Red Bumps in Throat: ENT Symptoms After a Cold - Otolaryngology

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Red and swollen throat?


Today, while looking in the mirror, I noticed some red protrusions in my throat, about three or four of them.
The people around me do not have this symptom, and there is no pain or urge to cough, nor is my voice hoarse.
However, I feel like there is phlegm when swallowing saliva.
I had a cold a couple of weeks ago and coughed for two weeks; I wonder if that is related.
Thank you, doctor.

Shyang, 10~19 year old female. Ask Date: 2016/06/20

Dr. Zheng Jueyi reply Otolaryngology


Hello: The lymphoid tissue commonly found on the posterior wall of the throat is mostly benign and can usually be monitored.
However, if there is pain or if it continues to enlarge, a medical examination is necessary.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/20

More Info


Red bumps in the throat can be concerning, especially after experiencing a cold. It's important to understand that the throat can react in various ways following a viral infection, such as a cold. The presence of red bumps could be indicative of several conditions, and while they may not be painful or cause significant discomfort, they warrant attention.

Firstly, the red bumps you are observing could be a result of post-viral inflammation. After a cold, the throat's mucosal lining can become irritated and inflamed, leading to the appearance of red spots or bumps. This is often a benign condition and may resolve on its own as your body recovers from the viral infection.

Another possibility is that these bumps are enlarged lymphoid tissues, such as the tonsils or the adenoids. During a cold, these tissues can become reactive and swell as they work to fight off the infection. If the bumps are located on the tonsils, they may be referred to as "tonsillar hypertrophy," which is common after upper respiratory infections.

Additionally, the sensation of having phlegm when swallowing could be related to post-nasal drip, which often occurs after a cold. This happens when mucus accumulates in the throat, leading to irritation and the feeling of needing to clear your throat. This can also contribute to the appearance of red bumps due to the constant irritation from the mucus.

While the absence of pain, cough, or hoarseness is reassuring, it is still essential to monitor your symptoms. If the red bumps persist for an extended period, worsen, or are accompanied by other symptoms such as fever, difficulty swallowing, or significant changes in voice, it would be prudent to consult an ENT (Ear, Nose, and Throat) specialist. They can perform a thorough examination and determine if any further investigation or treatment is necessary.

In summary, the red bumps in your throat are likely related to the recent cold and could be due to post-viral inflammation or reactive lymphoid tissue. Maintaining hydration, using throat lozenges, and avoiding irritants such as smoke can help soothe your throat as it heals. If you have any concerns or if your symptoms change, seeking medical advice is always a good course of action.

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