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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes White Spot At The Back Of Throat Along With Ear Pain?

Dear Doctor, I had my tonsils out in 2012. Since then I have developed bouts of pharygitis. And mouth ulcers. This is now back again, but the white ulcer is where my right tonsil used to be . This is with associated ear pain, irritated throat, itch, painful swallowing, especially when I wake in the morning. No swollen glands, no fever. Throat swab negative for strep. I have done a viral mouth swab and will send it tomorrow. FBC, ESR are normal. LTF and immunology not back yet. It s been nearly a week now. Ulcer no better? Using anaesthetic spray, manuka honey, difflam mouthwash. Painkillers. Feeling very unwell and lethargic. Concerned it could be something eles? Back of pharynx very red. I Tested negative for genital HPV in February. I ve been in a secure steady relationship for 3 & half years. Immune system- in general, would not be great. I ve seen rheumatologist to rule out bechets. I also had a consult with ENT Consultant march 2014 and he did a laryngoscopy and saw ulcers. My ANA was high positive and homogenous.... But my DNA is negative so they tell me there s no lead. I m lost! I am not a smoker, drink seldom.
Sat, 29 Mar 2025
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Anesthesiologist 's  Response
Hello,

A few conditions where we can see ulcers in throat are various viral, bacterial and fungal infections, allergic reactions to various foods, some medications like NSAIDs, beta blockers for high blood pressure, vitamin B12, folic acid and iron deficiencies, anxiety, stress, lack of sleep, badly fitting dentures, lupus, or lichen plants.

I can see you have ruled out few causes by getting tested. Ask your physician to consider other causes like viral and fungal infections, vitamin deficiencies etc. Have at least 8hrs of sleep every night. Eat healthy foods rich in vitamin B complex and vitamin C. Stress and anxiety free life. Drink more water. As it's a white patch, fungal infections and lichen plants should also be considered. Discuss the above mentioned causes with your physician.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes White Spot At The Back Of Throat Along With Ear Pain?

Hello, A few conditions where we can see ulcers in throat are various viral, bacterial and fungal infections, allergic reactions to various foods, some medications like NSAIDs, beta blockers for high blood pressure, vitamin B12, folic acid and iron deficiencies, anxiety, stress, lack of sleep, badly fitting dentures, lupus, or lichen plants. I can see you have ruled out few causes by getting tested. Ask your physician to consider other causes like viral and fungal infections, vitamin deficiencies etc. Have at least 8hrs of sleep every night. Eat healthy foods rich in vitamin B complex and vitamin C. Stress and anxiety free life. Drink more water. As it s a white patch, fungal infections and lichen plants should also be considered. Discuss the above mentioned causes with your physician. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist