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Suggest Treatment For Swelling In Neck And Persistent Cough

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Posted on Wed, 17 Feb 2016
Question: There is a mall bubble near my tonsils and i have been coughing for 2 weeks now and tonsils look swollen , havent been to doctors, only had tylenol so far
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (10 minutes later)
Brief Answer:
Some questions:

Detailed Answer:
Hello,

I am sorry you have been sick for 2 weeks now.

Do you have fevers, and do your tonsils hurt? Does that bubble hurt?

Your tonsils are not flaming red per se, like we usually see with strep tonsillitis, but the bubble could be a small access or an inclusion cyst.

Please write me back and I'll give suggestions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (11 minutes later)
Hi thank you for your answer. My tonsils do not hurt and I have not had any fever. I have just been having hard coughs from my chest and having to spit. The bubble appeared maybe about a week ago. One tonsil seems bigger then the other. Does this usually go away by itself or will I need medications?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (23 minutes later)
Brief Answer:
Some suggestion.

Detailed Answer:
The little bubble area looks like it could be a bit of lymphatic tissue that may be slightly inflamed. I asked about fevers and pain because peritonsillar abscesses are painful and usually people have a fever with them. So I think it is less likely to be a peritonsillar abscess and more likely to be inflamed lymphatic tissue. I think it should be seen by your doctor, but there is less urgency compared with if it were a peritonsillar abscess.

In terms of the cough, there is a lot of post nasal drainage in the back of your throat in this picture. The secretions going down your throat could be giving you a cough as your lungs try to keep themselves clear. It looks like the drainage is white (which goes with your infection being more viral than bacterial), but given that you have had these symptoms for 2 weeks, I think it would be a good idea to go in to be seen and have your lungs listened to. A cough suppressant might help (such as guaifenesin with codeine), and a mucolytic (such as Mucinex) might help thin the secretions (you have to drink a lot of water with it for it to work). But it is also possible that you would benefit from an antibiotic.

So I encourage you to go in to be seen. If possible and you are willing, please let me know how you are doing after you are seen. If this discussion is closed by then, you can repost as a new question with my name (you can write Dr. Bonnie) in the first line.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Swelling In Neck And Persistent Cough

Brief Answer: Some questions: Detailed Answer: Hello, I am sorry you have been sick for 2 weeks now. Do you have fevers, and do your tonsils hurt? Does that bubble hurt? Your tonsils are not flaming red per se, like we usually see with strep tonsillitis, but the bubble could be a small access or an inclusion cyst. Please write me back and I'll give suggestions.