Repeated throat pain, voice problems, and difficulty while swallowing can occur due to several reasons, and it may not always be a simple infection. Since your symptoms return whenever medicines are stopped, the problem could be related to recurrent throat infection, allergy, sinus drainage, acid reflux from the stomach, irritation from dust or smoking, overuse of the voice, or chronic inflammation of the throat and vocal cords. Medicines like Azithromycin help treat certain bacterial infections, while TusQ and Cetirizine are mainly used for cough, mucus, and allergy relief. However, repeated use of antibiotics without identifying the exact cause may only provide temporary improvement and may not solve the underlying problem completely. It is important to avoid very cold foods, smoking, alcohol, and excessively spicy or oily foods, as these can irritate the throat further. Drinking warm fluids, doing warm salt-water gargles, staying hydrated, and giving proper rest to the voice may help reduce irritation and pain. If symptoms continue for a long time, keep coming back frequently, or are associated with persistent hoarseness, fever, swollen glands, weight loss, or severe difficulty swallowing, you should consult an ENT specialist for a proper throat examination. The doctor may check for chronic tonsil infection, allergy, acid reflux, vocal cord problems, or other throat conditions and decide whether additional tests or a different treatment plan are needed. Early evaluation can help identify the exact cause and prevent repeated episodes.