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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Normal To Have Obstruction In Throat And Redness In Tongue With Bumps When Diagnosed With HPV?

I just got diagnosed with HPV (high-risk) from my a pap. I have been congested the past few weeks from allergies and two weeks ago I noticed: a soar/dry throat (which has gone away for the most part), feeling like something is caught in my throat when I swallow, my tonsills look swollen with one side appearing larger than the other with a white bump, enlarged bumps on my tongue and red veins in my mouth? Is this normal? Am I just coming down sick because my immune system is weak?
Fri, 28 Feb 2014
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General & Family Physician 's  Response
Hello,
I have gone through your query and understand your concern.

From your query, I suspect of two possibilities
1. Tonsillar HPV infection and this may turned into malignant
I suspect this because you have obstruction in throat, enlarged bumps in tongue with tonsils enlarged ion one side.
As well as treatment does not completely cures the sore throat and is there for past few weeks.

2. Second possibility is streptococcal throat infection.
But this does not cause any bumps in tongue.

Thus you need further investigations like throat swab to rule out any Streptococcal infection.
You need the complete evaluation of these symptoms by ENT physician and he may do laryngoscopes or pharyngoscopes together with small mirrors.

He may want to perform a biopsy of areas that look suspicious for cancer. A biopsy is a small sample of cells taken with a thin, hollow needle. The cells are then viewed under a microscope to look for signs of cancer. Biopsy samples from lump may be tested for the presence of HPV DNA. The presence of HPV DNA signals a cancer that is more responsive to treatment than one that is HPV-negative.

Depending upon the diagnosis, he may refer you to an Oncologist for either chemotherapy or radiation therapy up front, or surgery followed by radiation therapy with or without the addition of chemotherapy.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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Is It Normal To Have Obstruction In Throat And Redness In Tongue With Bumps When Diagnosed With HPV?

Hello, I have gone through your query and understand your concern. From your query, I suspect of two possibilities 1. Tonsillar HPV infection and this may turned into malignant I suspect this because you have obstruction in throat, enlarged bumps in tongue with tonsils enlarged ion one side. As well as treatment does not completely cures the sore throat and is there for past few weeks. 2. Second possibility is streptococcal throat infection. But this does not cause any bumps in tongue. Thus you need further investigations like throat swab to rule out any Streptococcal infection. You need the complete evaluation of these symptoms by ENT physician and he may do laryngoscopes or pharyngoscopes together with small mirrors. He may want to perform a biopsy of areas that look suspicious for cancer. A biopsy is a small sample of cells taken with a thin, hollow needle. The cells are then viewed under a microscope to look for signs of cancer. Biopsy samples from lump may be tested for the presence of HPV DNA. The presence of HPV DNA signals a cancer that is more responsive to treatment than one that is HPV-negative. Depending upon the diagnosis, he may refer you to an Oncologist for either chemotherapy or radiation therapy up front, or surgery followed by radiation therapy with or without the addition of chemotherapy. Hope this helps. Please write back for further queries. Wishing you good health.