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Reader Remarks on:

Steroids Might Relieve Sore Throat Pain

Steroid for relief of sore throat

Benjamin D. Gordon, M.D., 1 Sep 2009 9:05 PM EST

Competing interests: None declared

The first line of defense against infection is the inflammatory response. Why give an anti-inflammatory when the old-fashioned teatment of a shot of whiskey in a cup of hot tea works very well. So do direct pharyngeal sprays. I am the fourth physician in my family. Someone in our family has been in the practice of medicine for 102 years. When I started 58 years ago, I was told I would be able to help people they had had to watch die; but some things they did worked. Why not continue to use these? For example, we've been treating Herpes Simplex with Compound Tincture of Benzoin q 12 h for over 100 years. Works very well. As the old commercial said:" Try it. You'll like it."

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steroids in exudative pharyngitis for pain relief

Diane Miessler, ED, 2 Jan 2010 11:08 AM EST

Competing interests: None declared

This begs the question: would INHALED steroids also work? And as Dr. Gordon asks, above, what about undermining the inflammatory response? I assume the outcomes of infection management were the same, but the abstract doesn't say.

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Why to feel pain?

Rafael Mialski, Universidade Federal do Paranį - Brazil, 9 Jan 2010 9:57 AM EST

Competing interests: None declared

I agree with Dr. Gordon, that inflammatory response is our first line defense. But, if it brings pain, we should defeat it. Nowadays, it“s inadmissible let our patients feel pain. We“ll eliminate the bacterias using antibiotics, so we don“t need the inflammatory response working too much.

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