ENT specialist in Bangkok?

[lambshankredemption]

Can you recommend an ENT specialist in Bangkok? 
 

Focus on throat. 
 

I developed swollen and painful lymph nodes on one side of the neck and a bit of an itchy throat. Covid and influenza test negative on that day and doctor sent me away with an antibiotic.

 

Three days later I developed fever and tested positive for Influenza A (ATK and in hospital). Doctor told me to stop the antibiotics half way in. Four days of high fever and a couple of days to recover but I still have what seems to be swollen lymph nodes. The neck muscle feels like it’s swollen. Difficult to tell the size because it’s difficult to distinguish from the neck muscle. Not painful anymore but noticeable and feeling a bit uncomfortable.
 

I’m wondering if it’s a co-infection or if it was something completely different to begin with (and I shouldn’t have discontinued the antibiotics) and I only caught the flu when I visited the hospital to check the lymph nodes issues (there was a guy in the waiting room who was coughing as if he was about to die). 
 

anyway wanna have it checked. 

Edited June 10 by lambshankredemption

[Sheryl]

I do not thing ENT is the right specialist from what you say.  Better an infectious disease specialist.

 

Suggest you see this doctor tomorrow evening

 

https://www.saintlouis.or.th/doctor/dr.kamalas-amnuay/01eeefc9-7c3b-4e79-9464-041ed1f67637

 

If infectious cause is ruled out, may need to see a different specialist (eg oncologist) but start with infectious disease specialist.

[lambshankredemption]

Thanks. Saw an infectious disease person at my regular hospital today and she thought the lymph nodes aren’t too swollen anymore and given the fact they don’t hurt she thought it’s the aftermath of the flu (post viral syndrome). Will give it another week otherwise I’ll go see that specialist. 

[lambshankredemption]

On 6/10/2024 at 8:00 PM, Sheryl said:

 

 

If infectious cause is ruled out, may need to see a different specialist (eg oncologist) but start with infectious disease specialist.

What oncologist would you recommend?

[Sheryl]

29 minutes ago, lambshankredemption said:

What oncologist would you recommend?

No need to see any from the sounds of it.

 

You would suspect possible malignancy only for persistant large nodes unrelated to infection.

 

Recent flu might explain them.

 

Have the nodes increased in size or decreased?

[lambshankredemption]

@Sheryl

 

so I went back to the doc because I still feel a swelling at that right side of my throat and an inflamed throat but also stomach issues. The doc said the lymph nodes are fine and referred me to the ENT. The ENT looked in my throat and prescribed one week of Levofloxacin. 
 

Now I know a bit about antibiotics and this class of antibiotics in particular. I also know a bit about how Thai doctors tend to hand out antibiotics like candy. 
 

Is this really warranted? I know it’s like a the nuke option but I’m reluctant to take such a strong antibiotic without a test confirming (1) a bacterial infection and (2) susceptibility to this (and only this) class of antibiotics. But I also know that a throat swab isn’t always reliable. 
 

After I shared my concerns the doc now changed to Augmentin but I’m still wondering whether I should just empirically take an antibiotic for a week. The first time I came to this hospital they already wanted to send me away with Levofloxacin and it doesn’t make me feel good. 

Edited Friday at 10:13 AM by lambshankredemption

[Sheryl]

19 hours ago, lambshankredemption said:

@Sheryl

 

so I went back to the doc because I still feel a swelling at that right side of my throat and an inflamed throat but also stomach issues. The doc said the lymph nodes are fine and referred me to the ENT. The ENT looked in my throat and prescribed one week of Levofloxacin. 
 

Now I know a bit about antibiotics and this class of antibiotics in particular. I also know a bit about how Thai doctors tend to hand out antibiotics like candy. 
 

Is this really warranted? I know it’s like a the nuke option but I’m reluctant to take such a strong antibiotic without a test confirming (1) a bacterial infection and (2) susceptibility to this (and only this) class of antibiotics. But I also know that a throat swab isn’t always reliable. 
 

After I shared my concerns the doc now changed to Augmentin but I’m still wondering whether I should just empirically take an antibiotic for a week. The first time I came to this hospital they already wanted to send me away with Levofloxacin and it doesn’t make me feel good. 

Not knowing what the doctor saw when he examined your throat I cannot comment on the need for an antibiotic.

 

What did the ENT say was the diagnosis/ reason for antibiotics? 

 

 

[lambshankredemption]

4 hours ago, Sheryl said:

What did the ENT say was the diagnosis/ reason for antibiotics? 

Not really much of a diagnosis. The main reason was “you have sore throat for two weeks now”. The only examination performed was to look into the throat and into the nose (throat slightly inflamed and nose stuffed). 

[Sheryl]

18 hours ago, lambshankredemption said:

Not really much of a diagnosis. The main reason was “you have sore throat for two weeks now”. The only examination performed was to look into the throat and into the nose (throat slightly inflamed and nose stuffed). 

This could actually be an allergic problem. 

 

If it does not improve on its own (it may) suggest you see this ENT

 

https://www.saintlouis.or.th/doctor/dr.songklot-aeumjaturapat/fa5a6125-2b55-4113-ac50-8c94d64e7300

 

https://www.bangkokhospital.com/en/doctor/dr-songklot-aeumjaturapat

 

https://www.medparkhospital.com/en-US/doctors/assoc-prof-dr-songklot-aeumjaturapat

 

(Same doctor, different hospitals). 

 

 

 

 

[lambshankredemption]

So I ended up getting a throat PCR for STI myself since I’m sexually actively (but most unprotected oral sex) and it came back positive for two pathogens. I’ll go to a hospital now to get treated (and hope the two antibiotics I started didn’t cause resistance). 
 

It seems I really got the flu from going to the hospital on that day. Guess I should have checked for STI directly instead of going to the hospital. in fact, that was actually the reason I went to the hospital in the first place but the infectious disease docs weren’t available so they transferred me to a general practitioner who suggested I should try that antibiotic. Bad luck. 
 

 

Edited Sunday at 09:36 AM by lambshankredemption