03/01/2026
Painful swallowing
Painful swallowing is one of the most common complaints.
Broadly speaking, it can be divided into two categories:
1. Painful swallowing accompanied by fever, dry cough, and flu, sometimes with a hoarse voice. An examination reveals a very red throat. This is usually a viral infection. Treatment includes supportive care, anti-inflammatory drugs, antitussives, antipyretics, and anti-flu medications. Antibiotics are not given unless the condition has lasted for 7 days or more.
2. Painful swallowing without fever, cough, or flu. This is usually a fatal throat condition. Coughing while sleeping, stomach aches, and a frequent sensation of mucus in the throat, leading to frequent throat clearing. On examination, the throat is not overly red and may have a gritty, cobblestone appearance. This is usually due to intense exposure to tamarind. In addition to painkillers, we prescribe medication to suppress tamarind production, not particularly harsh antibiotics. Serra: We educate patients to keep their head elevated when sleeping and to allow at least two hours between dinner and bedtime.
Special Conditions
1. Painful swallowing accompanied by a feeling of tightness in the neck, fever. No cough. Examination reveals enlarged and red tonsils, sometimes with a white coating on the surface. This condition is due to tonsillitis. Treatment is antibiotics, antipyretics, anti-inflammatories, and painkillers.
2. Painful swallowing accompanied by high fever, difficulty opening the mouth (trismus), drooling, and a voice resembling someone eating something hot (hot potato voice). Examination reveals difficulty opening the mouth, enlarged tonsils that are pushed to the other side, and red and swollen surrounding tissue. This is called a peritonsillar abscess. This condition requires hospitalization and evaluation of the abscess.
Nyeri menelan
Nyeri menelan Saar ini termasuk kasus yang paling sering dikeluhkan.
Secara Faris besar bisa dibagi 2
1. Nyeri menelan yang dissertai demam, batuk kering, flu kadang diserrai suara serak. Dari pemeriksaan di dapatkan tenggorokan yang merah sekali.Biasanya ini infrkstvirus. Pengobtan yang diberikanberupa Suport if, anti Radang, antitusiv., anti piretik dan anti flu. Tidak diberi kan antibiottkecuali sudah 7 haru Atau lebih.
2. Nyeri menelan yang tidak diserrai demam, batuk dan flu. Biasanya tenggorokan fatal. Batuk2 Saar tidur, ada rieayar magh, dan sering merasa ada lendirvdi tenggorokan, BBCsehingga sering berdehem(throat clearing ). Pada pemeriksaan di dapatkan tenggorokan tidak terlalu merah dan bisa dilihat finding tenggorokan bergerinjil yang disebut cobblestone appearance. Hal ini Biasanya akibat papà ran Asam kambing yang intens Selain anti nyeri Kita BERI obat penekan produksi Asam kambing tidak duper lujan antibiotik. Serra Kita edukasi agar Kalau tidur posisi kepala lebih tinggi dan jarak makan malam terakhir denga tidur minimal 2 jam.
Kondisi khusus
1. Nyeri menelan diserrai rasa meng ganjal di leher, demam. Tidak ada batuk. Dari pemeriksaan di dapatkan amandel yang membesar dan merah terkadabg terlihat putih2 di permukaan amandel. Kondisi ini karena Radang amandel pengobatan ya Kita kasih antibiotik, anti piretik, anti Radang dan anti nyeri
2. Nyeri menelan yang disertai demam tinggi, mulut sukar dibuka (trismus), ngences (drooling), suara seperti orang makan ke yang panas (hot potato voice). Pada pemeriksaan di dapatkan mulut yang sukar dibuka, rampai amandel membesar dan terdorong ke sisi lain, diserrai jaringan Sekitar nya merah dan bengkak. Ini disebut peritonsler abses. Kondisi ini butuh perawatan inap dan tindakan evaluation abses