instruction: hi doctor I have been dealing with a recurring sore throat for the past couple of months my tonsils get sore and swollen with pus and usually I have a canker sore like lesion on them as well I get fatigued with body aches I took tests for mono and streptococcus but I had neither I am currently taking escitalopram and generic ya birth control
output: hello now if you are having symptoms at present then you will need an antibiotic course for it and treatment of choice is amoxicillin clavulanate combination for five days you should also have betadine gargles four times a day for five days presence of pus does mean it is likely a bacterial infection may not be strep but other bacterias now regarding the preventive aspect firstly there is no reliable way of preventing it other than tonsillectomy so you should consider this option if this is becoming troublesome for you now some points which would help to catch the infection are maintaining hand and oral hygiene avoiding too cold foods which usually precipitated the infection you should try to identify the triggers which have precipitated the infection last time like cold foods street foods or other triggers you should consider the use of chlorhexidine mouth wash on a regular basis next thing you should have betadine gargles with you with the earliest symptoms of sore throat you should start gargling four times a day which would prevent the progression to frank infection if your diet is not good then you may consider having a course of multivitamin for two weeks otherwise not necessary I hope this helps