Abscess in my tonsil

[Eman]

It's probably just because of bacteria in your tonsils. If you smoke or get frequent "tonsil stones" then you'd be a higher risk for it I assume. It would probably go more hand in hand with tonsillitis than strep.

Have they mentioned getting them removed? I probably should have abstained from scaring the shit out of you with my experience lol.

 

[Logan44551]

It's probably just because of bacteria in your tonsils. If you smoke or get frequent "tonsil stones" then you'd be a higher risk for it I assume. It would probably go more hand in hand with tonsillitis than strep.

Have they mentioned getting them removed? I probably should have abstained from scaring the shit out of you with my experience lol.

They wanted to pull them when I was a kid I decided not to have them removed. I haven't had any problems with them in at least 10 years. I quit smoking/vaping like 6 months ago. It just seemed like the abscess was pretty uncommon, nurse said I was the second one she had seen.

 

[Jackreature]

Hey man - hope you are doing better and its continuing to drain now that they ran IV antibiotics and put you on steroids. I am no expert in GH but I've never heard about it causing abscesses or infections (other than from poor injection technique obviously). I would agree with @Eman that you likely just got unlucky and a minor case of tonsillitis spread into the tissue around the tonsils and caused the abscess. Its definitely uncommon though - I've never seen a patient with a peritonsillar abscess.

 

[Logan44551]

Hey man - hope you are doing better and its continuing to drain now that they ran IV antibiotics and put you on steroids. I am no expert in GH but I've never heard about it causing abscesses or infections (other than from poor injection technique obviously). I would agree with @Eman that you likely just got unlucky and a minor case of tonsillitis spread into the tissue around the tonsils and caused the abscess. Its definitely uncommon though - I've never seen a patient with a peritonsillar abscess.

Thanks for the response. It helped for a day, now it has filled back up. Went in today for another course of antibiotics and some more steriods and fluids. Spoke with the ear mouth throat doctor. He said it is to early to try and drain, it is still hard we are hoping it drains on it's own, if it doesn't clear up by the end of the weekend they will stick a needle in it to drain. This fucking thing hurts!

 

[NorthMich]

Sorry man. This sucks

 

[Dr JIM]

How do you KNOW an abscess
is the source of your discomfort?

Was an imaging study done?

I ask bc although most para-tonsilar abscesses can be DXD on clinical grounds smaller abscesses often require imaging.

That being said bc most of these
smaller abscess resolve with time and appropriate ABX coverage, imaging per se is generally not required in normal folk.

A few words of caution, the development of NECK PAIN, (Lemierres Syndrome) or a failure to improve after several days of conservative TX warrants imaging IMO.

Jim

 

[Logan44551]

How do you KNOW an abscess
is the source of your discomfort?

Was an imaging study done?

I ask bc although most para-tonsilar abscesses can be DXD on clinical grounds smaller abscesses often require imaging.

That being said bc most of these
smaller abscess resolve with time and appropriate ABX coverage, imaging per se is generally not required in normal folk.

A few words of caution, the development of NECK PAIN, (Lemierres Syndrome) or a failure to improve after several days of conservative TX warrants imaging IMO.

Jim

No imaging was done. They gave clyndamycin orally, some iv decadron, and an IV antibiotics. Did two courses of the IVs 48hrs apart. It drained yesterday after the second course of iv antibiotics and steriods. Had a bunch of yellow puss and blood, it was pretty nasty. Feels much better now though. Still swollen, but doesn't hurt to swallow anymore. Thanks for the reply

 

[Dr JIM]

Sound care IMO.

 

[Logan44551]

Sound care IMO.

Yea they really took care of me. The ear mouth and throat guy, wanted to follow this protocol, and drain with a needle as last resort. He was right to it drained on it's own after the second course of iv

 

[Dr JIM]

The timing of draining is a judgement call that is based upon the experience of the DOC advancing a 16 guage needle in an area in close proximity to the carotid artery

And bc folk with Para-tonsilar abscess are already having difficulty FULLY opening their
mouth to expose the relevant anatomy, watchful waiting is a reasonable option.

 

[NorthMich]

So how are you doing?

 

[Logan44551]

So how are you doing?

All healed up. It drained on it's own after the second course of iv antibiotics and steroids. Thanks KS for asking.