Q. I have a small pea-sized lump at the back of the right tonsil and a swelling on the neck. Why?

Hello,

Welcome to icliniq.com.

It seems like you have small salivary gland obstruction. Multiple salivary glands all over your mouth, secrete saliva. Sometimes they get obstructed, and saliva collects in them, leading to swelling. This is usually painless but can be felt like something different in that region. So many times while eating food, salivary glands are stimulated to produce saliva, and due to the obstruction, they grow in size. As you finish eating, the saliva slowly drains out, and the swelling subsides. That is why you feel sometimes the bump is getting smaller and sometimes bigger.

I saw your picture (attachment removed to protect patient identity); it looks like a small tonsillar cyst. It is a benign condition.

All in all, you have nothing to worry about at present. Just gargle with concentrated salt water three to four times a day. Try not to search on the internet about your symptoms; it shows you the worst possible and, most of the time, the least probable outcome.

However, I have a few questions,

• Do you have a fever?
• Do you have a loss of weight?
• Have you taken any previous treatment?

Ultrasonography of the neck and jaw (if it does not subside with treatment).

Tablet Clindamycin 300 mg three times a day for five days.
Tablet Pantoprazole 40 mg once a day before breakfast for five days.
Tablet Vitamin C 500 mg to chew once a day.
Tablet Paracetamol 650 mg two times a day for three days.
Chlorhexidine mouth wash three to four times a day for five days.

Hi,

Welcome back to icliniq.com.

Good, that confirms it. Please do not be anxious about it at all. Feel free to message me ay time.