My boyfriend suffers from a very sore throat,tonsils extremely bulged,blocking the throat.He was prescribed antibiotics -Peniciline(as he was said to have tonsilitis)and finished one course of it-500mg 4 times a day.The pain was relieved but once he stopped the antibiotics the tonsils returned to their previous bulged state.Now it is starting all over again.
Another thing I am woried about is his nose bleeding without any obvious reason.We thought that his capilars in the nose might be too fragile and when the blood pressure goes a bit up he bleeds.However,it does not seem normal to me this to happen so often.Almost every day,at times even several times a day.
The symptoms you are describing sound like there is an infection that has not been fully treated. The symptoms of recurring sore throat and nosebleeds make me think he has a persistent sinus infection. If the sinuses remain infected, they will continue to drain down the back of the throat and cause a sore throat, and may irritate the tonsils as well. The penicillin appears to have helped but as is the case with sinus infections, many times either you have bacteria which are "resistant" to the antibioitic OR you have a course of antibiotic therapy which is not given for long enough.
Here is how I would approach this problem.
1) Start the patient on a "broad spectum" antibiotic such as AUGMENTIN ("Sanford guide to antimicrobial therapy" lists this as the preferred medication to treat this type of sinus infection) You may need to give this for up to 3 weeks.
2) Begin to aggressively try to "clear" the sinuses through the use of a combination antihistamine/decongestant such as Claritin-D, Allegra-D, or Zyrtec-D.
3) Apply vaseline to the nasal passages to keep them moist and prevent dryness/cracking of the nasal passages which can increase the occurrence of nosebleeds.
4) Use a nasal steroid spray such as Nasacort, which has the component of "glycerin" which will help to keep the nasal passages somewhat moist, while also helping to clear the sinuses.
You may want to share this information with his doctor to see if he/she concurs. This is how I would approach a problem such as what you describe here.
I hope this is helpful, and thank you for visiting the Family Practice forum.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.