Frag-Einen

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Second almond problem

Dear Sir or Madam,

For exactly one week now, I have had a light coating that extends over my right tonsil. I do not have a fever (I haven't had one the entire time), no pain, just a slight scratch on the first day. I had asked a question here before and was advised to gargle and see a doctor if there are any pains. I am a bit tired but have not been sleeping well the past few nights. In my opinion, it has improved slightly, but it's still there and the area is relatively large (on the right from my perspective, on the left in the picture).

I visited a doctor on Sunday and she said the tonsil looks a bit pink, she sees the coating but the tonsil is not wet enough. She recommended gargling with aspirin and waiting, coming back if there are any pains or fever. It has been three days since then and it looks the same, slightly better than on Sunday. Unfortunately, I tend to be anxious when it comes to illnesses. So, here are my questions:

1) Should I go back tomorrow and ask for an antibiotic? Or should I continue drinking my tea and gargling?

2) I am a bit scared that if it is bacterial, it might spread to my body or I might contract a virus (sepsis) or trigger endocarditis. How do you assess the risk?

3) I have been resting (no exercise, studying mostly from home), but I still attended my evening class and went for a walk about 2 times a day for 30-40 minutes. How do you assess this?

4) What is your general advice for me? How should I proceed with this matter?

Thank you for your time and have a lovely evening!

Dr. med. Frauke Gehring

Good evening,

Regarding your questions:

1.) An antibiotic is only necessary if there were thick yellow spots on your tonsils and if you had a fever. Right now, a bacterial infection is unlikely, so the answer is no.

2.) The risk only exists if point 1) occurs. Right now, it is zero.

3.) Without a fever, everything is completely fine.

4.) You should be symptom-free within a week.

All the best!

Warm regards, Dr. Höllering

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Experte für General medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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