instruction: hi doctor just over a week ago I developed severe swelling and soreness on the left side of my throat particularly at the base of my tongue my left ear is also in a lot of pain swallowing is extremely difficult and I went to see local urgent care where they prescribed me with amoxicillin 500 my and said it was most likely pharyngitis even though I have not had tonsils for many years my main concern even though it is a worse case scenario is esophageal cancer through hav can occur as my girlfriend was recently diagnosed with hav again I know this is the worst case scenario but since she was diagnosed I really been concerned about hav related cancers from what I read and what I have been told there are no real tests to check in men for hav and even though there is the vaccine it is not recommended for men ages 26 to 45 years I have already been taking amoxicillin for about four days now and nothing improves I have also tried taking regular over the counter cough drops and gargling with salt water this has not helped at all either I have also been told that throat cancer from hav can usually be spotted unless you have lesions in your oral area right now I am at a loss of what I really need to do any help or advice would seriously be appreciated I am also under amlodipine my
output: hello your problem can be due to pharyngitis it is possible that amoxicillin is not effective enough in your case you may need some other antibiotics I want to see your throat myself can you send me a picture of your throat I should be able to see posterior pharyngeal wall and tonsils we can think of hav related problems only after ruling out other infections did you lose your weight are you having any swelling in the neck lymph node enlargement the only way of ruling out hav related oral cancers is by taking an oral biopsy before concluding anything please send me a picture of your throat I will be able to guide you in a better way