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9/22/2017 12:11:25 AM
Posted: 1/8/2006 7:06:52 AM EDT
Hello. I am a 20 yo Caucasian male in generally good health with a record of regular bouts of sinus infections. About 4 days ago I began to wake up with runoff down the back of my throat and a mild sore throat. OK, cool. Getting a cold, nothing to worry about, mission first, drive on, etc. Day before yesterday night I had trouble sleeping laying down, due to a hard time breathing laying down. Not stuffy, still having runoff and a pretty damn sore sore throat. Unable to eat solid foods. Tonsils and hangy down thing in back of throat swollen, with left tonsil (my left) having a little yellow/white spot on it.

Last night was horrible, could not sleep more than 10 to 15 minutes without waking up choking. Throat is swollen nearly shut today, and I used a tongue depressor and swab in my first aid kit to take a closer look at my tonsils. Left tonsil has four white/yellow spots with one open and oozing pus. Have periodic ear pain, and sinus headache. (Infection spreading?)

I can't go to sick call till the AM, and I am deathly afraid of Army docs. (More the worthless generic AAFES medicine - my over the counter shit has worked better than the prescription every time.) Really hoping I dont have to get tonsils out - we leave for the field next Tues, and this would really fuck up my preperations for pre-deployment combat certification. Anyways, what says you?
Link Posted: 1/8/2006 7:09:38 AM EDT
Look, you know what we're all going to say so why make us say it?

Good luck at the doc.
Link Posted: 1/8/2006 7:11:00 AM EDT
H5N1, kill yourself before you spread it
Link Posted: 1/8/2006 7:11:04 AM EDT
Sir, go to the Doctor. Don't want to miss anything. This could be Strep Throat, and that needs to be treated.

BT
Link Posted: 1/8/2006 7:11:53 AM EDT
get a Z-pack, sounds like tonsilitis or strep, you prolly visit an ENT sometime chronic onfections need to be taken care of, tonsil and adenoid removal would prolly help.
Link Posted: 1/8/2006 7:12:01 AM EDT

Originally Posted By JSteensen:
Hello. I am a 20 yo Caucasian male in generally good health with a record of regular bouts of sinus infections. About 4 days ago I began to wake up with runoff down the back of my throat and a mild sore throat. OK, cool. Getting a cold, nothing to worry about, mission first, drive on, etc. Day before yesterday night I had trouble sleeping laying down, due to a hard time breathing laying down. Not stuffy, still having runoff and a pretty damn sore sore throat. Unable to eat solid foods. Tonsils and hangy down thing in back of throat swollen, with left tonsil (my left) having a little yellow/white spot on it.

Last night was horrible, could not sleep more than 10 to 15 minutes without waking up choking. Throat is swollen nearly shut today, and I used a tongue depressor and swab in my first aid kit to take a closer look at my tonsils. Left tonsil has four white/yellow spots with one open and oozing pus. Have periodic ear pain, and sinus headache. (Infection spreading?)

I can't go to sick call till the AM, and I am deathly afraid of Army docs. (More the worthless generic AAFES medicine - my over the counter shit has worked better than the prescription every time.) Really hoping I dont have to get tonsils out - we leave for the field next Tues, and this would really fuck up my preperations for pre-deployment combat certification. Anyways, what says you?



Have fun with that button-hook operation. And enjoy the icecream.

(I am not a doctor. And your throat problem sounds seriously shitty. But it doesn't take a doctor to tell you to go see one.)
Link Posted: 1/8/2006 7:19:52 AM EDT
Just did a little more research and my symptoms match tonsillitis to a "T". Have all of the following symptoms.


Each person with tonsillitis may not experience all of the symptoms. Some of the major symptoms are: a very sore throat, fever, redder-than-normal tonsils, chills, a yellow or white coating on the tonsils, a funny-sounding voice, swollen glands in the neck, and bad breath.


Source: www.mamashealth.com/tonsillitis.asp
Link Posted: 1/8/2006 7:23:26 AM EDT
You need a broad spectrum antibiotic for 10 days or so.
Link Posted: 1/8/2006 7:26:43 AM EDT
STREP do you have a fever yet?

When I was a kid I got strep a few times my fever would shoot up to 104
I think I would hallucinate, things I saw were wacky and out of place, people tugging on me. It was weird.

I remember Strep would last about 7 days after Doc putting me on the antibiotics,
My mom would catch it early, so I would be out for about 8 days I remember it being a horrible experience.
Link Posted: 1/8/2006 7:26:49 AM EDT
Go get checked out for a possible retropharygeal abscess. Do not delay. You can become dangerously ill from it.
Link Posted: 1/8/2006 7:28:20 AM EDT
Nobody here can tell you what your problem is without examining you.
Could be allergies, sinusitis, cold, or even partially due to gastroesophageal reflux. A doctor should question you about other symptoms and look at your nose, ears, eyes, throat, listen to lungs, check lymph nodes, etc. If they are not doing that they are doing you a disservice.

Zithromax is not a great choice for sinus infections IMO but it is effective for some people.

IMO sinus infections are, one of, if not the most overdiagnosed condition in medicine but it allows docs to dole out unnecessary antibiotics for colds so a bunch of whiny retards can be happy.

That said, if you do have a sinus infection, prolonging treatment only makes it more difficult to cure and if it is becoming chronic, several courses of antibiotics may be required. I generally gave people a refill on a 10 day course of meds and told them that I wanted them 100% improved for 3-4 days before discontinuing their antibiotics.

Hot showers help. A lot.
Nasal steroids are somewhat useful in some cases to reduce inflammation and of course, in allergic rhinosinusitis in which case antihistamines are also beneficial. I would stay away from the latter if the cause is solely due to infection.
Sudafed and guaifenesin can also help to decrease drainage. These are available OTC or by Rx.

If you have large tonsils and adenoids it may be secondary to the drainage which might be more chronic than you are aware or it might be part of the problem. Or both, of course.

Finally, it is very possible to develop intermittent sinus infections due to allery problems, ie drainage, etc. That requires a two pronged approach.

There might also be anatomical abnormalities if you are, in fact, getting frequent sinus infections. Narrowed ostia, nasal polyps, cysts that might obstruct your sinus ostia(drainage holes).

Good luck.
See a doc.
Link Posted: 1/8/2006 7:32:17 AM EDT
[Last Edit: 1/8/2006 7:34:07 AM EDT by ChrisLe]
Based on your symptoms (especially the swollen tonsils, exudate and the 'white spots'), you quite possibly have a bacterial infection (my guess is strep). You need to go to a doctor to get properly diagnosed and treated. If it is a bacterial infection, it will not resolve itself without treatment.....

Link Posted: 1/8/2006 7:35:05 AM EDT
A couple of more things.

Sometimes a CT of the sinuses can be useful. I don't find sinus xrays terribly useful though they are widely used. Often inappropriately IMO.

I did have a case of a girl who mom kept bringing to different docs(frequently prevents optimal care BTW) and who had been treated multiple times with various antibiotics without result. Enough, I figured, got a CT and she had developed a large fungal ball in one of her sinuses. The antibioitcs were only complicating this as was Mom's inclination to keep seeing different doctors. If she had stuck with one it would have been sorted out far earlier instead of wasting 6 months of ineffective treatment and the poor girls misery.
Link Posted: 1/8/2006 7:38:43 AM EDT
I'll put $10 on a retropharyngeal abscess. With a history of repeated infections, I doubt he would post over a routine sore throat. Which brings me to my new medical theorem:

If it is bad enough to post about on ARFcom, you need to see a doctor right away.
Link Posted: 1/8/2006 7:45:47 AM EDT

Originally Posted By ClayP:
If it is bad enough to post about on ARFcom, you need to see a doctor right away.



How true!
That's sig line material!
Link Posted: 1/8/2006 7:45:49 AM EDT

Originally Posted By ClayP:
I'll put $10 on a retropharyngeal abscess. With a history of repeated infections, I doubt he would post over a routine sore throat. Which brings me to my new medical theorem:

If it is bad enough to post about on ARFcom, you need to see a doctor right away.



I'd put my money on Strep or sinusitis.
I am tempted to take you up on your wager!
Link Posted: 1/8/2006 7:47:03 AM EDT
Go see a doc, you nitwit!!!
Link Posted: 1/8/2006 7:48:09 AM EDT

Originally Posted By drjarhead:

Originally Posted By ClayP:
I'll put $10 on a retropharyngeal abscess. With a history of repeated infections, I doubt he would post over a routine sore throat. Which brings me to my new medical theorem:

If it is bad enough to post about on ARFcom, you need to see a doctor right away.



I'd put my money on Strep or sinusitis.
I am tempted to take you up on your wager!



I'll put $10.00 on strep...
Link Posted: 1/8/2006 7:55:27 AM EDT
I agree sounds like strep.

And dont worry they wont deploy without you, nobody gets left behind over strep throat.

FREE



Originally Posted By ChrisLe:

Originally Posted By drjarhead:

Originally Posted By ClayP:
I'll put $10 on a retropharyngeal abscess. With a history of repeated infections, I doubt he would post over a routine sore throat. Which brings me to my new medical theorem:

If it is bad enough to post about on ARFcom, you need to see a doctor right away.



I'd put my money on Strep or sinusitis.
I am tempted to take you up on your wager!



I'll put $10.00 on strep...

Link Posted: 1/8/2006 8:06:01 AM EDT
Don't mess with strep. It can migrate into the mitral valve (rheumatic fever) and then not only is your deployment FU'ed up but maybe you're headed for a major heart issue. I'm not a docor and I didn't sleep in a Holiday Inn Express last night but close personal experience leads me in this direction (don't want to get into personal details but ...)
Link Posted: 1/8/2006 8:24:53 AM EDT
Ask your Primary Care Physician t o send you to an Ear Nose and Throat specialist.

Do not allow your PCP to stick you for months to years on dangerous drugs or steriods.

I was put on those for almost two years by my PCP until I forced him to send me to a specialist. I had a Rhinoitis sinusitis with a deviated septom, polyps. It was worth the operation to get of f the perscriptions.
Link Posted: 1/8/2006 11:09:13 AM EDT
Go see a doctor before it gets worse, its not going to heal itself ok.
Link Posted: 1/8/2006 11:17:53 AM EDT
Oh yeah, Im going to sick call at 0630 tomorrow.
Link Posted: 1/8/2006 12:23:35 PM EDT
In the meanwhile can you trate yourself at all? Hot lemonade is great for a sore throat as is gargling with warm saltwater. Some OTC medicine works great for me ever with a severe cold--I like the Tylenol Severe Cold Forumla and the Nighttime Cold Forumula. Dose yourself with Benadryl then try to sleep propped up in bed or on the couch. Even 3-4 hours of solid sleep will help. Take one or even two naps during the day. Make sure you eat something, even warm broth will help.

GunLvr
Link Posted: 1/8/2006 12:30:29 PM EDT

Originally Posted By drjarhead:
Nobody here can tell you what your problem is without examining you.
Could be allergies, sinusitis, cold, or even partially due to gastroesophageal reflux. A doctor should question you about other symptoms and look at your nose, ears, eyes, throat, listen to lungs, check lymph nodes, etc. If they are not doing that they are doing you a disservice.

Zithromax is not a great choice for sinus infections IMO but it is effective for some people.

IMO sinus infections are, one of, if not the most overdiagnosed condition in medicine but it allows docs to dole out unnecessary antibiotics for colds so a bunch of whiny retards can be happy.

That said, if you do have a sinus infection, prolonging treatment only makes it more difficult to cure and if it is becoming chronic, several courses of antibiotics may be required. I generally gave people a refill on a 10 day course of meds and told them that I wanted them 100% improved for 3-4 days before discontinuing their antibiotics.

Hot showers help. A lot.
Nasal steroids are somewhat useful in some cases to reduce inflammation and of course, in allergic rhinosinusitis in which case antihistamines are also beneficial. I would stay away from the latter if the cause is solely due to infection.
Sudafed and guaifenesin can also help to decrease drainage. These are available OTC or by Rx.

If you have large tonsils and adenoids it may be secondary to the drainage which might be more chronic than you are aware or it might be part of the problem. Or both, of course.

Finally, it is very possible to develop intermittent sinus infections due to allery problems, ie drainage, etc. That requires a two pronged approach.

There might also be anatomical abnormalities if you are, in fact, getting frequent sinus infections. Narrowed ostia, nasal polyps, cysts that might obstruct your sinus ostia(drainage holes).

Good luck.
See a doc.



Yep, what he said. You would not believe what I have taken out of sinuses during surgery, even on you kids. It is a warm, dark environment. Go to the Dr. It could be simple or very bad.

Bob RN
Link Posted: 1/8/2006 2:44:46 PM EDT
Your symptoms sound exactly like what landed me in the emergency room, because I didn't go to sickbay soon enough. The white spot in particular. I didn't notice them until my throat was bleeding and I was hallucinating. Mine was Strep.

As far as the stinging/burning/dripping at night, it really sounds like you may have alergies. Do you have sneezing, itching eyes, etc?

Of course, the allergy irritation can lead to the same sort of problems and repetitive sinus infections. Some docs seem to blow this off and don't spend the time to diagnose it, or actually provide referral to a specialist.

Now that I know to keep my allergy symptoms under control, my rate of sinusitis and infection are greatly reduced.

My wife had some symptoms, but the doctor did not diagnose properly and did manage to remember to take a culture. He send her home, but when the lab came back, the antibiotics needed to be started immediately.

I am not a doctor.

The only difference between God and a doctor is that God doesn't think he is a doctor.

It is always good to ask and receive second opinions. My wife's mom has often proven the doctor's advice and diagnosis wrong with a hugely alarming regularity. Experience plays a huge part in this. Keep in mind that many military doctors are there because they cannot afford malpractice insurance. Many of them really NEED malpractice insurance.

I am joking a bit. A very small bit, though.
Link Posted: 1/8/2006 5:52:14 PM EDT

Originally Posted By wildearp:
Your symptoms sound exactly like what landed me in the emergency room, because I didn't go to sickbay soon enough. The white spot in particular. I didn't notice them until my throat was bleeding and I was hallucinating. Mine was Strep.

As far as the stinging/burning/dripping at night, it really sounds like you may have alergies. Do you have sneezing, itching eyes, etc?

Of course, the allergy irritation can lead to the same sort of problems and repetitive sinus infections. Some docs seem to blow this off and don't spend the time to diagnose it, or actually provide referral to a specialist.

Now that I know to keep my allergy symptoms under control, my rate of sinusitis and infection are greatly reduced.

My wife had some symptoms, but the doctor did not diagnose properly and did manage to remember to take a culture. He send her home, but when the lab came back, the antibiotics needed to be started immediately.

I am not a doctor.

The only difference between God and a doctor is that God doesn't think he is a doctor.

It is always good to ask and receive second opinions. My wife's mom has often proven the doctor's advice and diagnosis wrong with a hugely alarming regularity. Experience plays a huge part in this. Keep in mind that many military doctors are there because they cannot afford malpractice insurance. Many of them really NEED malpractice insurance.

I am joking a bit. A very small bit, though.



lol, thanks for making me feel better about seeing the doc. lol. Its 0349, and Ive been tossing and turning all night. The longest I've been able to sleep is 30 minutes max.

Thanks for all the advice everyone, especially you DrJarhead. I've been holding off on any OTC stuff since early last night, so I can start anything presecription that much sooner.
Link Posted: 1/8/2006 6:34:59 PM EDT

Originally Posted By ClayP:
I'll put $10 on a retropharyngeal abscess. With a history of repeated infections, I doubt he would post over a routine sore throat. Which brings me to my new medical theorem:

If it is bad enough to post about on ARFcom, you need to see a doctor right away.



Yup...get thee to the doc's office!
Link Posted: 1/8/2006 11:04:10 PM EDT
So...strep. 1.2 million units (dont know what kind of unit. lol) of bicillin in the ass, and some cough drops. No antibiotic pills? strange. So, it feels like Im sitting on peanut butter inside my ass cheek,
Link Posted: 1/9/2006 1:03:36 AM EDT

Originally Posted By JSteensen:
So...strep. 1.2 million units (dont know what kind of unit. lol) of bicillin in the ass, and some cough drops. No antibiotic pills? strange. So, it feels like Im sitting on peanut butter inside my ass cheek,



Many rounds of strep as a kid, and my pediatrician believed strongly in "One Big Shot of Penicillin". Hurt like hell, but did the job every time.

I'd rather have one painful shot than ten days of pills. Nothing to forget to take, and in my experience it works faster and more reliably.

Jim
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