Suggest Treatment For Globes Sensation On Tonsils

Brief Answer:
The tonsil seems to be perfect, no signs of cancer

Detailed Answer:
Hi

Thanks for posting the query. I have gone through the history, understood your problem and also, examined the photo thoroughly. Do not worry! I will try my best to help you out with this problem.

1. On the left side of the image, I can see the left tonsil with a deep crypt dividing the tonsil into two different halves. Just adjacent to the lower part of the tonsil is the base of the tongue with enlarged lymphoid follicles, also known as lingual tonsils. On the right side of the image, the uvula seems to be edematous and slightly elongated.

2. To understand the normal anatomy of the tonsil; tonsil is a lymphoid organ with many crypts on the free end. The biggest crypt is called 'crypta magna'. These crypts vary in size and shape. In your case the crypta magna has become very wide, so as to, divide the left tonsil into two different lobes - this is also known as tonsillar cleft. Your cause of the concern is the lower lobe of the left tonsil, which is perfectly normal.

3. The sensation of the globe and dryness in the throat could be either due to dehydration (because of inadequate water consumption) or Laryngo-pharyngeal reflux (secondary to the acid reflux from the stomach into the throat). I do strongly feel you could be having Laryngo-pharyngeal reflux, because of the stress you are undergoing. Correction of this condition can solve your problem.

4. I doubt cancer in your condition; the following are the reasons to substantiate the same:
a. The age - you are very young to get either cancer of the tonsil or the tongue.
b. You are suffering from this problem since past one year. If it were to be cancer your oral cavity would not look so healthy and the most important, you would not have been alive. The cancers of the oral cavity are very aggressive and spread very fast, within months, it can turn out become really disastrous.

5. Hence, I would like to stress here again, you are perfectly normal and the cause of all your concern is the Laryngo-pharyngeal reflux.

6. I would suggest you to drink plenty of warm water, try taking proton pump inhibitors such as Pantoperazole or Esomeprazole along with a prokinetic. You will definitely feel better. Avoid coffee/tea/spicy food/chilled food & beverages/smoking/alcohol (if any).

Hope I have answered your query; I will be available for the follow-up queries.

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

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Brief Answer:
It is a part of the left tonsil...

Detailed Answer:
Hi

Thanks for writing back

I sincerely apologize for the delay in replying.

I have seen the new photograph after zooming in and I adhere to the remarks I made in my previous response. It is a part of the left tonsil and it looks like an extra growth because of the presence of a deep crypt.

Secondly, I don't see any abnormal changes in the left tonsil. To be XXXXXXX with you, I have been practicing since past 13 years and routinely examine the throat, nose and ears of all the patients who come for my consultation. Hence, with confidence and experience I can tell you, it is perfectly normal.

Finally, your concern of dryness in that particular area could be because of the Laryngopharyngeal reflux. If you are really concerned about this growth, you can always request your ENT specialist to excise the tonsil and send it for testing.

Hope this clarifies your doubts.

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

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