Breathing issue, bacterial infection - #15533

Patient Summary for Medical Consultation Patient: Noor Main Concern: Recurrent throat blockage, chronic sinus issues, and recent white spot on tonsils. 1. History of Present Illness Chronic Issues • I have had tonsils since childhood, never caused major problems before. • Since last winter (1 year ago), I developed: • Chronic sinusitis • Adenoidal inflammation • Occasional night-time breathing difficulty • Dry throat especially during winter nights • In summer (humidity environment), symptoms significantly improved. Recent Episode (Last 2 weeks) • 14 days ago I had a viral infection (common in family/community). • After recovering from viral infection: • My throat still feels dry at night • Breathing feels blocked when lying down • Voice becomes low, I can't speak easily due to nose/throat blockage • Mucus continues production throughout the year • No fever. • No significant pain while swallowing, but slight effort is needed. • Mouth gets dry during sleep (in winter). 2. Tonsils and Pus • Today I noticed: • One small white dot of pus on the tonsil • No large patches • Tonsils are swollen looks red • Breath does not smell so much bad but feels slightly nausea since yesterday • I am feeling slight nausea since yesterday. (I ate fish yesterday and did vomit 3 times may be due to smell of fish or mucus production) 3. Previous Severe Episode • Last year 2024 November I had a very severe throat infection (no antibiotics taken). • I could feel a tear/wound inside the throat, and nose bleeding also occurred. (May be I am the only person in this world who can touch the throat by tongue, so when I touched at that time something teardown and I got slight bleeding from nose too) • Since that illness, I am having repeated: • Sinus congestion • Adenoid swelling • Night breathing difficulty 4. Treatments Tried I have been doing regularly: • Warm saline gargles (salt + turmeric) • Nasal saline rinses (wuzu style) • Steam inhalation • These give temporary relief for 15–20 minutes, but symptoms return at night. 5. Previous Online Doctor Opinion A doctor reviewed my throat picture and said: • Most likely GERD + chronic sinusitis • Not an active infection • Treatment suggested: • Antacids / PPIs • Nasal decongestant spray • Diet precautions • 2-month follow-up 6. Current Questions for Physician I would like your medical guidance on the following: • Considering my 1-year chronic throat + sinus issue, and now fresh small white pustule, which antibiotic is more appropriate? • Cefixime 400 mg once daily • OR Augmentin (Amoxicillin–Clavulanate) lower-dose option • Is this recent white spot a sign of acute bacterial flare-up on top of my chronic condition? • Should I also continue: • Fluticasone nasal spray (once daily) • Daily saline rinse • Could my symptoms still be due to GERD + chronic sinusitis, or is this now mainly a tonsillar infection? • Is surgery (tonsils/adenoids) needed if medical treatment works, or can I manage medically? I created video links embedded in pdf and photos for your evaluation, please allow me to send. Note: "I just had my first episode of watery loose motion a short while ago. I also felt dizzy while offering prayer." (I am allergic to metronedazole group medicines)