After removing tonsil stones, I get uncomfortable feel while swallowing with a bump in throat. Please help.

Question

Hi doctor,

I had a tonsil stone removed a few days ago thinking that is what I was feeling in my throat but it was not. There is something else I feel when I swallow. It does not hurt but just uncomfortable. It looks black maybe like a pimple or some kind of a bump.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through the picture you sent (attachment removed to protect patient identity).

The throat, especially the posterior pharyngeal wall and palatine pillars, appears a bit congested. Now, this could be due to a few reasons: either allergy and repeated throat itch, infection, flu, or acid reflux. There also seems to be minimal postnasal drip. We, of course, can see the blood clot. It could be due to the removal of the stone, and the area could have had mild bleeding, which eventually formed the clot.

Will you please provide us more details? Is there any allergy symptoms like runny nose, itch, watering of eyes, sneezing, breathing difficulty, etc.? Do you smoke or drink? How many times are you gargling? How are your eating habits? Do you have a fever or weakness? I would suggest if it were just a minimal allergy or flu to take an antihistaminic tablet, a decongestant or saline nasal spray, and a proton pump inhibitor.

I would go with Zyrtec and Protonix for a few days. Zyrtec in the evenings and Protonix before breakfast for a week. Avoid spicy and oily diets. Desist from smoking and drinking temporarily. But it would be ideal if you provided us the details sought so that we can make a more decisive diagnosis and get you the right advice.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I would suggest you the following medicines. Azithromycin 500 mg one tablet once daily in an empty stomach for five days (Zithromax or Z-max or Z-pack), Cetirizine hydrochloride 10 one tablet in the evening for seven days (Zyrtec/Alertec). Use a medicated gargle, say Benzydamine diluted with warm water and gargle thrice daily. (Tantum / Apo benzydamine oral rinses). Drink plenty of warm water. Have a non-spicy non-greasy meal every time. Do not fast. Pantoprazole 40 mg one tablet twice daily before meals for seven days (Protonix/Pantoloc). Take these medicines and let us observe after four days. You can revert back with a fresh picture. I do not feel there is anything sinister. The throat is inflamed and tonsils are mildly enlarged. With these medicines, you will be fine.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.