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Suggest Treatment For Swelling And Lump Like Feeling In Throat

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Posted on Thu, 23 Jul 2015
Question: Hello, I would like an opinion about a throat issue I am having. I visited my ENT doctor 2 weeks ago with the feeling of something in my throat . Before my visit I examined my throat and noticed that at the right side back of my tongue{ where you have to reach in with your finger}, I felt a swelling or lump. I also felt and can see a small{about 1/4" or less} hard lump in my throat just under where my tonsil used to be{they were removed 20 years ago}. This lump is not present on the other side of my throat nor is the swelling in the base of tongue region. My ENT doctor examined me with a scope and with his hands.. He showed me the pictures of the scope and said that I had lymph tissue swelling on the right side{lingual tonsil} and prescribed a 10 day course of prednisone. He said to make an appointment for 2 months for a recheck. He showed me the scope video and commented that it was not cancer at least 5 times, and mentioned if the swelling did not go down he would order a biopsy.. He commented to the nurse that the hard lump appeared to"be in the muscle", but did not comment further to me as to what is was... can you give your opinion? Thank You

I will add that the lump on the side of my throat is right below, or at the bottom of where my tonsil used to be{ before it's removal} and did not reduce in size after the prednisone therapy. It feels like a ball bearing is just under the skin in the{ muscle?} that goes up to my uvula . If I touch this lump, it turns lighter in color briefly before returning to its more normal color. It is very hard to see the lump because it is under the skin. It is very east for me to feel however, and I can slightly feel it into my ear, or what feels like a tiny bit of pressure? in my ear. { which may or may not be related to this} The [lingual tonsil?} swelling MAY have reduced in size somewhat, but it is hard to tell. I am concerned by all of this.
doctor
Answered by Dr. Rajkishori Godhi (6 hours later)
Brief Answer:
lingual tonsil

Detailed Answer:
Hi and welcome to healthcaremagic,

The area at the back of the tongue where the tonsil meets your tongue is very bumpy and very irregular. It is the area of the lingual tonsils. The size of the lingual tonsil can wary on each side frequently one side being more enlarged than the other. The size of these tonsils can wary, some people can have large lingual tonsils whereas others can have very small tonsils. The size of the lingual tonsils should not be of concern until they start causing symptoms.

I do not think there is something seriously wrong, your doctor has seen with an endoscope, so chances of missing something is very remote . But if you feel that the lump is felt separately from the rest of the lingual tonsils and its consistency is different, then see your doctor again and insist on a biopsy or radiology.

The pressure that you are feeling in your ear when you probe this mass is because the Eustachian tube lies above it. These tubes open into the ear and hence when you probe the area, the pressure is felt in your ear.

Feel free to follow up,
Regards,
Dr Rajkishori Godhi MS ENT
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Rajkishori Godhi (6 hours later)
Thank You. The area that feels like s small hard lump is a separate area of concern. It feels like a small ball bearing just under the skin just at the bottom of where my palatine tonsil used to be. The doctor felt it as well but did not seem to be concerned except to mention that it felt like it was in the muscle. there is a muscle that lies right under where your palatine tonsil is-- this is where the little lump is. Should I call back to request a follow up immediately or wait for the scheduled appointment in another month? BTW- he asked how long ago I had my tonsils out --is it possible it is a part of my tonsil growing back.? If so , would it be hard and painless? can it be a cyst of some kind? What are the odds of the lump being cancerous and, if so, why would my doctor have not seemed concerned? Thank you

hi , did not want to waste my third follow up question with this, but, are you still there?
doctor
Answered by Dr. Rajkishori Godhi (16 hours later)
Brief Answer:
follow your doctor's advice

Detailed Answer:
Hi and sorry for the delay,

Tonsils can grow back partly if they are not removed completely. But it would not be hard. A cyst in that place would be unlikely. Based on your description, the chances of it being cancer are exceedingly small. Since your doctor has already looked with an endoscope, and feels that you can wait then I would also advice you to wait for your scheduled appointment. Do not be worried.

I would recommend you to follow your doctor's advice. If he seems unconcerned then there is no reason for you to worry.

Regards,
Dr Rajkishori Godhi MS ENT.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Rajkishori Godhi (11 hours later)
Thank you. What medical condition or issue would cause a hard bump in this area? It is just below and slightly protrudes from under the skin. After prednisone therapy, I do feel as though the lingual swelling may have reduced, but the prednisone did NOT cause any reduction in the size of this hard lump..
doctor
Answered by Dr. Rajkishori Godhi (1 hour later)
Brief Answer:
can be tumour

Detailed Answer:
Hi,

A hard mass felt in the tongue can be a benign or malignant tumour.

But do not come to conclusions before a doctor examines you again.

Your doctor does not suspect anything serious after examining you, so don't worry.

If you feel a hard mass then see your doctor again and have yourself examined again.

Regards,
Dr Rajkishori Godhi MS ENT
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Rajkishori Godhi (23 minutes later)
iT is not in my tongue, its in the side of my throat just under where my palatine tonsil USED to be, as per the rather clear description in above posts.....
doctor
Answered by Dr. Rajkishori Godhi (10 hours later)
Brief Answer:
sorry, misread

Detailed Answer:
Hi ,

Yes, I have read the entire string again, and I am sorry I had misread earlier.

The hard mass that you are feeling is probably an elongated styloid process.

The styloid process gets elongated in some people, and it can be asymmetric, one side frequently being longer than the other.

It does not require any treatment, but clinical correlation is required. See an ENT specialist to confirm.

Regards,
Dr Rajkishori Godhi MS ENT
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Rajkishori Godhi

ENT Specialist

Practicing since :2003

Answered : 708 Questions

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Suggest Treatment For Swelling And Lump Like Feeling In Throat

Brief Answer: lingual tonsil Detailed Answer: Hi and welcome to healthcaremagic, The area at the back of the tongue where the tonsil meets your tongue is very bumpy and very irregular. It is the area of the lingual tonsils. The size of the lingual tonsil can wary on each side frequently one side being more enlarged than the other. The size of these tonsils can wary, some people can have large lingual tonsils whereas others can have very small tonsils. The size of the lingual tonsils should not be of concern until they start causing symptoms. I do not think there is something seriously wrong, your doctor has seen with an endoscope, so chances of missing something is very remote . But if you feel that the lump is felt separately from the rest of the lingual tonsils and its consistency is different, then see your doctor again and insist on a biopsy or radiology. The pressure that you are feeling in your ear when you probe this mass is because the Eustachian tube lies above it. These tubes open into the ear and hence when you probe the area, the pressure is felt in your ear. Feel free to follow up, Regards, Dr Rajkishori Godhi MS ENT