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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Tonsillitis, Lymph Node Swollen, Stabbing Sensation In Tonsils, Neck Pain. Cause?

I have always has chronic tonsillitis as well as my right lymph node permanently swollen. I visited an ENT as a child that wanted to do a tonsillectomy , but I chickened out. Now, for the past 8 months I have been getting a stabbing sensation in that tonsil, as well as in my submandibular lymph gland just outside that tonsil. My lymph gland is swollen alright all the way down the neck. I ve also been experiencing pain in the back of my neck on the same side for almost 4 months, as well as what seems like nerve pain down into my collar bone. My right arm has gone numb on a few occasions, as well as my eyesight blurring while getting a shoulder/neck massage. I do occasionally get tonsil stones, but as previously mentioned I have my whole life and have never experienced pain in my tonsil nor my lymph gland being swollen/painful. When I try to get a flashlight and look down my throat, in order to see behind the swollen tonsil I have to use my gag reflux a bit, but when I do I see a red bump that I do not see on the other side. As of right now, it feels like someone has a knife dug into my tonsil. I ve had a c- spine x-ray, mri on head and arteries in my brain, as well as on my c-spine. None on the Mri s were down with contrast. I ve had cbc done and all came back normal. Does any of this sound like something I need to worry about? Is the red bump normal? Does this sound like any sort of throat/tonsil/lymphoma cancer to you? Would anything suspicious show on cbc or on the mri s w/o? Could my tonsil/lymph node problem be what s causing my neck pain and nerve problems? I m a 25 year old female, that has previously smoked/drank for a few years, but have been clean for almost a year now.
Mon, 14 Oct 2013
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ENT Specialist 's  Response
A unilateral pain and swelling in tonsil needs to be looked by an ENT. As you are having pain throat along with neck pain, infective cause should be there. Most common is peritonsillar cellulitis or abscess, If abscess, needs drainage. if cellulitis, only antibiotics should suffice with analgesics. Lymphoma can be a possibility but pain is not usually there and CBC may show some finding but not mandatory. Please stop using tobacco in any form and consult an ENT. Regards
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Chronic Tonsillitis, Lymph Node Swollen, Stabbing Sensation In Tonsils, Neck Pain. Cause?

A unilateral pain and swelling in tonsil needs to be looked by an ENT. As you are having pain throat along with neck pain, infective cause should be there. Most common is peritonsillar cellulitis or abscess, If abscess, needs drainage. if cellulitis, only antibiotics should suffice with analgesics. Lymphoma can be a possibility but pain is not usually there and CBC may show some finding but not mandatory. Please stop using tobacco in any form and consult an ENT. Regards