What could cause changes on the back of the tongue?
Patient's Query
Hello doctor,
I recently noticed some changes in my mouth. The image, which I have attached shows the back of my tongue. On the left side, areas labelled as 1 and 2, and on the right side, areas labelled as 3 and 4.
Could you kindly advise on what these could be?
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
From the images attached (attachment removed to protect the patient’s identity), I have thoroughly reviewed both of them. Based on what I can see, there is nothing abnormal. The bumps you are noticing appear to be your atrophied tonsils, which is a normal process as we age. They are not tumors or cancerous growths, so there is no need to worry.
Regarding your symptoms, I have a few follow-up questions:
Is post-nasal drip a constant issue for you?
Do you often experience a runny nose, headaches, or fever?
Are you noticing any swollen neck lymph nodes?
Do you have a history of smoking?
Feel free to share more details about any of these symptoms, as they can help us understand your condition better.
I hope I have answered your query.
Let me know if I can assist you further.
Thank you.
Patient's Query
Thank you doctor for the reply.
I wanted to ask if the occasional post-nasal drip could be related to any specific condition, or if it is something that might resolve on its own over time. Also, should I be concerned about the sensitivity in my neck, even though there are no swollen nodes or lumps?
Thank you.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
To address your questions, here are the possibilities and some suggestions that might help:
Tonsillar crypts: From the image, it looks like areas 1 and 2 are tonsillar crypts, which are basically small natural crevices in your tonsils. As we age, our tonsils can shrink (atrophy), and these crypts may become more noticeable. Rest assured, this is completely normal and there is nothing to be concerned about.
Post-nasal drip and throat sensation: The sensation of something in your throat and the post-nasal drip you are experiencing are often linked to a condition called globus hystericus, which is typically triggered by stress or anxiety. This can make you feel like there is a lump or tightness in your throat, even though there is no physical blockage. I know it can be uncomfortable, but it is a harmless condition.
General care:
1. Try to manage stress as it might help reduce the symptoms you are feeling.
2. If the discomfort persists or becomes bothersome, consider talking to a doctor who can guide you on managing anxiety or stress better.
I hope I have answered your query.
Let me know if I can assist you further.
Thank you.
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