Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
121 Doctors are Online

Lump above tonsil, oozing pus upon squeezing, had tonsillitis. What could cause my tonsil to be swollen a year after tonsillitis?

User rating for this question
Very Good
Answered by

ENT Specialist
Practicing since : 1991
Answered : 2478 Questions
Question
I had Tonsillitis a year ago, and there is still a lump above my rights tonsil. When i press on the mass some puss came out. What could cause my tonsil to be swollen a year after tonsillitis?
Posted Sun, 22 Apr 2012 in Ear, Nose and Throat Problems
 
 
Answered by Dr. Sumit Bhatti 1 hour later
Hi,

Thank you for your query.

1. Tonsilloliths are concretions of food particles and pus lodged in the natural crypts of the palatine tonsils. The white discharge is sometimes referred to as 'cheesy' or even 'toothpaste' like in consistency. The largest crypt is known as the crypta magna and is located near the upper pole of the palatine tonsil.

2. When we swallow, our palatine tonsils rub against the food bolus and pick up food particles. This food debris decays there while it is analysed for antigens, foreign bodies and organisms by the lymphoid tissue which forms the bulk of the tonsils. Below the age of five years, this is especially important in the deveopment of immunity.

3. Rarer still will be the possibilty of a recurrent small abscess in the peritonsillar space. However this would be unusual without local inflammation and lymph node tenderness in the neck.

4. For recurrent large tonsilloliths or peritonsillar abscesses, the only definitive treatment is tonsillectomy.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Regards.
Above answer was peer-reviewed by
 
Follow-up: Lump above tonsil, oozing pus upon squeezing, had tonsillitis. What could cause my tonsil to be swollen a year after tonsillitis? 52 minutes later
A lymph node is enlarged on the same side as the swollen tonsil. I am worried that it could be cancer. Do these symptoms pertain to tonsil cancer?
 
 
Answered by Dr. Sumit Bhatti 1 hour later
Hi,

Thank you for writing back.

1. With pus draining out and an enlarged lymph node the chances of local infection is much more than a throat cancer.

2. Cancer at your age is not common, hence the chances of detecting cancer is very low. If this subsides with antibiotics and anti-inflammatory medication, the it is not cancer.

3. If in doubt, a simple biopsy from the upper tonsil area where the pus drained out and an FNAC (Fine Needle Aspiration Cytology) of the enlarged lymph node will settle the issue. Sonography of the neck may also help to locate the lymph node if the lymph node is very small.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Regards.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an ENT Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor