Q. What could be the cause of painless, flesh-colored lumps behind both of my tonsils?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. The arrows point in the image (attachment removed to protect the patient's identity) towards the tonsillar crypts behind the anterior pillar on each side. The arrow is marked on the pillar. The multiple lumps-like things is the tonsil. The smooth fold in front of it is the anterior pillar. Tonsillar crypts are normal. Behind the tonsil is the posterior pharyngeal wall, which normally has mild granules and lymph structures like tonsils. When one has an infection, the tonsils swell and become red. The granules also swell and redden. Is it possible you can click more pictures paying attention to the tonsils and the granules? It does not appear like cancer, but I want to see it more clearly. I require more information about your symptoms, which can be as follows. 1. Pain or difficulty in swallowing foreign body. 2. Feeling pain while swallowing. 3. Change in voice. 4. Breathing difficulty. 5. Fever. 6. Nasal speech or nasal discharge. Hope this helps. Thanks and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. I can see the picture clearly (attachment removed to protect the patient's identity). They are tonsillar crypts. It does not mean cancer. Do not worry. Hope this helps. Thanks and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. The lump is normal, and you need not get tested unless you have the symptoms I asked you about. It is normal unless one side is super big and the other is small. Some people and kids generally have big tonsils. It does not mean infection without symptoms of pain, fever, difficulty swallowing, or a change in voice. Big tonsils are more susceptible to cause symptoms when there is an infection. Since they are big already, the infection causes them to produce more obstructive symptoms. But you do not seem to have that. Mild redness is seen in the picture (attachment removed to protect the patient's identity), which could very well be due to the camera. But such a redness without symptoms signifies past infection or chronic infection but not an acute one warranting any test or immediate consult. Hope this helps. Thanks and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. In your case it is fine to have one tonsil bigger than the other. Hope it helps. Thanks and take care.

You are welcome. Take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. The white spots are either pus points or follicles. They do not mean cancer. Hope this helps. Thanks and take care.

Hello doctor,

Thanks for the reply. In regards to the lumps behind my tonsil, is this something you have seen before?

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N

Experience: 10 + Yrs

Otolaryngology (E.N.T)

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