A member asked:

Swollen tonsils and coblestoning in throat for 2 months. strep neg, mono neg for recent infection, blood fine, through 2 rounds of abs some fatigue?

6 doctors weighed in across 2 answers

Chronic irritation: of the back of the throat can cause cobblestoning and swollen tonsils. This can be related to throat infections, post nasal drip from allergies or sinusitis or recurrent acid reflux. There are other viral infections in addition to mono that can have a somewhat prolonged course and do not respond to antibiotics. Have you had cultures to ID bacteria? Your FP may refer to ENT or Allergist.

Answered 3/22/2020

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Cobblestones/fatigue: Cobblestoning of posterior pharynx (a texture of the back of the throat resembling cobblestones) can be from allergic rhinitis. Post nasal drip from allergies can cause sore throat & even cough.Allergies can cause fatigue.Symptoms can resemble colds or sinus infections.Treatment of allergies can clear up symptoms. Clinic evaluation is needed for proper diagnosis/treatment; 2nd opinion, if needed.

Answered 3/24/2020

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