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Hi Doctor Kumar! I Know That You Are A GI

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Posted on Fri, 7 Dec 2018
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!
doctor
Answered by Dr. Ramesh Kumar (20 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.

Answer 1-Its just a polyp and polyps are very unlikely malignant.Your ENT doctor would snooze out the polyp in 5 minutes with the help of instruments(almost pain less procedure).After that sample would be sent for biposy which would reveal whether its malignant or benign.99% of times its benign in cases of ENT.So rest assured.
2)No implantation therapy has nothing to do with it.If you want to google things read text mentioned only in NCBI site.

Remain assured removing a polyp will take hardly 10 minutes for an experienced E.N.T and inverted papilomas etc presenting with a number of other symptoms.
As per me remain calm.
You would be fine soon!
Thanks!

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar (16 hours later)
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!!
doctor
Answered by Dr. Ramesh Kumar (57 minutes later)
Brief Answer:
Follow up answer.

Detailed Answer:
I wish you a happy life ahead,
Good luck and thanks!
D rate answer.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Hi Doctor Kumar! I Know That You Are A GI

Brief Answer: Follow up. Detailed Answer: Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice. Answer 1-Its just a polyp and polyps are very unlikely malignant.Your ENT doctor would snooze out the polyp in 5 minutes with the help of instruments(almost pain less procedure).After that sample would be sent for biposy which would reveal whether its malignant or benign.99% of times its benign in cases of ENT.So rest assured. 2)No implantation therapy has nothing to do with it.If you want to google things read text mentioned only in NCBI site. Remain assured removing a polyp will take hardly 10 minutes for an experienced E.N.T and inverted papilomas etc presenting with a number of other symptoms. As per me remain calm. You would be fine soon! Thanks!