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I'm A 19 Year Old Boy. It Has Been Happening

Posted on Fri, 24 Apr 2020

Question: I'm a 19 year old boy. It has been happening from about 1 year since now, every week I have a kind of sensation in the soft palate inside my mouth. And after some time, some white substance comes out of it...which appears like a mushed up worm, as shown in the annexed images. What is it? Should I be concerned? I haven't consulted a doctor before because I don't know what kind of doctor would help me with this issue. Please help!

Answered by Dr. Shinas Hussain (31 minutes later)

Brief Answer:
Can you please attach a photo.

Detailed Answer:
Hello,
Thanks for the query.
Can you please attach a photo.
As per your symptoms it seems like a post nasal drip which happens in chronic sinusitis. However it looks like thick sputum not a worm like thing.
I will make more detailed impressions after seeing the photo.
Thanks

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shinas Hussain (16 minutes later)

Yes, sure, I did attached pictures with the question but seems like they didn't got uploaded, here I'm attaching them again. Could you explain a little bit more about it. And what should be my next moves. Is it something serious?

Answered by Dr. Shinas Hussain (2 minutes later)

Brief Answer:
Picture still missing!!

Detailed Answer:
Hi,
I think something went wrong again.
Can you send directly to my email
YYYY@YYYY

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shinas Hussain (1 hour later)

I have sent those images via e-mail, my email address is YYYY@YYYY , you may check it in your inbox. Kindly tell me what does it look like to be. Is this something serious that I should be concerned about? What should be my next actions? This thing also smells very bad when it comes out of my mouth.

Answered by Dr. Shinas Hussain (13 minutes later)

Brief Answer:
Looks like a tonsillolith.

Detailed Answer:
Hello,
I have gone through the photographs.
The thing looks like tonsilolith or tonsilar stones. These are nothing but a stone formation due to chronic inflammation. Mucus plug is another possibility.
However we can not confirm just by looking at it. You need to send the sample for biopsy for tissue diagnosis and a biopsy can exactly tell what it is. I suggest you to send the sample to your nearest pathology lab for confirmation.
It is not a big deal unless you are symptomatic.
Thanks.

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Above answer was peer-reviewed by : Dr. Yogesh D