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What Causes Feeling Of Lump In Throat With Redness And Irritation?

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Posted on Thu, 6 Aug 2015
Question: For three days I have had a feeling there is a lump in my throat and my tongue is very tender, top is very rough with indentions and the edges are red. I have just completed 10 days of an antibiotic, prednisone, and cipro ear drops.
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Answered by Dr. Bonnie Berger-Durnbaugh (40 minutes later)
Brief Answer:
Probably a result from the meds you have been on.

Detailed Answer:
I am sorry you are having this.

Given the medications that you were on, the main two possibilities are:

1. Reflux of acid into the back of your throat and tongue. The corticosteroids (prednisone or prednisolone) can cause stomach irritation. Reflux of acid can make your tongue red and burn and irritate the throat as well.

2. Yeast overgrowth in the mouth and throat. Usually you will see white patches, although you won't be able to see what is going on in your throat. Corticosteroids can suppress the immune system and allow overgrowth, and antibiotics can upset the normal flora. So both can cause a yeast (candida) over growth.

So what to do:
If you see any white patches anywhere, go to your doctor or call your doctor who will prescribe an anticandida medicine such as Nystatin, which you swish in your mouth and swallow.

If you think it might be acid, such as having a sour or bitter taste at times, and sensation of burning in mouth, then consider getting over the counter Zantac 150 mg and taking it 2x/day for 2-4 weeks. You should see some improvement in the symptoms by approx. 2 weeks.

If you can't tell which it is, you might want to go to your doctor to have them take a look.

I hope this information helps. Please let me know if I can provide further information or clarification.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Feeling Of Lump In Throat With Redness And Irritation?

Brief Answer: Probably a result from the meds you have been on. Detailed Answer: I am sorry you are having this. Given the medications that you were on, the main two possibilities are: 1. Reflux of acid into the back of your throat and tongue. The corticosteroids (prednisone or prednisolone) can cause stomach irritation. Reflux of acid can make your tongue red and burn and irritate the throat as well. 2. Yeast overgrowth in the mouth and throat. Usually you will see white patches, although you won't be able to see what is going on in your throat. Corticosteroids can suppress the immune system and allow overgrowth, and antibiotics can upset the normal flora. So both can cause a yeast (candida) over growth. So what to do: If you see any white patches anywhere, go to your doctor or call your doctor who will prescribe an anticandida medicine such as Nystatin, which you swish in your mouth and swallow. If you think it might be acid, such as having a sour or bitter taste at times, and sensation of burning in mouth, then consider getting over the counter Zantac 150 mg and taking it 2x/day for 2-4 weeks. You should see some improvement in the symptoms by approx. 2 weeks. If you can't tell which it is, you might want to go to your doctor to have them take a look. I hope this information helps. Please let me know if I can provide further information or clarification.