Brief Answer:
Enlarged lymphoid tissue not part of the tonsil...

Detailed Answer:
Hi

Thanks for posting the query

I have examined the image thoroughly and I am of the opinion that the reddish looking lesion behind the tonsil is the hypertrophied lymphoid tissue. This is usually noticed when there is infection in the nose or the pharyngeal region. It is not a part of the tonsil.

Yes, there is inflammation over the tonsil, but, the tonsil doesn't seem to be infected. The post nasal drip could be secondary to the acute sinusitis. As the infected secretions drip down from the back side of the nose into the throat, the surrounding tissues also get affected. Hence, to combat the infection, the lymphoid tissues get enlarged.

My suggestion for you is:
1. Drink frequent sips of warm water.
2. Do steam inhalation 2-3 times a day.
3. Use saline nasal spray for easy clearance of the secretions and reduction of the bacterial load.
4. Try doing gargles with with dilute povidone iodine throat gargles. This helps in reducing the inflammation over the pharyngeal wall and the tonsils.
5. Avoid chilled food and beverages, coffee and smoking.
6. If the symptoms do not improve with the above measures, consult your doctor for a thorough evaluation of the nose and throat.

Hope this answers your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Brief Answer:
I can assure you it is not cancer...

Detailed Answer:
Hi,

Thanks for writing back,

Wisdom tooth extraction will not cause hypertrophied lymphoid follicles in the pharyngeal wall. Secondly, it is absolutely not cancer. This is one of the commonest features noticed in many individuals suffering from sinusitis or pharyngitis.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Brief Answer:
Yes, the inflammation is caused by virus/bacteria

Detailed Answer:
Hi

Welcome back

Yes, its because of your previous upper respiratory tract infection, the granulation tissue has appeared. If you feel its hurting you a lot, then, you can take a course of potent antibiotic after consulting your doctor. Or else, the home remedies I mentioned in my earlier response is more than enough to relieve your symptoms. Finally, it may take 2-3 months for this inflammation to completely clear.

The trick is, to drink frequent sips of warm water. Warm water increases the blood circulation to the affected area and relieves the inflammation fast.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Brief Answer:
Granular pharyngeal wall/ hypertrophied lymphoid follicles...

Detailed Answer:
Hi

Welcome back

1. So where the arrow is pointing is called what again?
A: Granulation/hypertrophied lymphoid follicles over the pharyngeal wall.

2. And anything else besides hot water and salt gargle to take away?
A: Drink frequent sips of warm water and do gargles with dilute povidone iodine solution.

3. I just had another XXXXXXX cold with a lot of drainage and scratchy throat, it didnt turn into a full cold but def drainage, sinus headache and scratchy throat. Could this be allergies?
A: If the episodes are very frequent, it can be termed as allergic. A solitary episode may not be considered as having allergy.

4. And are you 100% this is non-concerning and i dont need blood work or surgery?
A: I stick to my earlier response. It is absolutely harmless.

5. The tonsils look irritated a little, from last two days drainage? I also have acid reflux.
A: The edema over the tonsil is secondary to the Upper respiratory tract infection you had earlier. Acid reflux can worsen the inflammation over the posterior pharyngeal wall.

6. its just interesting it came after my wisdom teeth removal too on that side only.
A: Wisdom tooth removal will not induce granulation over the pharyngeal wall.

Hope this clarifies your doubts. Good luck.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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