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Very painful throat
Having sore throat from sunday
Used azithromycin for 3 days
It gave temporary relief but severe pain is still existing while gulping food and water also getting ear pain associated with this
Answers (12)
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Rx
Luke warm Saline water gargle thrice daily
Tab Amoxicillin+ clavulonic acid 625mg bd for 5days
Tab levocetirizine 5mg od bf at evening for 5 days
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Do gargling with warm water of betadine
Tab Augmentin 625 bd for 5 days
Inj diclofenac single dose
Hydrated with plenty of warm water
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You got of theory on this.
Treatment
Betadine gargle add 3ml solution in hot to warm water gargle it before meals two times for 3to5.
Tab cefexim o200 two times after food for five days.
Zerodol sp3 times a day after food for five days. Montek lc one at night for five days after dinner.
Plenty of water n liquid luck warm. Home made fresh semiliquid diet.
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Your sore throat started on Sunday and has lasted ~4–5 days. Azithromycin (3-day course) gave temporary relief, but severe pain on swallowing (food/water) + ear pain (referred otalgia) means the infection is not fully resolved.
This pattern is very typical of:
• Bacterial tonsillitis / streptococcal pharyngitis (Group A Strep) that is partially responsive but not cleared
• Or persistent viral + secondary bacterial infection
• Ear pain is referred (common in tonsillitis/pharyngitis — nerves are shared) and does not necessarily mean ear infection
Azithromycin 3-day course is often not enough for severe streptococcal tonsillitis (many guidelines prefer 5–7 days or switch to penicillin/amoxicillin). Persistent severe pain after 3 days is a sign treatment needs to be changed or extended.
Next Steps
1. See a doctor today or tomorrow (ENT specialist or general physician) — do not wait longer with severe swallowing pain.
• They will likely:
• Do throat swab for rapid strep test or culture (to confirm strep throat)
• Examine throat/tonsils/ears
• Switch antibiotic if bacterial infection is suspected
2. Likely antibiotic change (doctor will decide):
• Amoxicillin 500 mg three times a day × 7–10 days (first choice for strep)
• Or Amoxicillin + Clavulanate (Augmentin) if mixed infection/resistance suspected
• Azithromycin can be extended to 5 days in some cases, but usually not preferred if no improvement
3. Go to emergency / ENT same day if:
• Unable to swallow even saliva (drooling)
• Severe difficulty breathing / voice change
• High fever (>101°F) returns
• Swelling in neck or severe one-sided pain
Health Tips
• Pain relief (very important for swallowing):
• Paracetamol 650 mg + Ibuprofen 400 mg together every 6–8 hours (after food) — reduces pain & inflammation better than either alone
• Warm salt water gargle (1 tsp salt in 200 ml warm water) — 4–5 times/day
• Betadine gargle or Chlorhexidine mouthwash (Hexidine) — 2–3 times/day (diluted as per bottle)
• Soothing remedies:
• Sip warm water + honey + few drops lemon frequently
• Chew ice cubes or take cold milk/ice cream slowly — numbs throat temporarily
• Throat lozenges (Strepsils, Vicks, Dorithricin) — every 2–3 hours
• Diet & rest:
• Only soft, cool foods (khichdi, curd rice, dal-rice, banana, soup, idli)
• Avoid spicy, hot, sour, fried food completely
• Speak less, rest voice
• Sleep with head slightly elevated (2 pillows)
Severe pain on swallowing after azithromycin usually means you need stronger/longer antibiotic + symptomatic relief.
Please see a doctor today/tomorrow — they will most likely give a 7–10 day course of amoxicillin or similar + pain control.
If you want specific brand names in India or if symptoms worsen (fever, unable to swallow saliva), consult online with update.
Take care and get well soon
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you can try tab augmentin 625 mg tid for5 days
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Take tab augmentin 625mg one morning and one evening for 5days.
Tab combiflam one every 8hours for 3 days after meals.
Do gargles with hot water and few drops of listril solution.
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Azee is for atypical, looks like typical bacterial inf, aminopenicillin would suffice ,consult and give detailed history, would prescribe some meds,you'll be fine within 3days,
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Pharyngitis with referred ear pain via shared nerve supply.but its doesn't mean that infection occure in ear also. You have viral infection that's why azithromycin antibiotic is not sensitive fully to control your symptoms, its reversible and self resolving in few days.Warm saline gargles 3–4 times daily.Maintain good hydration and soft diet.please feel free to consult me on practo for further management and evaluation.
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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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