Hi there. Thank you for your question. I will be helping you out with your queries
Actually, what I think is happening is
that, as you may also know, there is a tube that connects the ear to the throat which is called as the eustachian tube. This tube usually gets blocked when there is an infection of the throat. Sometimes, even when the infection settles the opening of the tube in the throat is swollen and blocked which is what causes the symptoms that you are having.
ok so that may explain when I had the same problem for a week in June it hurt to swallow
So basically steroids are given not for the infection but to reduce the inflammation to help opening up the tube.
Hurting to swallow is a classical symptom.
so hence the steroids made me feel better
I have not had the hard to swallow over last couple of months
I felt really ill and spaced out for 8 weeks
also my snoring was horrendous
and the snoring returned since I feel ill
get like hot flushes
describe myself as feeling constantly under the weather but not bed bound
so enlarged tonsils can block eustacian tube?
even though no sore throat?
seemed weird to me??
But I also think that you should be on some kind of decongestant as well like pseduephedrine or xylometazoline nasal spray as well.
been on that for 2 months
think it helps a little
The inflammation associated with enlarged tonsils may not be limited to the tonsils.
It may be in the back of the throat as well where the tube opens.
could be an infection?
It could be a mild infection, yes,which is causing the blockage of the tube and causing your symptoms.
and this can keep recurring and last for weeks?
thought I had got rid of it!!
Starting to get me down
There is another thing called as eustachian tube dysfunction, which if diagnosed requires placing a tube in the ear called as the grommet tube.
In eustachian tube dysfunction these symptoms that you are having are persistent and require placing this small tube in the ear
Here is an image of the grommet tube
So if your symptoms persist even after steroid therapy you may require this tube to be placed.
ok my consultant seemed to think removing my tonsils was the option
but he wanted to do a two week course of steroids to try and blast it as he said
then if steroids don't work out with tonsills
Well, if your tonsil are really very large, which obviously he would know better since he examined you, then removal of tonsils will help yes.
find it weird as do not have sore throat
he said there whoppers
then they should be removed.
Particularly if you do not respond to steroids.
would you agree another course of steroids good call before surgery?
and why would penicillin not work?
Penicillin is an antibiotic.
There may be inflammation but the infection may not be a very prominent feature.
Additionally, quite often these infections are viral and antibiotics do not work in viral infections.
the consultant said I would probably feel better while on the steroids but its how I feel when I am off them will be deciding factor??
apparently they not for the long term?
they are only given for short term only
so that is why I felt better after first course but then it returned?
he said there a good chance a second course will clear it up?
There is a good chance that it will clear up this time and not come back or at least not come back for a good period of time.
ok he felt that a 10 day course may have been a little to short and so this time two weeks
final question is the two weeks ok for steroids?
Two weeks is okay for steroids.
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