### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I believe I have tonsillitis having symptoms of sore throat , sore neck glands, swollen tonsils with the puss, difficulty and painful swallowing and body ache. I am aware I will need antibiotics for this but unfortunately I am allergic to almost all antibiotics except sulphur ones. I have veeb using natural antibiotics such as lemon, salt and honey . I have been doing some reading about how strep bacteria can spread and cause rheumatic disease. About a week and half prior to having this sore throat, I have felt my heart palpitating and beats at abnormal rate everyday. I queried if it was my asthma but it s definitely not my lungs but my chest/heart that felt odd. Five days on and the sore throat feels worse, and also I started feeling something stuck down the trachea everytime I swallow. I woke up the next day and it feels it has gone down again to mid chest as I find it tight and painful to swallow and bring my food down. Because it is the Christmas/New Year Holiday I am hesitatant to go to the hospital Emergency Depatment kowing I will be there all day. I was thinking of waiting until the endof the week when my regular general practitioner s clinic will be open. But with the chest tightness symptom, I am getting a bit worried. Is this normal with tonsillitis? Regards.

### output:

Hello, Sorry to note that you are having a rough time. It is most likely oxidative tonsillitis (on examination, there is white pus covering the tonsils) and streptococcal bacteria, diphtheria are main causes. Penicillin V, erythromycin, azithromycin (for penicillin allergy) are first line treatment options and also noted that you are allergic to almost all antibiotics except sulfur ones. The secretions (or exudates) from the infected tonsils go down the throat (causing sore throat) and then to the chest causing feeling of tightness. If you have asthma, then you feel this coming on quicker. Epiglottis is an indication for hospitalization. Conservative treatment involves: staying at home to prevent social contact, and you may catch other organisms; throat gargles may help; ibuprofen or paracetamol syrup to lower the pain and temperature. Usually symptoms subside in 3-5 days. I hope that was useful. Best Wishes.