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Ear, Nose & Throat Conditions
Question #11993
45 days ago
181

please help me dr it will pleasure - #11993

Areeba

throat tightness, feels like something is there in throat,even saliva swallowing is difficult to swallow loss of appetite weight loss nothing is helping,headache.below tongue redness,pain below tongue,neck region below ears are paining,nose left bleed one or two time last week, left side head is so paining,facial pain left side, left side eye pain,no sneezing, congested throat area

What to do what to eat
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per clinical history it seems sinus blockage causing throat infection It will require careful evaluation with medication You can take following precautions and medication for improvement Salmetrol/ theophylline pump for releif Amoxicillin 500 mg twice a day if recommendation by ent surgeon Tuspel plus expectorant if recommendation by ent surgeon Please share below tests with ent surgeon fir clarification Water view Nasal endoscopy if recommended by ent surgeon Ct scan Hopefully you recover soon Regards

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
45 days ago
5

Hello Areeba, I understand your concern. I advise you to immediately consult an ENT specialist as you are having bleeding. It is important to locate the source of bleeding, also a physical examination is required. Till then start this treatment -

1. Tab. Amoxyclav 625mg + Lactobacillus thrice a day × 5 days 2. Tab. Aceclo + PCM twice a day × 5 days. 3. Cap. Pantop + DSR before breakfast × 5 days. 4. Tab. Monte + Lcz at night × 7 days. 5. Steam Inhalation 2-3 times a day 6. Gargles Povidone Iodine 1 bottle cap in 1/2 glass warm water, do gargles thrice a day. Do not swallow.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Areeba
Client
44 days ago

thank you dr…i have choking throat right now why so choked i can’t even talk enough…

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
44 days ago
5

It is because of the throat infection. The medicines that I have prescribed work well for throat infections. Take these medications and review after 3-5 days.

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Dr. Bangam Pushpanjali
I am a Dietitian & Nutritionist who really believes that food should fit your life, not the other way around. I work with people dealing with weight issues, diabetes, thyroid problems, PCOS, high blood pressure, digestion troubles and those just trying to feel more balanced overall. Every person’s body and day is diffrent, and I like to create plans that actually make sense for your routine — not something you can’t keep up with for more than a week. Sometimes I think we all get too caught up in calories and numbers, but honestly, food is about healing, energy, and that quiet kind of balance that keeps you moving. I spend a lot of time helping patients understand how small food choices—like the way you combine meals or when you eat—can totally shift how your body responds. Nothing extreme, just practical stuff that really works long term. I don’t use complicated diets or fancy tricks. My focus is on sustainable habits: real meals, local foods, easy prep. Because when something feels too hard, it doesn’t last anyway. And honestly, what’s the point of a “perfect” diet if you’re stressed or hungry all the time? Over the years I’ve seen how tiny, thoughtful changes can lead to better energy levels, improved sugar control, smoother digestion, even calmer moods (yes, food really affects that too). Every plan I make is personal—it adapts as your body and goals change. Sometimes it takes time, sometimes you hit a bump, but that’s part of the process, right. I try to make sure my patients leave with clarity and not confusion. I want them to understand what they’re doing, not just follow a chart. That’s kind of the whole idea: eat smarter, not less, and let food become something that supports you every single day. Maybe it sounds simple, but that’s really the point.
44 days ago
5

Hi Areeba,

- Please consult an ENT specialist (Ear, Nose, and Throat doctor) at the earliest — they can visually examine your throat, tongue, and sinuses, and may advise imaging (like a sinus CT or neck ultrasound) if needed.

- Until then, you can:

Drink plenty of lukewarm fluids (avoid very hot or cold drinks).

Gargle with warm saline water twice daily.

Avoid spicy, acidic foods, and alcohol or smoking if applicable.

Eat soft, easy-to-swallow foods to prevent irritation.

* If symptoms worsen — especially severe pain, high fever, persistent nosebleed, or increased swallowing difficulty — visit the emergency department.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello Areeba,

These symptoms may indicates a head/neck infection/Sinus or neurological issues/growth in throat or nose etc

Kindly go to an ENT and the doctor will examine your throat ,neck etc. They can also take CT or MRI if needed.

Based on your symptoms, you 100% need an in-person medical examination as soon as possible.

Don’t delay the treatment

I trust this helps Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Your symptoms suggest a left-sided sinus–throat inflammatory condition or deep neck/salivary involvement. Because of the swallowing difficulty, weight loss, and persistent pain, you should see an ENT specialist soon and get neck + sinus imaging to find the cause. Most such cases improve once infection or blockage is treated early.

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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
44 days ago
5

1. Your symptoms suggest severe throat and sinus inflammation, possibly due to infection or acid reflux.

2. Take warm salt-water gargles twice daily, avoid spicy or cold foods, and drink plenty of warm fluids.

3. Use steam inhalation for nose and throat congestion and avoid talking too much till it eases.

4. Eat soft foods like soup, dal, rice, curd, fruits, and avoid fried or sour foods.

5. As you have pain near ear and facial area, please consult an ENT specialist soon for throat and sinus examination and antibiotics if needed.

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Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
44 days ago
5

Hi Dear Areeba, I can understand your concern completely Kindly donot panic, With your symptoms it looks more of GERD (acidity) or Plummer Vinson syndrome Kindly do the following To do CBC with peripheral smear S.ferritin levels Videolaryngoscopic examination Might need a Barium swallow

To start on diet rich in iron Take spinach , dates and jaggery Avoid spicy oily feeds avoid caffine on empty stomach take proper hydration Take antacid syrups , proton pump inhibitors Take TAB OROFER XT 1-0-1 for 30 days And if symptoms persist do revert back Take care

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
43 days ago
5

Hello Areeba… Nothing to worry…you will get fine soon… Firstly go with…ct scan and thyroid profle test done send me reports further… Till now i am prescribing you medicine take them… Rx - Tab Amoxicillin 625 - 1 morning 1 night after food Tab montac lc - once at night Mouth gargle - Chlorhexidine - twice a day Cap pantop dsr - once in morning empty stomach. Acelofenac - if pain persist Nasal spray - Sino-ox Avoid cold things

Thank you

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Given the symptoms you’re describing—such as throat tightness, difficulty swallowing, weight loss, headaches, and facial pain—it’s important to consider several potential causes, ranging from infections to more serious conditions. The recent nosebleeds, left-side facial pain, and redness below your tongue suggest inflammation or possible infection, which could be due to a sinus infection, particularly given the nosebleeds and head pain. An oral health issue or dental infection might also contribute to the symptoms, particularly the pain and redness in the mouth area. For something this complex, especially with weight loss and significant difficulty swallowing, consulting an ENT (ear, nose, and throat) specialist is advisable. They can offer examinations like endoscopy to visualize the throat or sinus CT scans to check for underlying structural problems. Since your symptoms include unilateral (one-sided) pain, if things like swelling or obstruction were noted upon examination, considering neurological causes or more serious conditions like a tumor would be necessary. The urgency comes from the combination of weight loss, swallowing difficulties, and unilateral pain, each a potential red flag that needs thorough exploration, so don’t delay seeking an appointment. While awaiting a consult, minimize irritants like smoking or alcohol, which could worsen symptoms. Use saline nasal spray to keep nasal passages moist to help with nosebleeds, and stick to soft foods for easier swallowing. However, should new symptoms like fever, worsening pain, changes in voice, or increased difficulty in breathing occur, consider visiting an ER as these can be signs the condition is getting more severe.

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
41 days ago
5

Hello, Your symptoms are suggestive of URTI. Take these medicines: 1. Cap AMOXYCLAV 625mg thrice daily for 3 days 2. Cap PANTOP 40mg once daily before breakfast for 3 days 3. Tab DOLO 500mg twice daily for 3 days 4. Tab ALLEGRA 120mg once daily for 3 days 5. Steam inhalation twice daily

Take care

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
37 days ago
5

These symptoms may be due to throat or sinus infection, or sometimes issues related to the tonsils or deeper neck region. The pain and difficulty swallowing along with weight loss and facial pain suggest it needs proper evaluation. Specialist consultation is advised (ENT specialist).

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