Dr. Vinay. S. Bhat
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have had problems with the right side of my throat and mouth for three months with the following symptoms.
1. Right throat post nasal drip.
2. Right sore throat with some scar tissue.
3. Right tonsil is swollen as compared to the left.
4. Right foliate papillae enlarged, and the right side of the tongue with burning pain intermittently.
5. Constant inflammation-like feeling in right buckle mucosa.
6. Right lower middle molar tooth hurts and always feels like the gum is swollen.
7. Right neck lymphadenopathy but not visible from the naked eye. I have MRI and USG neck.
Overall my entire mouth is usually red. I went to an ENT doc who diagnosed it as chronic pharyngeal tonsillitis and prescribed antibiotics. Still, I have already eaten a lot of antibiotics in the past and reflux medicines. Is it possible to have all these silent reflux symptoms only on the right side? I have a history of acid reflux, but now I am confused. Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Symptoms such as chronic unilateral throat symptoms, post-nasal discharge, foliate papillitis, lymph node enlargement, and dental pain suggest chronic inflammation in the throat, possibly due to reflux laryngopharyngitis.As you may be aware laryngopharyngeal reflux is a complex condition to treat, and treatment lasting for a couple of months may be required. Resistant cases require Upper gastroesophageal endoscopy and biopsy from the stomach to rule out infection, which requires specific treatment. Chronic rhinosinusitis must also be considered if the significant post-nasal discharge is one-sided. This can be diagnosed by nasal endoscopy and CT scan. Once ruled out, we can safely avoid further use of antibiotics and steroids.Meanwhile, you can continue taking the Esomeprazole 40 mg (anti-reflux medications) two times daily before food for one month.Rarely impacted third molar teeth can be the reason for all these symptoms due to irritation of the lingual nerve, which is present deep in the teeth root. So dental opinion is also helpful.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Otolaryngology (E.N.T)
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
