Persistent Swelling on Left Side of Throat for Three Weeks
Patient Information: - Age: 34 - Gender: Male - Height: 6 feet - Weight: 260 pounds - Ethnicity: Caucasian Symptom Duration: 3 weeks Location of Concern: Left side of the throat Pre-existing Health Conditions: None reported Medications: Currently taking propranolol and imitrex. Habits: User of smokeless tobacco. Three weeks ago, I began experiencing a sensation of swelling on the left side of my throat. Notably, there is no associated pain with this feeling. The swelling appears to fluctuate, intensifying for a few hours before subsiding, only to recur. I do not have trouble swallowing, although it occasionally affects my voice. I consulted my primary care physician who examined my tonsils and found nothing unusual externally, suggesting it didn’t seem to be related to lymph nodes or glands. A strep test returned negative results. As a precaution, he prescribed a 10-day regimen of cefdinir, which I completed as directed, but there has been no noticeable improvement. I have a CT scan of the neck with contrast scheduled, but my primary care doctor anticipates that the results will likely be negative, after which he plans to refer me to an ENT specialist. Earlier this evening, I remembered that I possessed a borescope camera and, upon using it, I observed that my left tonsil appears significantly larger than the right. Additionally, there is a small white lesion located towards the bottom of the left tonsil which I suspect could be a pus-filled pocket. I would appreciate any insights or opinions regarding this situation. Thank you in advance.
Answers (1)
6/20/2025, 3:10:49 AM
OpenHealth AI
It's understandable to be concerned about the persistent swelling in your throat, especially with the additional findings of an enlarged tonsil and a white lesion. Here’s a structured overview to address your situation:
Main Points:
- The fluctuating swelling and observation of an enlarged left tonsil with a white lesion could indicate an issue that requires further evaluation.
- The scheduled CT scan and referral to an ENT specialist are important next steps for a comprehensive diagnosis.
Explanation:
Your symptom of swelling on the left side of the throat, accompanying changes in your voice, and the observation of a larger left tonsil with a white lesion can sometimes be caused by various factors, including:
- Chronic inflammation or infection: Even if the initial tests did not reveal an issue, sometimes conditions like cryptic tonsillitis can persist.
- Tonsil stones or other lesions: The presence of a white spot could be a case of a tonsil stone or another type of lesion that might require further investigation.
- Allergies or irritants: Your smokeless tobacco use could also contribute to chronic irritation in the throat.
Next Steps:
- Follow Through with the CT Scan: Attend the scheduled CT scan as it is important for ruling out any significant issues and understanding the extent of the swelling.
- Document Your Symptoms: Keep a record of any changes in your swelling, voice, or any new symptoms (e.g., fever, difficulty swallowing) to share with your ENT specialist.
- Limit Tobacco Use: If possible, consider reducing or quitting smokeless tobacco, as it can exacerbate throat issues and lead to other health complications.
- Stay Hydrated and Rest Your Voice: Ensure you’re drinking plenty of fluids and resting your voice to help ease any irritation.
If your symptoms worsen, such as increased pain, fever, or difficulty swallowing, it’s essential to seek immediate medical attention. Keep communication open with your healthcare providers, and do not hesitate to reach out regarding any significant changes you observe. Your health and peace of mind are a priority.
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