Brief Answer:
Granulation tissue...

Detailed Answer:
Hi

Thanks for posting the query and please accept my sincere apologies for the delay in the response.

I have examined both images thoroughly and I believe that the red fleshy mass behind the right palatopharyngeal arch is the granulation tissue. Do not worry! It's not something ominous. Granulations are noticed when there is recurrent inflammation or trauma to the tissues.

As per your brief history, the symptoms correlate with Laryngopharyngeal reflux (LPR). LPR is a condition wherein the acid from the stomach regurgitates into the throat causing inflammation of the mucosa. The reflux can reach up to the back of the nose (nasopharynx) during the lying down position. To reduce inflammation the body secretes excess saliva which trickles down from behind the nose into the throat perceived as post-nasal discharge.

Certain medications like proton pump inhibitors and prokinetics can help in reducing acid reflux. Home remedies and lifestyle modifications can help in relieving the symptoms.

My suggestions to you are:
1. Drink frequent sips of lukewarm water
2. Avoid chilled food and beverages and coffee
3. Maintain a healthy diet

Hope this answers your query; revert if you have any follow-up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

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Brief Answer:
The granulation would subside on its own, but it's a slow process.

Detailed Answer:
Hi

Thanks for writing back

The granulation would subside on its own, but it's a slow process. The granulation is irritating sometimes due to constant friction with the tongue when you swallow. Do not worry! Just get this out of your mind and follow the measures I mentioned in my earlier response you would feel better.

I hope this clarifies your doubts. I wish you good health.

Regards
Dr. Naveen Kumar Nanjasetty
ENT and Head & Neck Surgeon

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