30 year male non alcoholic non smoker with repeated episodes of sore throat on examination this is clinical picture pt says constant throat irritation and foreign body sensation comment on this case

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1. Length of uvula has nothing to do with sorethroat or cough. I have done uvulectomy in a few cases that insisted on uvula, with neither improvement nor worsening. 2.If an adult starts having sorethroat search for Post Nasal discharge (even in cases where c t. scan is normal), Acid Reflux, Food Allergies, & Oral sepsis. 3. Discriminate between Pharyngitis (diffuse congestion, whole throat pains) and Tonsillitis (anterior pillar congestion and mandibular angle pain).

Pt. is having long uvula which is almost touching the tongue which may be causing the symptoms especially if some previous doctor has told him or he himself has seen oral cavity in mirror ( adding strong psychogenic factor) there's mild chronic tonsillitis ( bilateral) but that is unlikely to be sole cause. Rule out chronic sinusitis with post nasal discharge Gastro-oesophageal reflux disease .and treat accordingly

1. Length of uvula has nothing to do with sorethroat or cough. I have done uvulectomy in a few cases that insisted on uvula, with neither improvement nor worsening. 2.If an adult starts having sorethroat search for Post Nasal discharge (even in cases where c t. scan is normal), Acid Reflux, Food Allergies, & Oral sepsis. 3. Discriminate between Pharyngitis (diffuse congestion, whole throat pains) and Tonsillitis (anterior pillar congestion and mandibular angle pain).

Chronic tonsillopharyngitis with elongated uvula... For its recurrent nature :- check for any nasal pathologies which might be causing sinusitis with constant post nasal drips; or any constant foci of infections from a carious tooth(possible).; Throat swab for C/S. Foreign body sensations:- could be because of the elongated uvula/ a presentation chronic pharyngitis itself..

It's a case of chronic tonsillitis. Tonsillectomy maybe advised depending on the no. Of episodes per year.

Ch.tonsillitis with APD. Advised tonsillectomy if pt. is having reccurent attacks of Ac. Ts.

It is Laryngopharyngeal reflux with chr tonsilittis. Manage patients with medication. Don't rush for tonsillectomy. Patient will come again with reflux .

Chronic tonsilopharyngitis

Tosilitis with uvulitis.chlorhexidine gargle and broadspectrumantibiotic should use

If recurrent, Occupational ? Acid peptic disease (upper gi endoscopy) ? Allergic

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