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Recurrent Tonsillitis.

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Hi this is janel, i'm an intern here in the baltimore maryland and i'm afraid that i might not do my training if i have this conditions. i have frequent tonsillitis i guess it's 5-7 times per year and it's alarming me. every time i got tonsillitis it will accompanied by pus. i also have rhinitis so it's really hard for me. now im worried because my cough and tonsillitis are keeping on coming back for i guess 3-4months even i do take medicines prescribed by my ENT doctor. these past few days i got a fever for 3 consecutive days including joint pains and now i got these rashes for i don't know the reason. i'm so worried because sometimes i do feel chest pains and shorten of breath. i got mucus from my nose with bloods too. please do help me i'm so worried about my condition and i'll do find time to got a check up and laboratories here. thank you.

Category: ENT Specialist

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Category: ENT Specialist
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You are suffering from recurrent tonsillitis with 5-7 episodes per year.
Other symptoms include fever, rash, joint pain, chest pain, breathing difficulty, blood stained nasal discharge with present episode.

I think you need detailed evaluation including :
• Throat swab : culture and sensitivity to find the bacteria causing infection
• ASO titre
• CT Scan or X-ray of PNS (Paranasal sinus ) – to rule out focus of infection in sinus, sinusitis
• To do chest X-ray- as you have chest pain and breathing difficulty.
• Nasal endoscopy can be done to get more information

Any further investigation can be decided by clinical examination and after following result of above investigation.

Recurrent tonsillitis (more then 4 episodes for two consecutive years) is an indication for tonsillectomy surgery, but it is a safe, simple and elective surgery can be planned later after all these investigation done and once present episode settles.

You need not discontinue your training, with proper evaluation followed by correct treatment.

Hope this helps. Please feel free to ask if you have any further queries.
Thank you.
Dr. Sunil Jalan

Patient replied :

thank you so much for the answer. im worried because im just a trainee here in usa. i want to know an approximate value of all these examinations needed to be done for me. do i really need to be check up as soon as possible? if i'm going to wait for a year for the surgery to be done would it be okay? i,ve undergone surgeries before at my knee and it was bad because it became infected my wounds won't heal easily. would it happen again? thank you so much.


I am sorry but I don't have any idea about cost of these investigations in USA. These investigations are not required urgently, you can plan them later as well. But you should do throat swab when you get infection before starting any antibiotics.
Tonsillectomy is very elective surgery. You can do it after one or two year also.
At present you should take adequate medication including antibiotics (Amoxicillin with clavilanic acid (Augmentin 625 mg two times daily for 5 days) will be best for tonsillitis infection.

Hope this helps. Feel free to ask if you have any further queries.

Thank you.

Dr. Sunil Jalan
Category: ENT Specialist
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
Dr. Sunil Jalan and 4 other Medical Specialists are ready to help you

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