10 days, follow up with your ENT doctor. They may consider nasal endoscopy or laryngoscopy to rule out chronic pharyngitis, vocal cord issues, or LPR.