Question: Hi Doctor Kumar! I know that you are a GI doctor, but you helped me immensely in the past with some health-anxiety induced worries I had, and you were so kind and reassuring that I wanted to reach out to you again. Lately I've been experiencing some left-sided upper tooth, ear and jaw pain, and I did have a CT scan of my maxillofacial structures done, and am attaching a copy of the same. Today I just followed up with my ENT doctor, and she performed a full exam. She indicated that the mucous cyst and mucousal inflammation in the sphenoid and ethmoid sinuses on the left side could account for the left-sided pain which I am experiencing; I had actually visited my dentist two days ago and he also did a full exam and feels that my masseter and jaw muscles are extremely tight and constricted, and that could be causing the pain. My question, however, pertains to a lesion in my left nasal vestibule, which showed up on the scan and which my ENT looked at today. From what she could see, she indicated something about "inverted" and wants me to have it removed by an ENT surgeon. Apparently it is 11 by 5 mm. I have no pain in that area, no nosebleeds or congestion, etc. As a matter of fact, when I last visited the ENT three months ago, she did not even see it. Unfortunately, I cannot even get into the ENT surgeon for two and a half months. In the meantime, I saw there is something called an inverted papilloma and think that may be what she was referring to, and I saw that they can progress to squamous cell cancer and tend to reoccur even after removal. Obviously, we don't even know for sure what it is at this point, but I am super worried after googling some of these nasal cancers. Based upon my history, the CT scan report, and my lack of symptoms in my nasal area, is there any reassurance or information which you can give me? Also, my second question is this: I've had plantar warts on the soles of my feet for years now, and my podiatrist tried an autoimplantation therapy just this past January, in which she removed a tiny piece of the wart and transplanted it in the inside portion of my foot, hoping to trigger an immune response to attack the warts. Unfortunately, that doesn't appear to have succeeded, as I still have the warts. In frantically googling inverted papilloma I see that it may be caused by the HPV virus -- do you think the implantation therapy had anything to do with the lesion inside my nose? In my worried, neurotic mind I am fearing that that procedure will have caused these lesions to occur throughout my body, although I would presume there is no relation...? Thank you so very much!

Hi Dr. Kumar! I just wanted to thank you for your kind, caring and reassuring words. It means so much to me to be able to reach out to you for peace of mind. Thank you again!!