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Ear, Nose, and Throat Disorders

Ear, Nose, and Throat Disorders Online Doctors Consultation

61 questions

Experience the Precision of Evidence-Based Medicine in Managing Ear, Nose, and Throat Disorders Through Our Online Consultations Discover science-backed solutions for a variety of ENT disorders with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments for conditions affecting the ear, nose, and throat, ensuring timely and accurate guidance. We address issues such as allergic rhinitis, balance disorders, deviated nasal septum, ear infections, hearing loss, laryngitis, nasal polyps, pharyngitis, sinusitis, tinnitus, tonsillitis, and more. Through confidential and convenient consultations, our doctors help identify the root causes of your symptoms and recommend tailored treatment plans based on the latest clinical research. Early intervention is key to preventing complications and improving your quality of life. Whether you’re experiencing ear pain, nasal congestion, hearing difficulties, sore throat, frequent sneezing, or voice changes, our team is ready to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without the requirement for site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take the first step toward better ENT health—consult an evidence-based medicine specialist online today!

Questions about Ear, Nose, and Throat Disorders

Understanding nose anatomy and its role in breathing

23 days ago
1 answers

I’ve been dealing with frequent nasal congestion and sinus infections, and I want to understand how nose anatomy affects breathing and overall health. I know the nose has different parts, like the septum and turbinates, but how exactly do these structures work together to filter air and keep the respiratory system healthy? Sometimes, I feel like one nostril is always more blocked than the other. Is this related to nose anatomy, or could it be a sign of a deviated septum? I also experience post-nasal drip and occasional nosebleeds—are these common issues related to nasal structure, or do they indicate a separate problem? I’ve heard that nasal polyps and swollen turbinates can affect airflow. How do these conditions develop, and are there ways to prevent them? Also, does nose anatomy change with age, and could that lead to more breathing problems later in life? I need guidance on how nose anatomy influences nasal health and what I can do to improve breathing and prevent chronic congestion.


Dr. Evgeny Arsentev
22 days ago
Understanding how nasal anatomy affects breathing and overall health is essential for managing your symptoms of frequent nasal congestion, sinus infections, and other related issues. The nose consists of various structures that play crucial roles in air filtration, humidity regulation, and temperature control. The septum, which divides the nostrils, and the turbinates, bony structures within the nasal cavity, help warm and humidify the air as it passes through. The turbinates also contain blood vessels that swell and shrink, influencing airflow. When you notice one nostril feeling more blocked, this can be linked to the natural nasal cycle, where congestion alternates every few hours between nostrils. However, persistent asymmetry may indicate a deviated septum, where the septum is misaligned, leading to chronic blockages or breathing difficulties. Post-nasal drip and nosebleeds can indeed be tied to nasal anatomy. Post-nasal drip occurs when excess mucus drains down the back of the throat, often resulting from inflammation or excessive mucus production due to allergies or infections. Nosebleeds may arise from dry air, frequent nose blowing, or trauma, particularly in areas where the blood vessels are closer to the surface in the nasal mucosa. Nasal polyps are soft, painless growths that can develop in the nasal passages due to chronic inflammation and are associated with conditions like allergies or asthma. Swollen turbinates can result from allergic rhinitis or sinus infections, leading to obstructed airflow. Prevention strategies include managing allergies through avoidance, using saline nasal sprays to keep nasal passages moist, and considering antihistamines or nasal corticosteroids under guidance from a healthcare provider. Regarding age, while the basic structure of the nose remains generally stable, changes such as nasal tissue thinning or increased dryness may occur, especially as we age. This could lead to more frequent problems with nasal obstruction or reduced respiratory efficiency later in life. To improve your breathing and help prevent chronic congestion, consider these actionable steps: 1. Maintain good hydration, which helps keep mucus thin. 2. Use a humidifier in dry environments to prevent nasal mucosa from drying out. 3. Practice nasal irrigation, such as with saline rinses or neti pots, to clear mucus and allergens. 4. Address any underlying allergies with appropriate medications, such as non-drowsy antihistamines or nasal steroids, based on professional advice. 5. Avoid irritants like smoking or strong odors that can exacerbate nasal inflammation. If your symptoms persist or worsen, including frequent sinus infections or significant nasal obstruction, it's crucial to consult with an ear, nose, and throat specialist. They can perform an examination to evaluate the nasal anatomy and function, determine if a deviated septum or nasal polyps are present, and recommend appropriate treatment options tailored to your specific condition. Regular follow-up is recommended to monitor changes in symptoms and ensure effective management of nasal health.
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How to stop a runny nose

29 days ago
100 INR (~1.18 USD)
1 answers

Woke up this morning, and my nose just won’t stop running. I thought maybe it was just a cold, but it’s been like this on and off for weeks now. Every time I step outside, my nose starts dripping like a faucet, and then when I come back inside, it keeps going. Sometimes, I can’t even breathe properly because of it. I’m constantly blowing my nose, and it’s getting so raw that it hurts. I don’t know if this is allergies or something else, but I really need to figure out how to stop a runny nose before I lose my mind. I tried antihistamines, thinking it might be allergies, but they barely help. I also used one of those decongestant sprays, and while it worked for a bit, I read that using them too much can make things worse. I don’t wanna end up with a rebound effect and make my nose even more stuffed up. Steam inhalation helped a little, but not for long. Drinking hot tea makes it feel better, but as soon as I stop, the runny nose comes back again. This isn’t just happening in the morning either. I’ll be at work, and out of nowhere, my nose starts dripping. It’s embarrassing to constantly be sniffling and wiping my nose. My coworkers probably think I have a permanent cold. But I don’t feel sick—no fever, no sore throat, just this runny nose that won’t quit. Could this be something like non-allergic rhinitis? I’ve never been tested for allergies, so I don’t know if I’m reacting to dust, pollen, or maybe something in my office. Another weird thing—I notice my nose runs more after eating spicy food, drinking coffee, or even when I go from a cold place to a warm one. Is that normal? I’ve also noticed that my nose feels really dry sometimes, like the inside is irritated, but at the same time, it keeps running. I thought maybe I should use a saline spray, but would that actually help or just make it worse? At this point, I need a real solution. What actually works for how to stop a runny nose when it’s not just a regular cold? Should I get an allergy test? Could this be something more serious like chronic sinusitis or even nasal polyps? And what’s the best way to deal with this without relying on medication all the time? Would really appreciate any advice, especially if anyone else has had a runny nose like this that won’t stop.


Dr. Evgeny Arsentev
27 days ago
Non-allergic rhinitis can be triggered by things like changes in temperature, spicy foods, coffee, or even environmental factors like dust or strong smells. It’s also possible that your nose runs more in certain environments, such as your office, due to irritants in the air. The dryness you’re feeling inside your nose may be a result of irritation from constant blowing or using decongestant sprays. Since antihistamines and decongestants haven’t provided lasting relief, I would recommend trying a saline nasal spray. This can help moisturize and clear the nasal passages without causing rebound symptoms like decongestants do. You might also want to try using a humidifier at night to keep the air moist. It would be a good idea to get an allergy test to rule out any sensitivities that could be contributing. Additionally, if the symptoms continue or worsen, it might be worth discussing with your doctor about the possibility of chronic sinusitis or nasal polyps.
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Salivary Gland Stone

29 days ago
200 INR (~2.35 USD)
1 answers

For the past few weeks, I’ve been dealing with this weird pain in my mouth, especially around my jawline. At first, I thought it was just a swollen lymph node or maybe an infected tooth, but then I noticed that every time I ate something sour or spicy, the pain got worse. It would start as a dull ache and then turn into a sharp, throbbing pain that lasted for hours. I went to my dentist, and he told me it might be a salivary gland stone. I had never heard of a salivary gland stone before, so I started researching it. From what I understand, a salivary gland stone is a small, calcified deposit that blocks the saliva flow, causing swelling and pain. But what I don’t understand is why it happens in the first place. I drink plenty of water, don’t smoke, and don’t have any major health issues, so how did I end up with a salivary gland stone? One thing I noticed is that sometimes my saliva feels thicker, almost like there’s not enough moisture in my mouth. Could dehydration be the reason for my salivary gland stone? I also read that certain foods, like dairy or foods high in calcium, can contribute to stone formation. Is it possible that my diet is causing this? The pain has been getting worse, and I even felt a small lump under my jaw, which I assume is the salivary gland stone blocking the flow. The dentist suggested massaging the area and drinking more fluids, but it doesn’t seem to be helping. Is there any other way to get rid of a salivary gland stone without surgery? If it gets worse, would I need a procedure to remove it? I also read that a salivary gland stone can lead to infection if left untreated. What are the warning signs of an infection, and when should I see a doctor? Could this develop into something more serious, or does it usually go away on its own?


Dr. Evgeny Arsentev
26 days ago
You mentioned feeling thicker saliva and noticing a lump under your jaw, which can indeed be signs of a stone. Dehydration can contribute to thicker saliva, but a variety of factors—including diet and the natural buildup of minerals in the saliva—can also play a role in stone formation. Even if you’re staying hydrated and eating a balanced diet, it’s still possible to develop a salivary gland stone. While massaging the area and drinking more fluids are good starting points, if the pain persists and the lump doesn’t resolve, it might be time to see an ENT specialist. They can perform a physical exam and potentially use imaging (like an ultrasound) to confirm the presence of the stone. In some cases, the stone can be removed through less invasive methods like gentle massage or duct dilation, but if the stone is large or deeply embedded, a minor surgical procedure might be necessary. It’s also important to monitor for signs of infection, such as increased pain, redness, fever, or pus coming from your mouth. If these symptoms occur, you should see a doctor promptly. While salivary gland stones can be bothersome, most cases are manageable and don’t lead to serious complications when treated appropriately.
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Nostril

24 days ago
1 answers

I recently started paying more attention to my breathing and realized that sometimes one nostril is more open than the other. This made me curious about how the nostril works and whether this is normal. I want to understand why we have two nostrils, how they function, and what happens when one gets blocked. From what I’ve read, the nostrils are responsible for filtering, humidifying, and warming the air before it enters the lungs. But why do we sometimes breathe more through one nostril than the other? I read that this happens due to something called the nasal cycle—what exactly is that, and how does it work? One thing I’m really curious about is how nostril blockages happen. I know that allergies, colds, and sinus infections can cause congestion, but why does it usually affect one nostril more than the other? Is this related to inflammation, or does the nasal cycle play a role? I also want to understand why some people develop chronic nostril issues, like a deviated septum or nasal polyps. How do doctors diagnose these conditions, and what treatments are available? Can surgery correct a blocked or narrow nostril, or are there non-surgical treatments that help improve airflow? Another thing I’m wondering about is whether breathing techniques can help keep both nostrils clear. I read that alternating nostril breathing is used in yoga for better airflow—does this actually work, and can it help with sinus problems? If anyone has experience with nostril health, I’d love to hear about how you manage congestion or breathing issues. Have you tried medications, surgery, or breathing exercises? Also, how do you know when a nostril problem needs medical attention?


Dr. Evgeny Arsentev
23 days ago
It’s great that you’re paying attention to your breathing and your nasal function. Understanding how your nostrils work is important for managing your health. Here’s a comprehensive breakdown addressing your questions about nostril function, the nasal cycle, potential blockages, and treatment options. Nostrils and their Function Your nostrils, or nares, are vital structures that play a key role in respiratory health. They filter, humidify, and warm the air as it enters your lungs. The structure of the nose, primarily the nasal septum (the wall dividing the nostrils), nasal turbinates, and mucous membranes, aids these processes. Nasal Cycle What you're noticing about sometimes one nostril being more open than the other is referred to as the nasal cycle. This is a natural physiological process where the airflow alternates between your two nostrils. - The nasal cycle typically lasts 2 to 6 hours and occurs subconsciously. It's controlled by autonomic nervous system regulation, which causes swelling of the erectile tissue in one side of the nasal passages, minimizing airflow, while the other side remains patent (open). - This cycle promotes better function of your nose, helping to keep the mucosal membranes from drying out and maintaining optimal function. Nasal Blockage Causes Nasal blockages can arise from various reasons, including: - Allergies: Trigger inflammation and swelling in nasal tissues, commonly affecting one side due to the nasal cycle. - Colds and Sinus Infections: Infections lead to increased production of mucus, causing congestion that may favor one nostril, particularly if there’s sinus drainage happening. The asymmetry in blockage is often due to the nasal cycle's fluctuation as well as localized inflammation from infections or irritants. Chronic Conditions Chronic issues like a deviated septum or nasal polyps may contribute to persistent obstruction: - A deviated septum can occur due to genetics or injury, leading to one nostril being chronically narrower. - Nasal polyps are benign growths that can develop in response to chronic inflammation, such as with allergies or asthma. Diagnosis for these conditions may involve: - Physical examination: A doctor might use a nasal speculum or otoscope to look inside your nose. - Nasal endoscopy can provide a more detailed view, especially for polyps or other abnormalities. - Imaging tests (like CT scans) can be used to evaluate the sinuses and structures of the nose. Treatment Options Treatment depends on the underlying cause. Non-surgical options include: - Nasal corticosteroids reduce inflammation and treat nasal polyps. - Antihistamines for allergy-related congestion. - Saline nasal sprays help keep the nasal passages moist and clear. Surgical options include: - Septoplasty for a deviated septum to improve airflow. - Polypectomy to remove nasal polyps. Both surgeries can significantly relieve longstanding obstruction when conservative measures fail. Nasal Breathing Techniques Breathing techniques, such as alternating nostril breathing (Nadi Shodhana), may help with relaxation and perceived airflow but might not directly treat anatomical blockages. If you find specific techniques beneficial or if they alleviate mild congestion, continue practicing them. When to Seek Medical Attention You should consult a healthcare professional if you experience: - Persistent blockage affecting everyday activities. - Severe pain, especially around the sinuses. - Frequent nosebleeds. - Symptoms lasting longer than 10 days with no improvement. In summary, while uneven airflow is common due to the nasal cycle, blockages may signal underlying issues. Regularly monitor your symptoms and do not hesitate to seek medical advice if congestion becomes problematic or persistent. Your proactive attention to your breathing is a positive first step in managing nasal health.
Accepted response

Voice not coming clear

1 day ago
0 answers

Voice not coming clear, having pain in throat and having cough also. Drinking hot tea, hot water but not having clear voice . Voice not coming clear, having pain in throat and having cough also. Drinking hot tea, hot water but not having clear voice . Please help


tonsillectomy surgery

29 days ago
1 answers

I’ve been struggling with recurrent tonsillitis for years, and my doctor has suggested I might need to have a tonsillectomy surgery. I’ve had tonsillitis several times in the past year, and it’s been causing a lot of discomfort and affecting my overall health. I’m in my late 20s, and while I know that tonsillectomy surgery is typically done in children, I’ve heard that adults can benefit from it too, especially if their tonsils keep getting infected. I’m curious about the tonsillectomy surgery process. How long does it typically take to recover from tonsillectomy surgery in adults? I’ve read that recovery can be more difficult in adults than children, and I’m a bit worried about the pain afterward. What can I expect in terms of the pain level during recovery, and are there ways to manage it effectively? I’ve heard that eating and drinking after the surgery can be tough, so I’m concerned about how long it will take before I can eat solid food again. Another concern I have is the potential for complications. Are there any risks with tonsillectomy surgery, like bleeding or infection, that I should be worried about? I’m not a smoker, but I do have some health conditions that might make recovery more challenging. Should I be preparing for any long-term changes to my throat or voice after the procedure? I’d really appreciate some advice on how to prepare for tonsillectomy surgery and what I should expect in the weeks following the procedure. If I go ahead with it, how can I make sure I heal properly and minimize any complications?


Dr. Evgeny Arsentev
26 days ago
Tonsillectomy in adults can indeed be beneficial, especially for those who have frequent infections or significant discomfort. Recovery from tonsillectomy tends to be more challenging in adults compared to children. Typically, the recovery period lasts about 10-14 days, with pain often peaking during the first 3-5 days. Pain management is usually handled with medications prescribed by your doctor, including pain relievers like acetaminophen or ibuprofen. Your doctor may also suggest ice packs or cool liquids to soothe the throat. Eating and drinking can be difficult initially, and it’s usually best to stick to soft, cool foods (like yogurt or ice cream) for the first few days. Gradually, you can return to solid foods as your throat heals, but this will vary based on your individual healing process. Complications like bleeding or infection are rare but can occur. Your doctor will provide instructions on how to care for the surgical site to minimize risks. It’s also important to avoid strenuous activity or anything that could irritate the throat during recovery. As for long-term changes, some people experience slight changes in their voice or throat sensation, but these typically resolve after healing. To prepare for the surgery, ensure you're in good overall health, stay hydrated, and follow your doctor's pre-surgery instructions. Post-surgery, rest, stay hydrated, and follow any prescribed treatments to help speed up recovery and minimize complications.
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Ear Pain Causes

31 days ago
1 answers

I’ve been dealing with ear pain lately, and I can’t figure out what’s causing it. Sometimes it’s a dull ache, but other times it’s sharp and throbbing. What are the most common Ear Pain Causes, and how do you know if it’s something serious?? I read that ear infections are one of the main reasons for ear pain, but how do you tell the difference between a regular earache and an actual infection? Does an infection always cause fever, or can it just be pain?? Also, I’ve noticed that my ear pain gets worse when I swallow. Could that mean I have a problem with my sinuses or throat? I’ve heard that ear pain can sometimes be caused by issues in the jaw or even teeth—how does that happen?? Another thing—can ear pain be caused by changes in air pressure? I recently traveled on a plane, and my ears felt clogged and painful for hours. Is that normal, and is there anything I can do to prevent it next time?? For those who have experienced ear pain, what helped relieve it? Did you need antibiotics, or did it go away on its own??


Dr. Evgeny Arsentev
30 days ago
Ear pain can arise from several different sources. Common causes include ear infections (like otitis media), sinus issues, jaw or tooth problems, and even pressure changes. An ear infection typically causes throbbing pain, and you may also experience fever, hearing loss, or fluid drainage. However, it's possible to have an ear infection without a fever. If you suspect an infection, it's important to see a doctor for an accurate diagnosis. If your ear pain worsens when swallowing, it could be related to sinus issues or a throat problem, such as tonsillitis or a sore throat. Sometimes, problems in the jaw or teeth (like a tooth abscess or TMJ disorder) can refer pain to the ear, leading to discomfort. Airplane travel can cause ear pain due to pressure changes. This is called barotrauma, and it’s fairly common. To prevent it, try swallowing, yawning, or using the Valsalva maneuver (gently blowing while pinching your nose) during descent. You could also use earplugs designed for flying. If your pain persists or becomes severe, or if you have symptoms like fever or drainage, I recommend seeing your doctor to rule out infection or other underlying issues. In some cases, ear pain resolves on its own, but if an infection is suspected, antibiotics may be necessary.
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Mastoidectomy

25 days ago
1 answers

A few weeks ago, my uncle was diagnosed with a chronic ear infection that wasn’t responding to antibiotics. The doctors said he might need a mastoidectomy to remove the infected bone behind his ear. I had never heard of this procedure before, so now I’m trying to understand what it is, why it’s necessary, and what the recovery process looks like. From what I read, a mastoidectomy is a surgical procedure that removes part of the mastoid bone to clear out infection, usually caused by chronic otitis media or mastoiditis. But why does an infection sometimes spread to the mastoid bone? Does it only happen in severe cases, or can even a mild ear infection lead to this condition? I also saw that there are different types of mastoidectomy, including simple, modified radical, and radical mastoidectomy. How do doctors decide which type is necessary? Would a more severe infection require a more invasive procedure, or does it depend on other factors? Another thing I’m wondering about is whether a mastoidectomy affects hearing. Since the surgery is performed near the middle ear, is there a risk of permanent hearing loss, or do most people regain their hearing after recovery? If someone undergoes a mastoidectomy, what is the recovery process like? How long does it take for the ear to heal, and are there any long-term effects like dizziness or balance problems? I just want to understand how serious a mastoidectomy is and whether it’s the only option for treating severe ear infections. Are there any non-surgical treatments that could work, or is surgery always necessary when the infection reaches the mastoid bone?


Dr. Evgeny Arsentev
24 days ago
A mastoidectomy is indeed a significant procedure, and it's understandable to have questions about it, especially when a loved one is facing this type of surgery. Here's a detailed overview addressing your concerns: 1. What is a Mastoidectomy and Why is it Necessary? A mastoidectomy is performed to remove infected bone in the mastoid process, usually as a result of chronic ear infections (chronic otitis media) or mastoiditis. An infection may spread to the mastoid bone primarily due to untreated or poorly managed ear infections. While severe cases are more likely to lead to this complication, even mild or recurrent infections could potentially result in mastoiditis if not adequately addressed. Individual anatomy and immune response also play roles in how infections spread. 2. Types of Mastoidectomy: There are different types of mastoidectomy procedures: - Simple Mastoidectomy: Involves removing less of the mastoid bone and mainly focusing on cleaning up the infected areas. - Modified Radical Mastoidectomy: This procedure clears more of the mastoid bone and may involve making changes to the eardrum and structures of the middle ear. - Radical Mastoidectomy: This is the most extensive form, involving removal of parts of the middle ear and some surrounding structures in addition to the mastoid bone. The decision about which type of mastoidectomy to perform is based on several factors, including the extent of the infection, the presence of other complications, and the surgeon's clinical judgment. More severe infections may indeed require a more invasive procedure, but assessments of individual patient conditions are critical. 3. Impact on Hearing: The procedure can affect hearing given its proximity to the structures responsible for hearing in the middle and inner ear. The risk of permanent hearing loss varies; some people may experience a temporary decline in hearing that improves as they heal, while others might retain their hearing after recovery or may experience some change. Pre-surgical assessment by an ear specialist is critical in understanding individual risks. 4. Recovery Process: Recovery from a mastoidectomy typically involves: - Hospital stay duration can vary, but many patients go home the same day or after a short period. - Complete healing of the ear can take several weeks to months. - Patients may experience some discomfort, drainage from the ear, and temporary hearing changes immediately following surgery. - Follow-up visits are crucial to monitor healing and manage any complications. Long-term effects such as dizziness or balance problems can occur, particularly if the inner ear structures are affected; however, many patients do not experience significant issues. 5. Alternatives to Surgery: Non-surgical treatments such as intensive antibiotics or other medical therapies may be attempted initially. However, if these options do not resolve the chronic infection or if complications arise (like bone infection), surgery becomes necessary. Consulting with an ENT specialist is vital to assess individual circumstances, including the specific infection, any prior treatments, and overall health. In conclusion, while a mastoidectomy is a serious surgery, it is often a necessary step to prevent further complications of chronic ear infections. Open discussions with the healthcare team about the risks, benefits, and alternatives can help clarify the best course of action for your uncle’s situation.
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Throat Infection Remedies

26 days ago
1 answers

A few weeks ago, I started experiencing a scratchy sensation in my throat, which quickly turned into painful swallowing and a persistent dry cough. At first, I thought it was just mild irritation from talking too much or not drinking enough water, but by the next day, the pain had worsened, and I started feeling a burning sensation whenever I swallowed. Soon after, I noticed my voice becoming hoarse, and I felt a constant urge to clear my throat. I didn’t have a fever, but I did feel fatigued, had mild body aches, and a swollen feeling in my neck. That’s when I realized I had a throat infection. I immediately started looking for natural remedies and medications that could help relieve my symptoms, but I was curious—what are the best remedies for treating a throat infection quickly and effectively? From what I learned, throat infections can be caused by viruses, bacteria, or even allergies, and the treatment depends on the cause. Viral throat infections, like those caused by the common cold or flu, usually go away on their own, while bacterial infections, such as strep throat, may require antibiotics. My doctor explained that most sore throats are viral, which means antibiotics won’t help, but I was wondering—how can someone tell if their throat infection is viral or bacterial, and when is it necessary to see a doctor? One of the first remedies I tried was gargling with warm salt water, which I read helps reduce inflammation, kill bacteria, and loosen mucus buildup in the throat. I noticed some relief after doing this a few times a day, but I was wondering—how often should someone gargle with salt water, and are there any risks of overdoing it? I also read about lozenges and throat sprays that contain ingredients like menthol, eucalyptus, and benzocaine, which help numb the throat and provide temporary relief. While they did help reduce the discomfort, I was wondering—do medicated lozenges actually help fight the infection, or do they just mask the symptoms? One of my biggest concerns was whether my diet could help speed up recovery. I avoided spicy and acidic foods, as they can irritate the throat, and instead focused on warm soups, broths, and soft foods. But I was wondering—are there specific foods or drinks that help fight throat infections more effectively? My doctor also mentioned that staying hydrated is crucial, as drinking plenty of fluids helps flush out toxins, keep the throat moist, and prevent dehydration. I made sure to drink water, herbal teas, and warm broths, but I was curious—are there any specific drinks that can help soothe throat pain faster? Lastly, I was concerned about how to prevent future throat infections. I read that good hygiene, like washing hands regularly, avoiding smoking, and staying away from sick individuals, can help reduce the risk of infections. But I wanted to know—are there any long-term habits or supplements that can strengthen the immune system and prevent recurring throat infections? If anyone has tried different remedies for throat infections, I’d love to hear—which treatments worked best for you, and how long did it take for your symptoms to improve?


Dr. Evgeny Arsentev
25 days ago
Clinical Summary: Based on the symptoms you've described—scratchy throat followed by painful swallowing, persistent dry cough, hoarseness, and localized swelling—it appears that you may be experiencing acute pharyngitis or tonsillitis, which can be caused by either viral or bacterial infections. While your provider has noted that most sore throats are viral, it is important to ascertain the specific etiology, especially considering your difficulty swallowing and swollen sensation in the neck. Differential Diagnoses: 1. Viral Pharyngitis: Most common cause; typically presents with mild symptoms, often self-resolving. 2. Bacterial Pharyngitis/Strep Throat (Streptococcus pyogenes): Painful swallowing, possibly with fever and swollen lymph nodes. Requires testing to confirm (rapid antigen test or throat culture). 3. Allergic Rhinitis: Can cause throat irritation but is often accompanied by nasal symptoms. 4. Mononucleosis: May show prolonged fatigue, cervical lymphadenopathy, and tonsillar enlargement. 5. Non-infectious Laryngitis: Can be triggered by irritants or overuse of the voice. Etiology and Risk Factors: - Viral Infections: Seasonal flu and cold viruses are most prevalent in certain periods (e.g., winter). - Bacterial Infections: Risk can be increased by close contact with infected individuals or individuals with poor throat hygiene (e.g., children at school). - Immunocompromised states: Higher susceptibility to infections can arise from conditions like diabetes, chronic respiratory disease, etc. Treatment Plan: 1. Initial Assessment: If symptoms persist beyond a week or worsen (e.g., high fever, severe swelling), consider seeking medical attention. An appropriate diagnostic test for streptococcal infection would be warranted based on clinical criteria (centor score). 2. Gargling with Salt Water: Gargling with warm salt water (1 teaspoon in 8 ounces of water) can be repeated every few hours as tolerated. It can help reduce inflammation and provide temporary relief without significant risks. 3. Lozenges and Throat Sprays: These provide symptomatic relief due to ingredients such as menthol and benzocaine but do not combat the underlying infection. They can typically be used according to package instructions. 4. Diet and Hydration: Soft foods are indeed advisable. Warm fluids like herbal teas may provide soothing effects while staying hydrated. Honey and lemon in hot water might help soothe the throat; honey also has antimicrobial properties. 5. Prevention: - Good hygiene practices are essential. Regular handwashing and avoiding close contact with infected individuals are key. - Long-term immune support isn't conclusively linked to supplements, but maintaining a healthy lifestyle (balanced diet, regular exercise, adequate sleep, and stress management) contributes positively. Patient Communication: You have taken appropriate initial steps to manage your symptoms, and further assessment or intervention may be necessary depending on the evolution of your symptoms. Staying well-hydrated and taking care to avoid irritants (such as smoking) can be beneficial for both your current recovery and for preventing future infections. If symptoms do not improve in a few days or worsen, seek medical evaluation for potential antibiotic therapy if a bacterial infection is suspected. Feel free to ask any follow-up questions or for clarification on any recommendations!
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Ludwig angina and its complications

23 days ago
1 answers

A relative of mine was recently diagnosed with Ludwig angina, and I was shocked to learn how serious it can be. What exactly is Ludwig angina, and how does it develop? Is it always caused by a dental infection, or can other factors lead to it? He initially had a tooth infection, which then spread rapidly. Are dental infections the most common cause, or can Ludwig angina happen from something else like throat infections or injuries? What are the early warning signs that people should watch out for before it becomes life-threatening? I’ve read that Ludwig angina can cause breathing problems. How is it treated—does it always require hospitalization, or can antibiotics work? If someone has swelling in the neck or difficulty swallowing, how quickly should they get medical attention? I need guidance on how serious this condition is and how it can be prevented, especially for those prone to dental infections.


Dr. Evgeny Arsentev
22 days ago
Ludwig's angina is a serious and potentially life-threatening condition characterized by bilateral inflammation and swelling of the submandibular area, which can lead to airway obstruction. It typically arises from the spread of infection, most commonly linked to dental issues, particularly periapical infections of the teeth, where an untreated dental infection can progress to involve the submandibular space. While dental infections are indeed the most common etiological factors leading to Ludwig's angina, other causes can also contribute. These may include infections from throat conditions, injuries to the neck, and infections from other sources in the oral cavity. Bacterial infections, particularly polymicrobial in nature, often flourish in such instances, making early recognition crucial. The early warning signs to watch for include: - Swelling and tenderness under the chin and jaw - Pain and discomfort that may radiate to the ears, neck, or throat - Difficulty swallowing (dysphagia) - A change in voice, potentially sounding muffled - Breathing difficulties or stridor (a high-pitched sound during breathing indicative of airway obstruction) - Fever and malaise as systemic signs of infection Given the nature of Ludwig's angina, it can advance rapidly, leading to airway compromise. Therefore, if swelling in the neck or difficulty swallowing occurs, it is essential to seek medical attention immediately. This warrants urgent evaluation, given the risk of rapid deterioration. Treatment typically involves hospitalization, particularly because of the risks associated with airway management. The primary treatment approach includes intravenous administration of broad-spectrum antibiotics to combat the infection. Surgical intervention may also be required—such as incision and drainage—if there is significant abscess formation or if airway issues are present. While some cases may be managed with antibiotics alone, many patients need close monitoring and possibly surgical intervention. Preventive measures for those predisposed to dental infections include maintaining good oral hygiene, regular dental check-ups, prompt treatment of dental issues, and management of underlying health conditions such as diabetes that could contribute to infection risk. In summary, Ludwig's angina is a serious condition that often originates from dental infections but can stem from various factors. Prompt recognition of symptoms and quick medical care are crucial to minimize complications. If you or anyone else exhibits signs of Ludwig's angina, it's important to seek medical attention rapidly.
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