Discussions By Condition: I cannot get a diagnosis.

throat swelling/tonsil pain from dry mouth?

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: bleestein
  • May 20, 2009
  • 04:04 PM

Ok, so back in January I was diagnosed with bronchitis at an Urgent care hospital. At the start of my feeling ill from the bronchitis I began to feel this, what I would call, swelling just under my jaw on the left side. I am not certain if swelling is the proper term to use but it is the best I can think of. Anyway, since the bronchitis left (after a week or so) this swelling has stuck around. Occasionally a very mild sensation of a full ear occurs with it. There is absolutely zero pain, however at around 1 or 2 AM in the morning the past few nights I have been waking up with what I would describe as a very dry mouth that is accompanied by soreness in the tonsil area. All of this comes and goes and none of these symptoms exist on a regular basis.

I have an appointment with my GP in late June, but I was hoping someone might be able to calm my nerves between now and then with some related experience. I am a 27 year old male.

Thanks....

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  • When you state feeling ill from the bronchitis, please describe your initial symptoms at the time of onset. This is most likely due to having previously contracted a viral pharyngitis. The initial symptoms usually, but not always, include the following: The mouth and throat become very dry, yet does not necessarily invoke thirst.Palatine or submandibular tonsil involvement ranges from mild swelling that can be detected due to contact with lateral portions of the back of the tongue, to visual exudate on the surface. Stinging sensations or general soreness of the pharyngeal/laryngeal surfaces are common and swelling occurs in a relapsing/remitting pattern.A cough that occurs in response to what is similarly experienced when drinking water is accidently aspirated, which can be mild or produce coughing episodes that result in being winded or light-headed at times.Mild initial inspiratory crackles can be heard through the mouth upon inhaling, typically at night while in bed, that resolve upon coughing and sometimes results in mild chest discomfort.Symptoms of otitis media, such as ear pain, shooting stinging sensations that briefly travel along the canal, sometimes with sensations of fullness or pressure. Hearing is not affected.Occasional low-grade fever that appears only briefly and is sometimes accompanied by general malaise.Symptoms of vasomotor rhinitis, wherein sinuses produce post-nasal drip that causes the need to constantly clear the throat or cough to induce relief.Sensation of "globus" in the throat as though a foreign body is trapped or the tissues are very swollen, interspersed with stinging sensations on occasion due to dry membranes in the pharyngeal/larnygeal cavity. Swallowing is sometimes affected, making it seem as though swallowing in the absence of drinking liquids or eating food may seem difficult.The above symptoms, while all may not be universally present, represent a general theme of the nature of this viral infection that can produce a post syndrome such as that being described by you, which has been demonstrated to last many months in some patients before resolving. Also please note a response I made earlier to a young lady with a 13-month cough, which very likely may be due to previous viral infection such as that being described here. From a general standpoint, my suggestion would be to take a deep breath and relax because while the aftermath syndrome can persist for several months or more and present more of a nusiance than anything else, it does not constitute a sign of serious disease. Resolution is slow, but eventually will return to baseline. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
  • I have had all these symptom after the continued 45 days of diagnosis a bronchitis and feeling ill from and now severe pain in my left central under rib cage, where if you reach your hand halfway around your back underneath the lower part of rib cage wrapping around to the front northward it radiates with great pain, cant sleep and painful to the touch and with many certain movements...ok what can this be as a result of severe prolonged bronchitis? I have Been on z pack twice in this period and much Mucinex DX, Zyrtec D of and on and occasionally but more often lately Zantac 150 and Advil. Had a chest x-ray at a walk in clinic and they just said i have congestion after going back there twice in 3 weeks for the same conditions. They offered to change antibiotics; i did not want anymore at this point....What is this awful pain from? I am sitting up at 3:45 am writing this breathing shallow and wondering....When you state feeling ill from the bronchitis, please describe your initial symptoms at the time of onset. This is most likely due to having previously contracted a viral pharyngitis. The initial symptoms usually, but not always, include the following: The mouth and throat become very dry, yet does not necessarily invoke thirst.Palatine or submandibular tonsil involvement ranges from mild swelling that can be detected due to contact with lateral portions of the back of the tongue, to visual exudate on the surface. Stinging sensations or general soreness of the pharyngeal/laryngeal surfaces are common and swelling occurs in a relapsing/remitting pattern.A cough that occurs in response to what is similarly experienced when drinking water is accidently aspirated, which can be mild or produce coughing episodes that result in being winded or light-headed at times.Mild initial inspiratory crackles can be heard through the mouth upon inhaling, typically at night while in bed, that resolve upon coughing and sometimes results in mild chest discomfort.Symptoms of otitis media, such as ear pain, shooting stinging sensations that briefly travel along the canal, sometimes with sensations of fullness or pressure. Hearing is not affected.Occasional low-grade fever that appears only briefly and is sometimes accompanied by general malaise.Symptoms of vasomotor rhinitis, wherein sinuses produce post-nasal drip that causes the need to constantly clear the throat or cough to induce relief.Sensation of "globus" in the throat as though a foreign body is trapped or the tissues are very swollen, interspersed with stinging sensations on occasion due to dry membranes in the pharyngeal/larnygeal cavity. Swallowing is sometimes affected, making it seem as though swallowing in the absence of drinking liquids or eating food may seem difficult.The above symptoms, while all may not be universally present, represent a general theme of the nature of this viral infection that can produce a post syndrome such as that being described by you, which has been demonstrated to last many months in some patients before resolving. Also please note a response I made earlier to a young lady with a 13-month cough, which very likely may be due to previous viral infection such as that being described here. From a general standpoint, my suggestion would be to take a deep breath and relax because while the aftermath syndrome can persist for several months or more and present more of a nusiance than anything else, it does not constitute a sign of serious disease. Resolution is slow, but eventually will return to baseline. Best regards, J Cottle, MD
    Anonymous 42789 Replies
    • September 24, 2009
    • 11:28 AM
    • 0
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