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sorry to hear about this.
did they confirm the diagnosis with a strep test?
yes, they performed a rapid strep test which came back negative.
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my strep test was negative.
did they do a mono test? (mononucleosis)
no. i had mono when i was a teenager.
that's comforting though it is possible in some cases to get it a second time (rare)
so you are on the right treatment for strep
there is a scenario in which the antibiotics will not work
but first let me ask
are you having more pain today?
is it difficult to swallow?
does it hurt to open your mouth?
no, not really. the pain in my ear has mostly subsided. it's painful when I swallow, and if i open my mouth too wide, it becomes painful
i wouldn't say the pain is worse, though.
i fear it's developing into an abscess
so your main concern is the way your tonsils look....
that's my next point
do you know about peritonsilar abscesses?
the doctor at the walk-in clinic yesterday said it could potentially be a pre-abscess
i am familiar with what abscesses are...
but i don't know the specifics fortonsils
so a peritonsilar abscess is caused usually by a strep infection, but the infection gets deep behind the tonsils and pus starts accumulating
and the throat swells
so the crucial things are
increased difficulty swallowing
some people if they leave it long enough start drolling
and it becomes painful to open the mouth (trismus)
HERE IS A GOOD LINK FOR YOU
usually people with these abscesses have a rapid pulse (over 100)
and feel quite ill
so it's hard to say in your case
but people with these usually have rapidly progressive symptoms
so it seems as if you are not getting worse.... but I would prefer if you WOULD get rechecked as it is usually a visual diagnosis
ok. how soon after starting antibiotics should i begin to see an improvement.
gargling with warm salt water four times a day will help clear the pus and help the healing
you should be getting better today
tomorrow at the latest
were you given steroids?
if i don't see an improvement tomorrow, i'll return to the doctor.
no, only amox.
please do read the reference above as it gives very specific direction and description of PTA
i'm not having trouble breathing, and i'm able to eat (though i don't have much of an appetite)
do you have any final questions for me
no, i don't think so
thank you for your help
is it normal for symptoms to worsen before they improve?
is there a chance that the pus is greater today bc the antibiotics are focing it out?
no, not really
but people are often dehydrated and they simply feel bad
ok, i'll try to keep my fluid intake up.
thanks for your help.
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