Lump Under Left Tonsil
A 36-year-old woman, standing 5 feet 10 inches tall and weighing 200 pounds, has generally maintained good health. However, she has experienced chronic issues with swollen tonsils and tonsil stones. A few months back, she detected what she suspected was a tonsil stone that she could not dislodge. Currently, she has a firm mass located beneath the skin, just below her left tonsil, approximately the size of a pea, which becomes irritated if disturbed. In May, she consulted an ENT specialist who was unable to feel anything abnormal through examination but utilized a scope for a closer look. The doctor found no tonsil or salivary stones but did identify inflamed lymphatic tissue in the vicinity. The specialist expressed confidence that the issue would likely resolve once the patient had recovered from her illness, but the woman is now concerned as she has fallen ill again and the lump remains. Just last night, while brushing her teeth, she noticed a tight sensation in her tonsil area, which she now attributes to this solid lump. She is seeking insights on what this could potentially signify, although her primary concern revolves around the possibility of it being something serious, particularly cancer-related.
Answers (1)
9/5/2025, 2:50:40 AM
OpenHealth AI
A lump beneath the skin near your tonsil can be concerning, especially with your history of tonsil issues. However, based on your description and the previous assessment by an ENT specialist, it may not indicate something serious.
Understanding the Situation:
- The firm mass you're feeling could be an enlarged lymph node or inflamed lymphatic tissue, which often occurs in response to infections or inflammation in the throat. Your tonsil stone history and current illness could contribute to this irritation.
- Lymph nodes often enlarge when the body is fighting off an infection. If the lump feels firm and is sensitive but doesn't change rapidly in size or cause severe pain, it’s typically less concerning.
Next Steps:
-
Monitor the Lump: Keep an eye on the lump's size and any changes in symptoms. If it becomes larger, painful, or develops other concerning characteristics (like hardening), this would warrant a reevaluation.
-
Manage Symptoms: To alleviate any discomfort:
- Stay hydrated and consider warm saltwater gargles to soothe your throat.
- Use over-the-counter pain relievers, like ibuprofen or acetaminophen, if needed to manage any irritation.
-
Follow-up: Since your ENT specialist has already examined you, it might be useful to schedule a follow-up if you continue to have persistent symptoms or if the lump shows no signs of improvement in the next couple of weeks, especially after your illness resolves.
-
Document Changes: Keep a daily journal to note any changes in your symptoms or the lump. This can provide valuable information for your next visit or if further evaluation is necessary.
While it’s natural to feel anxious about these changes, particularly with concerns about serious conditions like cancer, it’s reassuring that the initial examination did not show any alarming signs. Stay focused on symtom monitoring and comfort measures. If any acute symptoms arise, such as fever or difficulty swallowing, seek care promptly. Let me know if you want more information or assistance.
Related Questions
Unexplained Symptoms Over the Past Few Years
Greetings, Around three years ago, I started to experience a variety of symptoms that appeared quite abruptly. They seemed to improve briefly, only to return later. This initial onset threw me into a panic, leading me to suspect something severe, like cancer. After consulting my physician, I underwent tests through a neurologist and had multiple lab analyses, yet no definitive diagnosis emerged. Frustrated by the ongoing uncertainty, I ceased my attempts to find answers and have not revisited the doctor for these issues in years. This situation dates back to approximately 2021, coinciding with my time as a nursing student. While I can't be sure if there's a connection, it was around this period that I contracted COVID-19 for the first time and also received my annual flu shot as part of my nursing curriculum. Additionally, I was treated for melanoma during this time, undergoing a Mohs procedure to eliminate it, which was part of the initial anxiety surrounding my symptoms. Below are the symptoms I’ve documented: The first change I noticed was an unrelenting muscle fatigue. Simple tasks such as carrying groceries or working outdoors left me feeling immensely winded. I began to realize that the muscles in my neck felt excessively weak, and my arms and legs, although still functional, felt distinctly weaker than before. Although I could still perform my usual activities, I often felt unsteady, especially when descending stairs. Shortly thereafter, I began suffering from frequent muscle cramps at night and persistent twitching in my muscles during the day, particularly in my legs. I also observed involuntary movements in the inner arches of my feet, which, while somewhat common, were consistently present and unusual for me. Another concerning symptom was the onset of intermittent blurred vision. This issue varies in intensity, making it particularly troublesome during episodes that seem to flare up, often exacerbated by bright lighting, like that from screens or sunlight streaming through open windows. I found myself increasing the font size on screens and printed material because reading became quite challenging. While I haven’t seen an eye care professional yet, the suddenness of these vision problems caught me off guard. Additionally, I observed a significant size disparity between the muscles in my arms; my left arm appeared noticeably bulkier than my right. As a left-handed individual, I had never paid much attention to this before, though it’s possible it’s been like this for some time. The most perplexing symptom, one that’s been difficult to research, involves my right shoulder area. The deltoid region developed an odd squishy sensation. This prompts me to mention the flu and COVID-19 vaccinations. I’ve found no information on this symptom, and inquiries yield little guidance. Initially, it felt as if a lump had developed beneath my deltoid. Gradually, the entire area became squishy, resembling fibrous, lumpy tissue rather than muscle. In contrast, when I flex my left arm, it feels muscular and firm, whereas the right arm feels substantially softer. This strange condition raises questions—could a flaw in the vaccine administration by classmate healthcare students have contributed to this issue, or is it related to my other unexplained symptoms? As for medical evaluations, my Basic Metabolic Panel and Magnesium levels were unremarkable, as was my Complete Blood Count. Further inflammatory markers including CRP, CK, and ESR all returned normal results. My hemoglobin A1c was towards the high end of normal but did not classify as pre-diabetic. Autoimmune tests yielded no significant findings, and a nerve conduction study did not reveal any abnormal results either. The results from an EMG suggested mild increased insertional activity in several tested muscles, though it was deemed possibly normal, yet it might indicate an EMG disease. Unfortunately, I was unable to undergo MRI imaging due to insurance challenges at that time. I am a 42-year-old male with no significant past medical history beyond the prior melanoma and not currently using medication, aside from over-the-counter Benadryl for sleep issues. Apologies for the detailed narrative, but I felt this could be a valuable forum for seeking perspectives. I appreciate your time. It’s important to clarify that I am not prone to hypochondria; prior to these developments, I rarely sought medical care and, oddly enough, didn’t even have a primary care provider when these symptoms began.
Young Plumber with Herniated Discs Seeks Guidance
Greetings, medical professionals. I am a 17-year-old plumber who has dedicated the past two years to this trade, beginning when I was just 15. About two years ago, I was involved in a car accident that led to the discovery of three herniated discs: one located in my upper back, while the other two are situated in the mid to lower back region. While it's possible that these injuries stemmed from the accident, I suspect they might not be entirely related. Interestingly, disc problems seem to be common in my family. I'm concerned about my prospects moving forward. What can I expect in terms of health as I age, especially regarding these injuries? Moreover, how can I prevent a situation where I may struggle with mobility in my 50s or 60s? For some time, my pain subsided, but recently, I've started to experience discomfort again in the mid to lower back area, reminiscent of what I felt initially. Any advice or insights would be greatly appreciated!
Inquiry Regarding FDG-PET Scan Findings
I recently underwent an FDG-PET/CT scan for my brain to investigate some cognitive difficulties I've been experiencing. Although the report is now available on My Chart, my follow-up appointment with the doctor is scheduled for three weeks from now. I have a query regarding the standard deviation scale presented in the report, which lists values from -2 to -4.6. What does the lowest value signify? Is the scale graded on a 1-5, 1-10, or perhaps 1-100 basis? I appreciate your assistance with this! Notable regions noted for decreased metabolic activity include: - Left Inferior frontal gyrus, triangularis: SD "4.6" - Left Heschl gyrus: SD "3.8" - Left Superior temporal gyrus: SD "3.6" - Left Middle temporal gyrus: SD "3.4" - Left Supramarginal gyrus: SD "2.6" - Left Inferior parietal lobule, supramarginal area: SD "2.1" Other areas displaying low metabolism are: - Right Superior frontal gyrus, medial: SD "3.2" - Left Superior frontal gyrus, medial: SD "2.2"
Concerns About Potential Peripheral Artery Disease (PAD)
For the past three to four years, I have been dealing with a persistent numbness in my left foot. Initially, I suspected it might be due to a pinched nerve or perhaps something similar, but the sensation has never completely returned. As time has gone by, I've encountered additional worrying symptoms: - My feet have started to develop a purple hue, particularly evident when I sit in positions that put pressure on my legs or when I take a shower. This discoloration has become one of the most alarming signs of my condition. - The growth of my toenails has slowed considerably, and they now appear uneven and ridged. - Additionally, my feet have a temperature that feels significantly colder than the rest of my body, and they no longer grow hair as they once did. I do not smoke and I’m not diabetic; however, I have high cholesterol and received an elevated result on a lipoprotein test. The prospect of PAD is frightening to me, as it seems synonymous with a grim future. I have been referred to a cardiologist, but they are reluctant to conduct an Ankle-Brachial Index (ABI) test since I am under 35. I want to remain hopeful and believe I don't have PAD, yet I struggle to identify any other plausible explanations for these symptoms. What could be potential alternatives to consider, if any exist?
Unexplained Left Chest Pain, Electric-Like Jabs in Lower Back, and Unusual Headaches
Hi there, I’m a 15-year-old experiencing some peculiar health issues lately. A visit to my doctor led to a diagnosis of anxiety and poor posture after I complained about headaches and strange, electric sensations rising through my head. However, after that appointment, I became aware of pain in my heart and strange discomfort in my left chest accompanied by difficulty breathing. Initially, I thought these symptoms aligned with anxiety, but they persisted long enough to cause concern. To rule out any serious conditions, I underwent a blood test, which fortunately came back normal. Despite the positive results, I continued to feel unusual pains in my heart region and a peculiar ache in my lower abdomen. The doctor had previously mentioned my poor posture and identified an issue with my occipital nerve, which I’ve somewhat addressed. Now, though, I find myself having intermittent back pain and brief discomfort just beneath my left lung. These pains are indeed strange; they don’t always last long, sometimes just fading after five seconds or they might stick around for several minutes. I tend to spend a lot of time in bed and don’t often leave the house, yet when I do, these pains still occur. Thankfully, they aren’t debilitating, but I can't help but feel anxious thinking something might be significantly wrong with my health. It’s unsettling and I’d prefer not to dwell on such thoughts. To summarize: I experience chest pain in my lower left quadrant, specifically near my lung, alongside a mild but uncomfortable sensation that waxes and wanes. Additionally, I suffer from headaches located on the upper left side of my head. I apologize for any grammatical errors as I used voice-to-text for this message. Another detail that might be relevant is that I have recently quit vaping, now almost 22 days ago, and I wonder if this could be part of the recovery process.