Red Swellings in the Throat: Causes and Concerns - Otolaryngology

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Red swollen lump in the throat?


Hello, I would like to ask about the red swollen lumps in my throat.
It has been almost a month.
Two weeks ago, I visited the ENT department at National Taiwan University, and they said it was a mild cold and prescribed a week's worth of medication.
However, it still hasn't gone away.
What could be the cause?

Alex, 20~29 year old female. Ask Date: 2016/08/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no improvement, it is recommended to seek medical attention for a follow-up examination.
Wishing you safety and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Zheng Jue-Yi.

Reply Date: 2016/08/24

More Info


When it comes to red swellings in the throat, there are several potential causes that could explain your symptoms. Given that you have already consulted an ENT specialist and were diagnosed with a mild cold, it is important to consider both common and less common causes of throat swelling.

1. Infections: Viral infections, such as the common cold or influenza, can lead to inflammation and swelling in the throat. Bacterial infections, such as strep throat, can also cause red, swollen areas in the throat. If your symptoms have persisted for a month, it may be worthwhile to consider whether a bacterial infection could be present, especially if you experience severe pain, fever, or difficulty swallowing.

2. Allergies: Allergic reactions to environmental factors such as pollen, dust, or pet dander can cause throat irritation and swelling. Allergies can lead to post-nasal drip, which may irritate the throat and cause redness and swelling.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause irritation and inflammation in the throat, leading to red swellings. If you experience symptoms such as heartburn or a sour taste in your mouth, GERD could be a contributing factor.

4. Irritants: Exposure to irritants such as smoke, pollution, or strong odors can lead to throat inflammation. If you have been exposed to any of these irritants, it could explain the persistent swelling.

5. Chronic Conditions: Conditions such as chronic tonsillitis or pharyngitis can cause ongoing inflammation and swelling in the throat. If you have a history of recurrent throat infections, this could be a possibility.

6. Tumors or Growths: While less common, persistent red swellings in the throat could indicate the presence of benign or malignant growths. If the swelling does not resolve or worsens, further evaluation may be necessary.

Given that your symptoms have lasted for nearly a month without improvement, it is advisable to follow up with your healthcare provider. They may recommend further diagnostic tests, such as a throat culture, imaging studies, or even a referral to a specialist for a more comprehensive evaluation.

In the meantime, here are some general management strategies you can consider:
- Hydration: Drink plenty of fluids to keep your throat moist and help reduce irritation.

- Humidifier: Using a humidifier in your home can help keep the air moist, which may soothe your throat.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate your symptoms.

- Over-the-Counter Remedies: Consider using throat lozenges or sprays that contain soothing ingredients to help alleviate discomfort.

- Rest: Ensure you are getting enough rest to support your immune system.

In conclusion, while there are several potential causes for red swellings in the throat, persistent symptoms warrant further investigation. It is important to communicate openly with your healthcare provider about your symptoms and any changes you experience. They can guide you through the appropriate next steps to ensure your throat health is properly managed.

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