Experiencing Swelling in the Right Lingual Tonsil
I have been a smoker for several years, starting at age 14 and now at 20 (assigned female at birth). There was a phase in my life where I heavily relied on smoking, both cannabis and cigarettes, mostly to cope with stress. Lately, I've been experiencing discomfort in my throat, particularly on the right side, whenever I smoke frequently. This soreness subsided but came back after two weeks, and I noticed some swelling localized on the right side. After doing some research, I concluded that the issue seems to be with my lingual tonsil; it's worth noting that I had my palatine tonsils and adenoids removed in childhood because of frequent infections that made it difficult for me to breathe and caused me to choke on food. I believe this background is relevant. The pain was brief, lasting only two days, but the swelling remains. I’ve examined it, and it's not hard like a lump; it feels more like a muscle. My voice hasn't changed in quality, as it's still normal and not hoarse. There are no visible signs of redness, ulcers, blood, or pus in my throat. Initially, my lymph nodes weren't swollen, but now around day four or five, I've noticed slight swelling and tenderness in my neck and armpits. The swelling remains unchanged, and while the throat pain has dissipated, I find it concerning. Back in June, I had some blood tests done to rule out appendicitis and other infections, and the results came back normal. Additionally, I often deal with globus pharyngeus, especially during periods of stress or anxiety, which can persist for months. Given the stress surrounding this current issue, I suspect it may have returned; however, I'm uncertain if it's just globus or if there is an underlying problem. I tend to be quite paranoid about my health, a trait I've dealt with previously. I was on an antipsychotic (aripiprazole 5mg) and an anxiolytic (Bromazepam, 5 to 10 drops) until I decided to stop taking my medication in March. A couple of weeks ago, I suffered from cystitis, which cleared up, but today it has reemerged. On top of that, my menstrual cycle is now delayed by 10 days and has become erratic, while it was regular just two months ago. Is there reason for concern?
Answers (1)
8/23/2025, 11:40:56 PM
OpenHealth AI
Swelling in the right lingual tonsil area, especially with a history of smoking and measuring health anxieties, can be concerning, but it's important to approach this with a clear and calm perspective. Your symptoms—swelling that feels muscle-like, occasional throat discomfort, and slight lymph node tenderness—can be linked to several factors, such as irritation from smoking, inflammation, or stress-related muscle tension, rather than a serious condition.
Explanation
- Smoking Effects: Smoking can cause irritation and inflammation in the throat and tonsil area. This could lead to swelling, especially if you're experiencing throat discomfort during smoking.
- Changes in Lymph Nodes: Slight swelling in the lymph nodes can indicate local infection or inflammation but can also be a normal response to irritation.
- Globus Pharyngeus: This sensation of something stuck in the throat often correlates with stress and anxiety, which you've mentioned having. It can exacerbate physical symptoms you've described.
- Recent Health Concerns: Your history of cystitis and the changes in your menstrual cycle could suggest stress impacts overall health and body function, particularly since you've recently stopped psychiatric medications.
Next Steps
- Reduce Irritants: If you haven’t already, try to limit smoking and exposure to secondhand smoke, as these can worsen throat irritation and inflammation.
- Stay Hydrated: Drink plenty of water to keep your throat moist and help clear any irritation. Herbal teas or warm salt water gargles can soothe mild discomfort.
- Monitor Symptoms: Keep a diary of your symptoms, including any changes in swelling, discomfort, or lymph node tenderness. Note how they correlate with smoking or periods of stress.
- Stress Management: Consider implementing relaxation techniques such as deep breathing exercises, meditation, or gentle yoga, which may alleviate symptoms of globus.
- Seek Care if Needed: If you notice worsening symptoms, such as persistent pain, increased lymph node swelling, or new symptoms (e.g., fever), it’s advisable to seek medical evaluation.
It's understandable to feel anxious about physical symptoms, but many can often resolve with careful management. Please prioritize your well-being and reach out for support if your concerns continue.
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