White Bump in Throat: Is It Just a Canker Sore or Something More? - Otolaryngology

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There is a white spot next to the throat?


Hello doctor, I have a white spot next to my throat that looks somewhat like a hole, but it appears different from a canker sore.
I feel pain when eating and drinking, and this sore has been present for 6 days.
I would like to know if this is just a common canker sore or if it could be another condition?

Mr. Huang, 20~29 year old female. Ask Date: 2017/01/14

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common ulcers are usually caused by viruses.
If there is no improvement after a week, it is recommended to seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/14

More Info


When you notice a white bump in your throat that resembles a canker sore but feels different, it can be concerning. Given that it has been present for six days and is causing pain while eating or drinking, it is essential to consider several possibilities.

Canker sores, or aphthous ulcers, are common and typically appear as small, painful lesions inside the mouth or throat. They are usually round or oval with a white or grayish center and a red halo. While they can be quite painful, they generally heal on their own within one to two weeks. However, if the sore persists beyond this timeframe, it may warrant further investigation.

Another possibility is a viral or bacterial infection. Conditions such as viral pharyngitis or strep throat can cause white patches or bumps in the throat. Strep throat, in particular, is characterized by a severe sore throat, fever, and sometimes white patches on the tonsils or throat. If you are experiencing additional symptoms such as fever, swollen lymph nodes, or difficulty swallowing, it is crucial to seek medical attention.

Additionally, oral thrush, a fungal infection caused by an overgrowth of Candida, can lead to white patches in the mouth and throat. This condition is more common in individuals with weakened immune systems, those taking antibiotics, or those with diabetes. If you notice a creamy white coating on your tongue or inside your cheeks, this could be a sign of oral thrush.

Another consideration is the possibility of a more serious condition, such as a squamous cell carcinoma, especially if you are a smoker or have a history of tobacco use. While this is less common, any persistent lesion that does not heal or changes in appearance should be evaluated by a healthcare professional.

Given your symptoms and the duration of the bump, it is advisable to consult with a healthcare provider. They may perform a physical examination and possibly a throat culture or biopsy to determine the exact cause of the bump. In the meantime, you can manage pain with over-the-counter pain relievers and avoid spicy or acidic foods that may exacerbate discomfort.

In summary, while a white bump in the throat could be a simple canker sore, the persistence of the lesion and associated pain suggest that it is essential to seek medical evaluation. Early diagnosis and treatment can help alleviate symptoms and address any underlying issues effectively.

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