HomeAnswersOtolaryngology (E.N.T)post nasal dripThe right side of my throat and mouth are red with reflux symptoms and diagnosed as chronic pharyngeal tonsillitis. Kindly help.

Is it possible to have redness on the right side of the throat and mouth in all these silent reflux symptoms?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At October 4, 2023
Reviewed AtApril 9, 2024

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.

Answered by Dr. Vinay. S. Bhat


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.


Patient's Query

Thanks for the detailed response doctor. Around 1 month ago, I had shown the 1 year old head n neck MRI films to an ent doc who found nothing wrong with sinuses. Might he missed the rhynosinusitis in the picture? Also what would you like to exactly prescribe? Should I check after 1 month of PPIs as you mentioned or you would prescribe any multivitamin as well. I really want to get rid of this problem. Thanks again.
Answered by Dr. Vinay. S. Bhat
I would like you to try Tab esomeprazole 40mg two times daily for a month along with Gaviscon three times daily for two weeks. Also take Vitamin B12 (Nurobion Forte) once daily in the night after food for one month. If there is no improvement consider Upper GI endoscopy

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vinay. S. Bhat
Dr. Vinay. S. Bhat

Otolaryngology (E.N.T)

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