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What Does This CT Scan Report Indicate?
Question: I have had sinus dryness with intermittent blockage, dry throat and tongue yellow rear and sore front, and a throbbing tingling pressure on my forehead only. I also feel blood pressure in my face when seated or standing akin to what you feel when bending over for long periods.
This started four months ago a day after taking phenoxymethylpenicillin tablets from my GP for small tonsil stones which went away by themselves anyway. Since then I have had allergy tests (no allergies), tried antifungal meds (no change), removed wheat/gluten/dairy/sugar from diet (no change). I had a CT scan which was clear also, picture attached. I will also attach a picture of my tongue.
I notice yellow vertical stalks on my tongue and also a nodule on the throat wall with yellow contents, are these any indications?
Thanks
This started four months ago a day after taking phenoxymethylpenicillin tablets from my GP for small tonsil stones which went away by themselves anyway. Since then I have had allergy tests (no allergies), tried antifungal meds (no change), removed wheat/gluten/dairy/sugar from diet (no change). I had a CT scan which was clear also, picture attached. I will also attach a picture of my tongue.
I notice yellow vertical stalks on my tongue and also a nodule on the throat wall with yellow contents, are these any indications?
Thanks
Brief Answer:
Granular Pharyngitis, mild DNS, Concha Bullosa, Coated tongue.
Detailed Answer:
Hi,
Thank you for your query.
1. There is congestion in the throat and the yellow nodules in the throat are enlarged lymphoid (tonsil-like) tissue normally distributed in islands throughout the oral cavity (Granular Pharyngitis).The yellow projection on the tongue are inflamed papillae. There is a coating on the tongue.
2. In the CT image, there is a mild DNS (Deviated Nasal Septum) to the right with a concha bullosa of the middle turbinate. There is right inferior turbinate hypertrophy as compared to the left. The sinuses are clear at this point in time. A clear CT does not rule out nasal allergy or mild sinusitis. It means that this condition can be controlled with medication.
3. There are some possibilities besides mouth breathing that you must discuss with your doctor:
a. Mild sinusitis, post nasal drip, chronic tonsillitis may co-exist.
b. Dehydration is a common cause for a coated tongue.
c. Decreased Salivation.
d. Fungal infections and 'biofilm' formation.
e. Acid reflux and indigestion.
4. A throat swab and culture of the tongue scrapings should be done. Do insist on blood investigations to rule out any immunodeficiency or infection (including h.pylori).
5. You may share any results for further treatment options.
6. In the meantime, you can start anti-allergic, anti-inflammatory, anti-reflux medication, a medicated oral rinse, a bland diet and adequate fluids.
I must emphasize that this may a common treatable problem and not a cause for worry.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Granular Pharyngitis, mild DNS, Concha Bullosa, Coated tongue.
Detailed Answer:
Hi,
Thank you for your query.
1. There is congestion in the throat and the yellow nodules in the throat are enlarged lymphoid (tonsil-like) tissue normally distributed in islands throughout the oral cavity (Granular Pharyngitis).The yellow projection on the tongue are inflamed papillae. There is a coating on the tongue.
2. In the CT image, there is a mild DNS (Deviated Nasal Septum) to the right with a concha bullosa of the middle turbinate. There is right inferior turbinate hypertrophy as compared to the left. The sinuses are clear at this point in time. A clear CT does not rule out nasal allergy or mild sinusitis. It means that this condition can be controlled with medication.
3. There are some possibilities besides mouth breathing that you must discuss with your doctor:
a. Mild sinusitis, post nasal drip, chronic tonsillitis may co-exist.
b. Dehydration is a common cause for a coated tongue.
c. Decreased Salivation.
d. Fungal infections and 'biofilm' formation.
e. Acid reflux and indigestion.
4. A throat swab and culture of the tongue scrapings should be done. Do insist on blood investigations to rule out any immunodeficiency or infection (including h.pylori).
5. You may share any results for further treatment options.
6. In the meantime, you can start anti-allergic, anti-inflammatory, anti-reflux medication, a medicated oral rinse, a bland diet and adequate fluids.
I must emphasize that this may a common treatable problem and not a cause for worry.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I was told the turbinate hypertrophy was just nasal cycle.
My GP seemed said throat and tongue swab reveal no strep, bad bacteria etc.
No tonsillitus, but have very small tonsil stones for many years. Only had tonsillitus once in life.
No reflux or heartburn, investigated possibility of silent reflux but PPI had no effect.
I'm interested to know more about the granular pharyngitus. I notice the yellow nodule is very bright when I experience worsening of symptoms. Also, what can I do about the inflammed papillae? Are there any non-medicine or herbal alternatives to any of the treatment options (due to past issue with side effects
)
My GP seemed said throat and tongue swab reveal no strep, bad bacteria etc.
No tonsillitus, but have very small tonsil stones for many years. Only had tonsillitus once in life.
No reflux or heartburn, investigated possibility of silent reflux but PPI had no effect.
I'm interested to know more about the granular pharyngitus. I notice the yellow nodule is very bright when I experience worsening of symptoms. Also, what can I do about the inflammed papillae? Are there any non-medicine or herbal alternatives to any of the treatment options (due to past issue with side effects
)
Brief Answer:
The source of this Granular Pharyngitis must be identified.
Detailed Answer:
Hi,
Thank you for writing back.
1. Common causes for Granular Pharyngitis is throat irritation due to allergy, post nasal drip, acid reflux, infections, mouth breathing, air pollution and exposure to tobacco.
2. The source of the irritation to the throat must be identified to reverse this condition. I would recommend bland food, medicated gargles (oral rinse) and a short course of oral steroids. The lymphoid hypertrophy can be cauterised carefully by coblation or radio-frequency (new technologies) if there is no response to medication.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
The source of this Granular Pharyngitis must be identified.
Detailed Answer:
Hi,
Thank you for writing back.
1. Common causes for Granular Pharyngitis is throat irritation due to allergy, post nasal drip, acid reflux, infections, mouth breathing, air pollution and exposure to tobacco.
2. The source of the irritation to the throat must be identified to reverse this condition. I would recommend bland food, medicated gargles (oral rinse) and a short course of oral steroids. The lymphoid hypertrophy can be cauterised carefully by coblation or radio-frequency (new technologies) if there is no response to medication.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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