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.
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Patient's Query
Hello doctor,
Last week, I had two specialists check me for throat discomfort. Both suggested antihistamines and proton pump blockers. I also had a wisdom tooth surgery the same week and now my inflammation has subsided after antibiotics and NSAID with serratiopeptidase. I had been anxious and was told to have cancer phobia by doctors. However, yesterday while inspecting my mouth, I discovered a tiny lump-like swelling just beside the uvula. It is almost the same color as the mucosa or maybe very slightly yellowish. It does not pain or bleed on touch, but I can feel it as a grain on touch. I have attached a picture. I am very worked up and I need your help. It is painless and about the same color as the mucous membrane. It is the size of a tiny grain. I am currently taking Pantoprazole and Losartan.
Hello,
Welcome to icliniq.com.
The swelling what you are looking at is just a tiny bit of lymphoid tissue probably part of the tonsils which are present on both sides of the throat. Usually, the possible causes for such a lymphoid tissue enlargement are an infection and sometimes reflux laryngopharyngitis which is a type of acidity-related disorder. I will assure you that it is not cancer and it does not even warrant any further investigations for the presence of cancer. Our throat has thousands of tiny lymphoid aggregates and they can get enlarged during inflammation because of many reasons. You need to continue with antireflux medications such as Pantoprazole with Domperidone for a week as I think in your case the reason for lymphoid tissue enlargement seems to be reflux laryngopharyngitis.
Patient's Query
Hello doctor,
Thank you for the prompt reply. I have attached another picture from just now. I guess it would change your advice. I will follow your suggestions. Is there anything I should do more? I guess I will not bother you on this anymore.
Hello,
Welcome back to icliniq.com.
I have gone through the picture (attachment removed to protect patient identity). I stand by my opinion. Your uvula is edematous and a granular pharynx in the picture just confirms my diagnosis of reflux laryngopharyngitis. it can not be malignancy as features of malignancy are different. I advise you to take antireflux medications two times daily on an empty stomach for at least ten days.
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Otolaryngology (E.N.T)
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