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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 47522
Experience:  Board Certified Physician
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my throat hurts very bad when i swallow, and i have a cough

Customer Question

my throat hurts very bad when i swallow, and i have a cough which plays up mainly at night. it has been going on over a month on and off but now its at a stage of un bareble pain.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you are having such bad sore throat.

Dr. David :

you could be having very bad acid reflux up at night time.

Dr. David :

and the acid is irritating your throat.

Dr. David :

or you could have a throat infection.

Dr. David :

you need to see your doctor to have your throat assessed.

Dr. David :

an ENT doctor can look down your throat to check for infection or acid damage.

Dr. David :

do you have a history of acid reflux?

Customer:

no

Dr. David :

unbearable pain is no good.

Dr. David :

do you have a GP you can see who can look in your throat?

Dr. David :

you could have a lung infection causing the cough and the sore throat pain.

Dr. David :

you could have a fungal infection in the back of your throat where you can't see.

Customer:

i went to the gp today he seemed a bit clueless gave erythromycin 250mg with out checking my throat and had a listen to my chest

Dr. David :

I see.

Dr. David :

did the erythromycin help?

Dr. David :

didn't sound like he did a throat culture

Customer:

just started them today

Dr. David :

hopefully it will help

Customer:

when i swallow it hurts bad

Dr. David :

you can also gargle with salt water to kill bacteria

Dr. David :

the salt water can hurt too.

Dr. David :

try sucking on ice or eating ice cream

Dr. David :

that can help numb your throat.

Customer:

so what does it seem like to you with the symtoms

Dr. David :

it could be a throat bacterial infection

Dr. David :

or possibly silent acid reflux up your esophagus at night time.

Dr. David :

when you lie down, it is easier for stomach acid to come up the throat

Dr. David :

and can even trickle into your lungs and cause cough.

Dr. David :

over time your throat can be very red from acid reflux at night.

Customer:

what about aspirin gargles?

Dr. David :

this takes medications to stop acid in your stomach

Dr. David :

changing your diet

Dr. David :

avoiding spicy foods, alcohol, sodas, fried foods, tomato sauces, black pepper

Dr. David :

aspirin doesn't work on contact.

Dr. David :

you can take it to help pain

Dr. David :

but aspirin can also upset your stomach and cause more stomach acid.

Customer:

bacterial infection from where and how?

Dr. David :

sleeping sitting up or inclined can use gravity to keep stomach acid in your stomach

Dr. David :

there is bacterial all around us.

Dr. David :

we can get strep throat or viral throat infections easily

Dr. David :

if we don't wash our hands enough

Dr. David :

or if our immune systems are runned down

Dr. David :

if you are not getting enough sleep

Dr. David :

or are not eating properly.

Dr. David :

does this make sense?

Dr. David :

the erythromycin can help with a bacterial throat infection.

Dr. David :

but a viral throat infection will have to take time to get better.

Dr. David :

make sure you wash your hands frequently.

Dr. David :

avoid spicy foods and alcohol and beer and tomato sauces.

Customer:

so what did this gp suspect to give me erythromycin?

Dr. David :

I am not sure why.

Dr. David :

you said he was clueless.

Dr. David :

some GP don't want to think.

Customer:

my phlegm goes from yellow to white when i cough?

Dr. David :

white is good.

Dr. David :

usually means not infected.

Dr. David :

are you getting enough sleep?

Dr. David :

are you drinking enough water?

Dr. David :

make sure you drink enough water.

Customer:

yes but yellow comes in mornings

Dr. David :

even if you have a sore throat.

Dr. David :

that can be normal.

Dr. David :

do you smoke?

Customer:

no

Dr. David :

smoking is no good for your lungs or throat either.

Customer:

so what do u suggest?

Dr. David :

take the erythromycin since you have started.

Dr. David :

try salt water gargles if you can

Dr. David :

suck on ice and eat ice cream to sooth the throat.

Dr. David :

drink plenty of water

Dr. David :

try some aspirin with food in your stomach if the pain is bad.

Dr. David :

avoid alcohol and spicy foods.

Dr. David :

try to use maalox or mylanta before bed and see if this helps block stomach acid.

Customer:

yes but takin antibiotics is not good too is it

Dr. David :

avoid large meals before bed.

Dr. David :

it could help if you have a bacterial infection in your throat.

Dr. David :

you have started it, so you should finish taking it.

Dr. David :

taking a partial course can lead to antibiotic resistant bacteria

Dr. David :

you don't want that.

Dr. David :

good luck to you

Dr. David :

I hope you feel better

Dr. David :

let me know if you have other questions.

Dr. David :

if done for now, please leave positive feedback below the chat box

Dr. David :

so I can get credit for helping you.

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my webpage if you need to reach me again.

Dr. David :

do you have other questions?

Customer:

whats antibiotic resistant bacteria

Dr. David :

bacteria which grows despite antibiotics.

Dr. David :

that can happen when you take a partial course of antibiotics.

Customer:

in ur opinion what tests should have the doctor done?

Dr. David :

a throat culture

Customer:

hows that performed

Dr. David :

a direct nasolarynoscopy scope procedure to look down your nose to your back of your throat. but most doctors don't know how to do this. ENT doctors do this.

Dr. David :

a long Q tip is swirred around the back of your throat

Customer:

whats ent

Dr. David :

and sent off to the lab for evaluation and culture to see if there is an infection there.

Dr. David :

ENT is ear nose throat specialist doctors.

Customer:

ok thankyou

Dr. David :

you are welcome

Dr. David :

I hope you feel better.

Dr. David and other Medical Specialists are ready to help you