Discussions By Condition: I cannot get a diagnosis.

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Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: varunb82
  • June 14, 2011
  • 06:09 PM

Hello members,

A bit of background:

My father, who is almost 59 yrs old, has been a heavy smoker/drinker since past 35 years or so until the last 2 months when he finally decided to call it quits. Well, he had to as he fell ill (we believe directly or indirectly due to smoking/drinking that caused compromised immune system) and went into a septic shock and had to be rushed to the hospital due to low BP (60-35). His kidneys had stopped functioning, his liver got affected and also his heart as the doctor said after they did the echo test. Luckily, he made it through all this and was finally discharged after about 2 weeks in the hospital where he was administered a heavy dose of antibiotics intravenously to treat his pneumonitis in the left lung. His kidneys had revived after 3 days and the liver also started functioning well and so did the heart as we were told.

While he was discharged, he felt great and he swore that he wont ever smoke or drink! Its been 2.5 months and he has kept his promise and during this time, he had to go through a tough time where he was irritated, short tempered, had sleepless nights and bore all effects that smoking/drinking withdrawal brings along. We wish he had done this long back but nevertheless, we cant be more thankful to God. He has a healthy routine now and has never felt emotionally better in life.

When he was discharged from the hospital, he left with a sore throat and a slurred voice and was barely able to speak. The doctors discharged him with followup medication which included few medicines, a nebuliser, nasal drops etc. He also had severe ulcers in the mouth and he found it difficult to eat anything but managed to somehow after application of some numbing ointment in the mouth.

Its been 2.5 months since then and after few more antibiotic treatments with other doctors the ulcers have gone but the throat is still sore and it has started to pain with difficulty swallowing (as if something is stuck in the neck). His voice has improved a lot but still not what it used to be and is still a bit hoarse.

Can anybody suggest, what could be wrong? Can antibiotics used to treat pneumonitis cause this? His appetite has increased considerably since he left smoking/drinking (touch wood) and his weight has started to increase for the first time in his life now.

Please share your thoughts. I hope 35 years of smoking has not caused some irreparable damage to his throat. The doctors have suggested him a CT of the throat and biopsy of the tissue.

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3 Replies:

  • I am with the doctors on this one.A check up as described will put everyones mind at ease hopefully as the symptoms described can be caused by something serious or by a small infection that is nothing to worry about.
    chrismia 159 Replies Flag this Response
  • Hi Chrismia, Thanks for the reply and also for referring to the doctors on my dads case. My dad got his CT scan done for the throat and these are the observations: Mild soft tissue attenuation in left maxillary antraImpression: left maxilarry sinusitis, deviated nasal septum The doctor did an endoscopy and found some red spots. He suggests that it may be due to acidity and has give medication for a month and asked for a review again. He did not take any tissue for biopsy my dad told me. Not sure why though. How could this be due to Acidity???? My gut feelign is that we should take a second opinion of some other doctor without wasting any time. I am with the doctors on this one.A check up as described will put everyones mind at ease hopefully as the symptoms described can be caused by something serious or by a small infection that is nothing to worry about.
    varunb82 2 Replies Flag this Response
  • Hi Chrismia, Thanks for the reply and also for referring to the doctors on my dads case. My dad got his CT scan done for the throat and these are the observations: Mild soft tissue attenuation in left maxillary antraImpression: left maxilarry sinusitis, deviated nasal septum The doctor did an endoscopy and found some red spots. He suggests that it may be due to acidity and has give medication for a month and asked for a review again. He did not take any tissue for biopsy my dad told me. Not sure why though. How could this be due to Acidity???? My gut feelign is that we should take a second opinion of some other doctor without wasting any time. HiFirst I want to point out that I am not a doctor but a microbiologist who works in a medical school.However it looks like good news to me. but by all means get a second opinion.I was scared of the possibilty of cancer as you possibly still are but the doctor obviously did not see anything that made him think of cancer hence no biopsy, which is an invasive process.Acidity can cause the tissues it comes in contact with to become inflamed and red. The acid involved is hydrochloric acid and quite strong. It can cause holes in tissues that are not normally exposed to the acid (the stomach is lined and protected by mucus from the acid) and that can lead to hemorrhages. These can even kill and are a known problem in alcoholics.Your father just has a few symptoms associated with heavy drinking and these things are now being treated.The sinusitis maybe an infection which can be treated, however some rather nasty organisms such as Pseudomonas aeruginosa can cause sinusitis and the antibiotics needed maybe quite strong. But it is more likely due to the deviated septum. This can be corrected by surgery but that is something to be discussed between him and his doctor.My step daughter had her deviated septum corrected this way and was very happy with the result. She also suffered from sinusitis.I wish you all the best.
    chrismia 159 Replies Flag this Response
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