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What Causes Lump Behind Arch And Base Of Tongue?

Posted on Wed, 17 Sep 2014

Question: Hey doc OK it's been a year today that I have had this going on I have a lump or wall of tissue behind my arch and base of tongue. I have a constant gloves feeling I been to 2 different EN they say it's part of my tonsil but I don't think so u can c it when I stick out my tongue it looks like a tombstone. I will attach a picture let me know of if u can c it
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Answered by Dr. Krunal Karade (30 minutes later)

Brief Answer:
You are having enlarge lingual tonsil .

Detailed Answer:
Hi,
Thanks for the query.

I have read your query and understand your concern.

As per your clinical history it appears that you are having enlarge lingual tonsil .

Lingual tonsil can cause globus sensation.

You have already seen by 2 ENT doctor & undergone a endoscopy . So any serious condition can be rule out.

Kindly upload pictures & endoscopy reports to help you better .

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Krunal Karade (14 minutes later)

I uploaded a video u can see what I'm seeing there thanks
Hey dob I uploaded a picture of the mass if u zoom in a little you can see it behind the arch again the wall. Thanks

Answered by Dr. Krunal Karade (5 hours later)

Brief Answer:
In my opinion , it is a part of palatine tonsil .

Detailed Answer:
Hi ,
Thanks for follow up query .
I am not able to see video but i can see picture of your throat.

I have zoom in picture & seen in detail.

In my opinion , it is a part of palatine tonsil .
Tonsil has holes in it when holes meets each other tonsil get divided into parts.

Globus sensation may be because of other reason.

I would advice you Xray neck lateral view to rule out cervical osteophytes.
Fluoroscopic Barium swallow to see any motility disorders.

Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Krunal Karade (7 hours later)

Hey doc this runs lateral Down the throat raised

Answered by Dr. Krunal Karade (7 hours later)

Brief Answer:
They appear normal no infection , erosion , ulcer.

Detailed Answer:
Hi ,
Thanks for follow up query.

In your picture i can see 3 lymphoid tissues between anterior & posterior pillar .
The above 2 are parts of palatine tonsil & lower one may be lower part of palatine tonsil or lingual tonsil ( at that point picture not clear ).

They appear normal no infection , erosion , ulceration & non cancerous .

I see many patient with similar picture without any complain .

I would like to know, you have any acid reflux complain & any post nasal discharge , dry cough & allergy .

Also i would like to know you have any addiction of alcohol & smoking .

If this tissue bothering you , it can be removed surgically & send for pathological examination.

If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Krunal Karade (8 minutes later)

Hey doc u do have acid reflux and seasonal allergies I also do smoke. I know I need to quit I've tried it's not easy. I use to take Zantax 2 times a day but I stepped. Would this cause this mass?

Answered by Dr. Krunal Karade (18 minutes later)

Brief Answer:
Acid reflux ,allergies & smoking can cause Globus.

Detailed Answer:
Thank for follow up query.

Acid reflux , seasonal allergies & smoking can cause globus sensation .

This mass may not be cause for globus sensation .It appear normal & present normally in many persons .

For acid reflux use Esomeprazole & zantac .

For seasonal allergies use Steam Inhalation twice daily & Antihistaminic levocetirizine + Montelukast combination .

For smoking use alternative like nicotine chewing gum , consult deaddiction specialist .

Globus sensation may be because of combination of Acid reflux + seasonal allergies + smoking .

I see many patient with similiar history having Globus sensation .

Hope this information helpful to you .If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Krunal Karade (1 hour later)

Doc Here is one more picture. U see the white patch under the tonsil when my tongue is back that's what it looks like what I stick my tongue out the white patch forms into that mass of tissue. Is this the tonsil. The feeling is dry and irritating is right were that mass of tissue is. I've tried everything

Answered by Dr. Krunal Karade (33 minutes later)

Brief Answer:
I have seen your recent picture.

Detailed Answer:
Hi ,
I have seen your recent picture. It gives better idea .

Yes , it is lower portion of your tonsil. It appears that you are having erosion in lower portion of your tonsil which turn slightly whitish patch .

The dry & irritating feeling is because of erosion in lower portion of your tonsil which form into mass.

No need to worry it will heal.

If I were your treating doctor, I would advice you

Tab Vitamin C twice daily for promote healing ,
B Complex ,Zinc , Iron & folic acid - Multi vitamins & Minerals Tonic syrup .
Antiseptic chlorhexidine Mouth Wash twice daily & Plenty of fluids .
Use Esomeprazole & zantac for acid reflux control.
For seasonal allergies use Steam Inhalation twice daily & Antihistaminic levocetirizine + Montelukast combination .

If you have any further questions I will be happy to help.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Krunal Karade (5 hours later)

Thanks doc. Your awesome I appreciate all your help. This definitely isn't cancer right. I'm sorry I'm a hypochondriac drives me crazy

Answered by Dr. Krunal Karade (2 hours later)

Brief Answer:
Yes , this is not a cancer just erosion.

Detailed Answer:
Yes , this is not a cancer just erosion.
Wish you good health.
Thanks.

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