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Dr. Mark
Dr. Mark, Board Certified Physician
Category: Medical
Satisfied Customers: 5040
Experience:  board certified internal medicine
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I have a question about my throat infection. It has been 7

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I have a question about my throat infection. It has been 7 weeks now and I’m concerned.
Hi. How,old are you? What treatment have you had? Any antibiotics?
Customer: replied 3 months ago.
Hello, I’m 22. 7 weeks ago my throat was very tight and had white spots, they gave me amoxicillin over the counter in Thai land. Made the the whiteness go away but tonsils and glands remained very enlarged.
Customer: replied 3 months ago.
Went to the doctor in the UK 6 days ago he gave me penicillin
Did you have a strep test or culture done?
Customer: replied 3 months ago.
Still no change all very enlarged, thought would see some change by now?
Do you have swollen neck glands? Any fatigue?
Customer: replied 3 months ago.
No
You have swollen neck glands?
Customer: replied 3 months ago.
neck glad swollen, yes some fatigue have been trying to just rest in bed last 6 days to try recover
Customer: replied 3 months ago.
Sorry there is a bit of a delay with messages sending yes I do have swollen neck glands
Customer: replied 3 months ago.
I can send a picture?
Sure. Send a picture
No fatigue?
Customer: replied 3 months ago.
Pic
Customer: replied 3 months ago.
Pic 2
Did they ever do a strep test or culture?
Customer: replied 3 months ago.
No the GP looked in my mouth for about a second and just gave me penicillin
Customer: replied 3 months ago.
No tests
Customer: replied 3 months ago.
I do have some fatigue
Then it’s not strep. Strep would have responded to the amoxicillin. I suspect you have mono. Either due to Epstein Barr virus or CMV.
Mono can last for weeks to months. Your doctor needs to have blood done for a mono spot, Epstein Barr and CMV antibodies.
Customer: replied 3 months ago.
About 10 days before all this started I had conjunctivitis in both my eyes could it all be related
Customer: replied 3 months ago.
Is their treatment for that
I wouldn’t think it’s related to conjunctivitis. That’s due to a different virus.
Customer: replied 3 months ago.
Okay, how would mono be treated ?
The first thing to do is make the proper diagnosis. Someone your age with swollen neck glands, fatigue, and sore throat for seven weeks is mono until proven otherwise. That’s why you need the blood tests.
There’s no treatment specifically for mono. It’s due to a virus and all we can due is treat the symptoms.
Customer: replied 3 months ago.
Oh okay
Customer: replied 3 months ago.
This is stressful
Customer: replied 3 months ago.
I’ll make another appointment with the doctor
A quick story. I was in my third year of medical school and came down with mono. I had your symptoms. I missed nearly two months of school. All we can due is make the correct diagnosis and treat the sore throat with ibuprofen, hot liquids, etc.
Hope I’ve helped you . Tell your doctor to draw those tests I suggested. Any questions?
Customer: replied 3 months ago.
Okay thank you that made me feel a bit better, I will go to the doctors tomoz
Feel better.
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