Lump sensation in throat without pain. Possible causes?

Question

Hello doctor,

For the last six weeks, I have a feeling like a lump inside my throat on my right side. No pain, no problem with swallowing. It also feels a little dry if that makes sense, and it is worse when I workout with open mouth breathing. I think my tonsil is bigger on that side although I do not think it is inflamed as it is not red. ( I have photos I can show you). I did call my doctor but with the virus, he cannot tell over the phone so he put me on 250 mg AZ and it made no difference. He ran an ultrasound and bloodwork and it showed nothing. He wants to send me to an ENT but with the virus, they are not taking appointments. If I show you a photo can you give me input as to what this can be?

Answer 1

Hello,

Welcome to icliniq.com.

The pictures are very clear. (attachment removed to protect patient identity). It appears you have a milk reflux problem that is causing these symptoms. Additionally, there seems to be a small element of post nasal drip chasing the dryness and worsening of lump feeling down the throat. I am suggesting some medicines for you. These will be over the counter. Please take those in the way I am telling you. Let us see after a week and you can get an online consult with me to let us know the progress and change any medicine if necessary. Tablet Nexium 40 (Esomeprazole) one tablet once daily before breakfast, for a week, Zyrtec 10 (Cetirizine hydrochloride 10) one tablet once daily in the evening for a week, Flonase nasal spray (Fluticasone furoate or propionate 27.5 MCG) two puffs in each nostril once daily after breakfast for 4 weeks. 4. Avoid smoke, dust, cold pollution, direct air-conditioned air, spicy oily foods. Take food at regular intervals, do not fast.