Hello,
Thank you for asking your query at DoctorSpring.
It seems you are having some inflammation in the throat due to an allergy or infection (infection is less likely though). These will cause the lymph glands in the throat to swell up. When the tonsils swell up it can cause the swell up sensation in the side of the throat. When the adenoids or the lymph glands in the waldeyers ring swell up this feeling of pricking or touching occurs.
The cough is related , probably a clearing up cough due to post natal drip.
The approach is pretty straightforward.
1. I recommend steam inhalation twice daily with open mouth for 3 days.
2. Saline gargle with warm water twice a day for 3 days.
3. An OTC anti allergy medication like Ceterizine or Allegra twice a day for 3 days
4. You can take Amoxicillin for the teeth problem as recommended by your Doctor. Since this is a very good antibiotic for throat infection it will serve dual purpose.
Please follow these measures and you should see improvement soon. Hope this helps
Please feel free to ask follow up questions.
Thank you
Patient replied :
Do I take the Amoxicillin twice a day? My back pain in like in the upper middle of my back, could that be my esophagus? Is this something I should be concerned or should I just take allergy meds and do what you said and I'll be okay?
You need to be concerned only in the back pain is persistent for weeks. It could be because of a musculoskeletal cause. You can take an OTC pain reliever like Ibuprofen 400mg twice daily, if there is considerable discomfort.
Amoxicillin typical dosage is 500mg thrice daily (Please consult your Doctor for this).
Do follow the recommendation.
Hope this helps
Thank you
Patient replied :
Oh, one more thing, I recebtly went to the ER about 3 weeks ago due to scrotal pain I had for a few weeks, got an ultra sound and they found a head cyst and gave me antibiotics and told me to follow up with a Urologist. I wasn't able to follow up with one cause none accept my insurance, I still have pain in the upper left area of my scrotal every now and than. It doesn't hurt in the testicle but in the tubing. I've been taking it easy for about a week or 2 but it just comes and goes. Should I be concerned? And the pain is about a 4 out of 10 on the pain scale. Should I just wear a jockstrap and briefs or do I need to go to a doctor again? I finished the antibiotics (Doxycycline) last week.
Hello,
Yes I would recommend a Urology/ General Surgeon consultation. You can look for a General Surgeon who will accept your insurance. This is probably an epididymal cyst with infection. But since the cyst is persisting better get it check by a Surgeon.
Hope this helps
Thank you
Patient replied :
Thank you, and also, I've had chest pain that comes with the throat pain sometimes, it will be like a throbbing in the breast type thing. It doesn't feel under the ribs but above it like in the muscles, but than again I don't really do much to strain them cause I've had this for a week but had left chest pain for a few months. Could I have a URI? Also, no fever, chills, nightsweats, doesn't hurt to take a deep breathe, etc.
This is not likely to be URI. The pain seems to be non specific and not much of a concern. It should resolve by itsown. This is probably musculoskeletal in origin. You can take a pain medication for Ibuprofen 400 mg for this. If persisting you might need to get an ECG done.
Thank you