Q. What is the reason for the painful stone in my throat that smells bad and has a thin wall over it?

Hello,

Welcome toicliniq.com.

I read your query and can understand your concern.

I am sorry to hear about your troubles. Thank you for the excellent image provided (attachments removed to protect the patient's identity); this reassuringly does not show anything grossly troublesome or suggestive of cancer. The main finding is that of an asymmetric tonsil with a more prominent tonsil on the left side, which otherwise appears normal. This can be persistent tonsilar tissue and can be found normally in up to 10 to 15 % of adults; however, a small percentage of this can also be due to a tonsilar malignancy or cancer, which can be ruled out only with further detailed evaluation and investigations. The rest of the symptoms can be secondary to laryngopharyngeal or silent reflux due to acid reflux into the throat.

1. Do you have any other red-flag throat symptoms like difficulty swallowing, a change in voice, neck lumps, or nodes?

2. Any reflux symptoms (heartburn, dyspepsia, sour reflux or fluid, dry cough)?

3. Any history of cancer or radiation in the past?

4. Smoking and alcohol history?

5. Are there any other diseases or treatments for which you are undergoing treatment?

Revert with the answer to assist further.

Thank you and take care.

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Asymmetric tonsils- inv ( To rule out cancer)

? Laryngopharyngeal reflux

Follow up with further details for a comprehensive management plan.

Warm water gargles ( no salt)

Dietary and lifestyle modifications to reduce reflux.

Observe the tonsils and if persisting for more than a week or two plan for further detailed assessment and management.

Follow up in 2 weeks.

Observe the tonsils and if persisting for more than a week or two plan for further detailed assessment and management.

Review with more elaborate history for accurate diagnosis and management.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Murari. M.

Experience: 15 + Yrs

Otolaryngology (E.N.T)

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