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Bacteria Aren’t Causing Sore Throat, Will Tonsillectomy Help?
My name is Dina and I am thrilled to find FlakeHQ.
I have had mild-to-moderate guttate P for 22 years. It
would usually flare during or
after colds or various infections. I
often have sore throat and sinus problems but I was never cultured for
strep. The cold would go away
and I hardly used antibiotics. I
always thought of them as
viral infections and didn't pay that much attention to them, although my
skin would get worse during those episodes.
About a month ago I had either a flu or a bad cold with a very sore
throat which went away after 10 days or so. Two weeks
later I had a major explosion of
P. I went to see a derm. who suggested I have a tonsillectomy. I
have read all about tonsillectomies at your site and a few articles pro
and con about the surgery. But
I wonder, if my sore throat
was not caused by strep but a severe viral infection, would
it still help my psoriasis to have my tonsils out.
Any comments? Thanks a
Response: You ask a very good question, Dina.
It's my understanding that the tonsils play a role in combating
bacterial infections (like strep) and sometimes, like a "living
antibiotic," they can exacerbate rather than curtail a bacterial
infection problem. By removing
the tonsils (it's thought) the exacerbation problem is removed.
Viruses, however, are a different bug <smile>.
Elsewhere in the body we fight them differently than we do
bacterial infections and I've never heard it said that the tonsils play a
role in combating viral infection. Which
would suggest: if your sore throats were caused by a virus, removing your
tonsils might do nothing.
It's too late
now to know what was going on a month ago, subsequent to which you had
your P explosion. However,
next time you get a similar "flu or a bad cold" you might want
to have your throat cultured. If
it comes up strep (or some other bacteria) your derm's recommendation that
you have your tonsils removed could be validated.
If, on the other hand, the culture doesn't suggest bacteria, you
may be back to square one.
Let me know how things turn out. -Ed