ADVERTISEMENT

Q. What are the reasons for persistent white spots and pain in the back of my throat?

Answered by
Dr. Vinay. S. Bhat
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 11, 2022

Hello doctor,

I am a 34-year-old male, I weigh 220 pounds, and I am 5 feet tall. I have had a sore throat for three weeks now. I got tested for strep throat, but it was negative. However, I have white spots and pain in the back of my throat. Please help.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

Throat pain with whitish lesions over the tonsils and pharynx lasting more than three weeks and not responding to treatment suggests viral pharyngotonsillitis. Usually, viral pharyngotonsillitis is associated with severe throat pain, generalized weakness, difficulty swallowing, and sometimes fever. If you have all these symptoms, then we can suspect viral pharyngotonsillitis. It is self-resolving, and it takes about 4 to 6 weeks to resolve.

Meanwhile, symptoms can be reduced by taking painkillers, and antiseptic mouth gargles. A short course of steroids is beneficial but has to be taken under the supervision of an ENT (ear, nose, and throat) doctor.

If your symptoms are different from what I have described, let me know. I will analyze your symptoms and give you a differential diagnosis and available treatment.

Hello doctor,

Thank you for the reply.

I do not have a fever or weakness, and I just have a sore throat, doctor. There is no cough, and I have no trouble swallowing. I feel like the pain is only on one side (it is either on the left or right side). I have attached some pictures for your reference.

#

Hello,

Welcome back to icliniq.com.

I have seen the uploaded photos (attachments removed to protect the patient's identity). I need to correlate findings in your throat with your symptoms.

Suppose you have a mild sore throat with whitish lesions that keep changing sides and are not associated with difficulty swallowing and fever. In that case, it is generally due to laryngopharyngeal reflux disorder (LPRD). It is due to frequent reflux of digestive acid and enzymes in the throat, causing inflammation. Usual symptoms are throat pain, foreign body sensation, throat dryness, throat clearing, etc.

Whitish lesions in the throat are partially digested food debris collected inside the tonsil crypts and inflamed pharyngeal lymphatic bands.

Confirmation of the diagnosis is difficult, but whenever LPRD is suspected, we give a trial of anti-reflux medications for a few weeks.

You need to know that there may not be any symptoms of acidity even in a severe case of LPRD.


Was this answer helpful?

 | 

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



Related Questions:
I have had a sore throat for 8 days.I am worried if it could be some other major disease.Please help.

This occurs with or without some amount of acid reflux into the throat from within the food pipe ... This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gas...   Read full

My sore throat and discomfort while swallowing has not subsided on antibiotics. Why?

.. looks infected (attachment removed to protect patient identity). I can see pus coming out of your tonsil. You complete the course of Augmentin (take it for seven days, 1 gm 12 hourly). Along with that take plenty of fluids (at room temperature i....   Read full

Are my symptoms due to the infected wound or COVID-19?

Then at 3 AM, I woke up with a painful throat ... COVID or another viral pharyngitis with lymphadenopathy or malaria or tick bite fever may also present with fever with throat pain ... I do not know if I am diabetic or the infection has spread, or I ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

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.