I have had a chronic sore throat since middle of June

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wonderwoman
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I have had a chronic sore throat since middle of June

Post by wonderwoman »

While driving back to AZ from Wisconsin the middle of June I developed a terrible cold and sore throat. We stopped at a truck stop and got cold meds and cough drops. I got rid of the cold but the mild sore throat continued. Not bad enough to seek medical attention but still I had a sore throat. I sometimes would have a little drainage in my throat in the morning. In August I noticed a large blister where my right tonsil would be. I had a tonsillectomy as a kid.

I had a routine exam with my PCP on August 13 and mentioned I had a sore throat since the middle of June. He didn’t do a throat culture but said I may have strep throat and prescribed Z pack that I took for 5 days. The blister shrunk but it did not go away completely. Throat became better and then after several days it got sore again and the blister became filled up again.

August 28 I went in for another check on my throat because it was sore again. I was not able to see my regular PCP but a different doctor prescribed another Z Pack. He said if it comes back again I should see an ENT doctor. Well the blister shrunk again and throat got better but now my throat is slightly sore again. I looked at my throat this morning using a small flashlight and now I have two large blisters in my throat. Throat also looks spotty. I could not see any drainage.

Is this the mouth sores that I read about here??? Is this a mast cell issue???

I went off budesonide August 26 (I had just reduced dosage to one every 4 days) I have been on AllerClear (loratadine tablets 10mg) since August 18. I have had no change in BM’s since going off budesonide. Still one large normal BM just like clockwork every morning between 6 and 8:00. I hope the antihistamine continues to work and that I don’t relapse. That has happened twice before. I am on a strict Paleo diet now without eggs, chicken and beef because of Enterolab testing.
Charlotte

The food you eat can be either the safest and most powerful form of medicine, or the slowest form of poison. Ann Wigmore
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tex
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Post by tex »

Hi Charlotte,

That doesn't sound like any of the mouth sores that I used to experience when I was reacting. It's probably nothing serious, and it may eventually resolve on it's own, but your doctor really should do a culture test to see what he's dealing with before prescribing an antibiotic to treat it (especially the same one twice in a row). If it happens to be a drug-resistant strep infection, throwing the same drug at it won't work.

It sounds as though your MC treatment is working really well. That's another reason why I suspect the throat issue is probably unrelated. It doesn't really sound like a mast cell issue, either, though there is probably some local mast cell involvement generating the inflammation that results in a sore throat.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Zizzle »

Zpak/azithromycin is not the most effective treatment for strep - the bacteria is becoming resistant. Then again, what self-respecting doctor(s) would medicate for strep throat without a positive throat culture, and twice!!! (in an adult no less!!) And with a history of MC!! I would consider that highly irresponsible on your doctors' part.

That said, if you think it's a bacterial infection and you want more antibiotics, you should request a throat culture with sensitivity to find out which bug it is and which antibiotic will work to kill it.

Have you tried warm salt water gargles? Oil-pulling may help too (swishing vegetable oils in your mouth for 10-15 mins, then spitting). Any chance you have allergies to ragweed, grasses and molds that are prevalent now? (although that wouldn't explain the blisters).

I hope you get some relief soon!
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Post by wonderwoman »

what self-respecting doctor(s) would medicate for strep throat without a positive throat culture, and twice!!!


I thought the same thing. I am going to call tomorrow and request a throat culture because I don't want to be walking around spreading something that may be contagious.

Yes I have gargled with salt water but not on a regular basis and No I don't believe I have allergies.

I am doing so well with my CC that I hate to end up with a flair because of an antibiotic. That's how my MC came to a head almost three years ago because of an antibiotic.

The second doctor mentioned something about it could be a fungal infection. When I googled that I came up with Thrush or Oral Candida infection.
Charlotte

The food you eat can be either the safest and most powerful form of medicine, or the slowest form of poison. Ann Wigmore
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tex
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Post by tex »

Charlotte,

If your tongue isn't white (with thrush), you don't have an oral Candida infection.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by wonderwoman »

Tongue is not white nor do I have cottage cheese like stuff in my throat. Will call clinic today.
Charlotte

The food you eat can be either the safest and most powerful form of medicine, or the slowest form of poison. Ann Wigmore
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Post by wonderwoman »

I had an appointment with an ENT doctor yesterday for my chronic sore throat and what I called blisters in my throat. He said the blisters aren’t blisters but fragments of tonsils that were left when I had my tonsils removed in grade school.

He questioned me as to whether I have heart burn, regurgitation, or acid reflux to which I answered no, never. No sinus drainage. He put an instrument down my nose to examine my esophagus which he said was inflamed at the bottom. Sinuses looked good. I have no infection. He told me that even though I am not the typical overweight person he sees with acid reflux he felt that was my problem. Acid was getting into my throat and making it sore. What a surprise to me. I know all about acid reflux as my husband has suffered with it for many years and is very much overweight. He told me to raise the bed etc, etc. etc. but feels I should go on omeprazole. I told him I have MC and need to be careful about medications I take. I asked if it was a PPI and he said yes. I declined the drug and told him if I change my mind I would call him.

In the past I didn’t pay much attention to discussion here on the topic of GERD because I didn't have it. Last night I searched on omeprazole here and read some of the posts. I have decided it’s best to not take the drug. What are members here doing “naturally” to control the acid reflux. I’m sure this has been discussed before but if I could be referred to a good post I would be grateful.

I read late last night where Gabes takes potassium powder and calcium carbonate. I googled potassium powder and came up with all different types.

A natural remedy is 1T apple cider vinegar in 1/2 glass water to sip with meals. I don’t know how vinegar would work for someone with MC. I think we are to avoid it.

I just read in Tex’s book page 168 that H2 antihistamines are used to reduce stomach acid and for treating acid reflux but can also trigger MC. I am taking one AllerClear loratadine tablet 10mg every morning since August 18 and quit the budesonide right after that. I understand AllerClear is an H1 antihistamine. Page 180 the paragraph on how to control GERD without meds wasn’t a big help. I will need to reread that whole section again.


I got the “OUT” end under control and now it’s the “IN” end that has a problem. Any help here would be greatly appreciated.
Charlotte

The food you eat can be either the safest and most powerful form of medicine, or the slowest form of poison. Ann Wigmore
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tex
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Post by tex »

Charlotte,

There are certain types of "blended" vinegars that contain gluten, but plain apple cider vinegar or plain distilled vinegar is safe. Yes, H2 antihistamines do trigger MC for some of us, but most of us should be able to take them without triggering an adverse reaction. Omeprazole, on the other hand, has MC written all over it.

Be sure you're getting adequate vitamin D, since vitamin D is protective of GERD/acid reflux.

GERD/acid reflux can be caused by carbs in the diet:

http://www.proteinpower.com/drmike/unca ... urn-cured/

The treatment is a low-carb diet.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by JFR »

tex wrote:

GERD/acid reflux can be caused by carbs in the diet:

http://www.proteinpower.com/drmike/unca ... urn-cured/

The treatment is a low-carb diet.

Tex


I used to have terrible reflux. I took a ppi daily (this was about 10 years ago). When I switched to a low carb diet my reflux went away and has never returned. Low carb for me means no grains, no sugar or sweeteners, minimal fruit (only berries).

Jean
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