HomeAnswersOtolaryngology (E.N.T)post nasal dripWhat is the treatment for the small raised area behind my left tonsil that is itchy?

Why do I have a small raised area behind my left tonsil that is itching?

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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

Dr. Ranjit Peter

Medically reviewed by

iCliniq medical review team

Published At January 10, 2022
Reviewed AtAugust 30, 2023

Patient's Query

Hi doctor,

I noticed a small raised area on the edge of the arch behind my left tonsil. It is the size of a pencil tip. It is slightly lighter in color than the other tissue. I have been suffering from a bad post nasal drip for about a month. It does not seem to hurt but feels itchy. I have no other symptoms. Kindly help.

Answered by Dr. Ranjit Peter

Hello,

Welcome to iCliniq.com.

Based on your clinical issue of post nasal drip and the photograph (attachment removed to protect the patient's identity) of your throat, the lesion that you have indicated is called lymphoid granulation. We have clusters of lymphoid tissue distributed throughout our upper digestive tract, and they do get occasionally swollen in response to irritation or inflammation or infection. The lymphoid granulation is no reason for concern. However, as you did mention the postnasal drip, I would require the following clarifications to suggest a better treatment: 1) Do you suffer from sinusitis or nasal allergy? 2) Have you had issues with gastritis or gastric acid reflux? If you do not have either of these, the lymphoid granulation in your throat can be left alone. We need to see if the post nasal drip can be managed conservatively with nasal decongestants and steam inhalation.

Patient's Query

Hi doctor,

Thank you for your reply. I do have allergies, and I am now taking Zyrtec and Flonase. I am now taking Prilosec for mild GERD, and I am starting to see an improvement. I would also appreciate your suggestions if you have any.

Answered by Dr. Ranjit Peter

Hello,

Welcome back to icliniq.com.

So the lymphoid granulation is not a cause for concern. The medicines you mentioned would be adequate to control both nasal allergies as well as GERD (gastroesophageal reflux disease). Of course not to forget these lifestyle changes - 1) Giving a two to three-hour interval between dinner and bedtime. 2) Avoid spicy or oily foods at night. Best regards.

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

Dr. Ranjit Peter
Dr. Ranjit Peter

Otolaryngology (E.N.T)

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