What are the causes of painful white spots with yellow elevated parts on the back of the throat?

Hello,

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I read your query and understand your concern. The pictures are a little foggy (attachments removed to protect the patient's identity). I can see prominent pharyngeal lymphatic tissues and a few follicles in the pharynx. Diagnosis depends on the history. If you have mild throat pain, burning sensation in the back of the throat, foreign body sensation, and dryness of the throat for a few weeks, then it is probably due to acid reflux disorders such as laryngopharyngeal reflux. A few weeks of anti-reflux medications will take care of the symptoms. If your pain is severe and associated with other symptoms such as difficulty in swallowing and fever, then it is acute pharyngitis, and a course of antibiotics, anti-inflammatory, and antiseptic mouth gargle should be good enough. (yellowish spots are enlarged pharyngeal lymphatics and whitish-yellow elevated spots look like follicles, both of which are seen in inflammatory disorders of the pharynx). Thank you.