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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat A Hard Lump Behind The Uvula And Swollen Lymph Nodes?

Hi, I ve had a hard lump come down from above & behind my uvula, along with angioedema. It s been happening since December, but with less frequency lately. I ve been seen by a very respected ENT who could not see the lump or diagnose it. Since I had other throat & tongue things going on, I had a biopsy of lymph nodes and then tissue where my tonsils used to be, all negative. Other symptoms I ve had have been multiple swollen lymph nodes all over my neck and body, and the feeling that I m sometimes swallowing around something in my throat, which is the most pronounced when this lump is present. Sometimes it recedes to almost nothing, but comes back different times throughout the day and night for no apparent reason. Could this be sinus or allergy related? I do occasionally have some postnasal drip, but not too much at all. I do have some acid reflux, and some doctors thought this was related to that, but my ENT does not believe so. The lump feels like a thumb or finger coming down and it is quite hard when it s present. I did have high levels of EBV present during my blood work, but don t have any exhaustion. I would appreciate any advice you can give me. I m at a point where, should I decide to pursue this, I m not sure what type of doctor to go to. Thanks. Christine
Tue, 9 Sep 2014
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ENT Specialist 's  Response
Hello Christine!
Did your ENT do an endoscopic examination at the time you actually felt the lump, and if so, were you able to view the image?
It could be a polyp of some sort- they are known to be mobile and shift positions and might also feel hard.
The angioedema could be due to allergy, reflux or both and if documented, would warrant a long course of the appropriate therapy.
The most prominent symptom of reflux is actually a feeling of lump or obstruction in the throat but the signs may be very subtle; you could discuss the possibility of a course of anti- reflux medication with your ENT, and yes, this problem is best pursued with an ENT specialist.
Let me know what ensues....!
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How To Treat A Hard Lump Behind The Uvula And Swollen Lymph Nodes?

Hello Christine! Did your ENT do an endoscopic examination at the time you actually felt the lump, and if so, were you able to view the image? It could be a polyp of some sort- they are known to be mobile and shift positions and might also feel hard. The angioedema could be due to allergy, reflux or both and if documented, would warrant a long course of the appropriate therapy. The most prominent symptom of reflux is actually a feeling of lump or obstruction in the throat but the signs may be very subtle; you could discuss the possibility of a course of anti- reflux medication with your ENT, and yes, this problem is best pursued with an ENT specialist. Let me know what ensues....!