Red and White Lesions in the Throat: What Could They Be? - Otolaryngology

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The symptoms you describe—deep red lesions with white raised spots in the throat—could be indicative of several conditions, but it's essential to approach this with caution and seek a professional medical evaluation for an accurate diagnosis. Given your recent sexual activity, it’s understandable to be concerned about potential sexually transmitted infections (STIs), including human papillomavirus (HPV), which can manifest as genital warts (often referred to colloquially as "cauliflower" due to their appearance) in the genital area and sometimes in the throat.

However, the lesions you describe may not necessarily be HPV-related. Other possibilities include:
1. Oral Thrush: This fungal infection, caused by an overgrowth of Candida, can lead to white patches in the mouth and throat, often accompanied by redness and discomfort. It is more common in individuals with weakened immune systems, those taking antibiotics, or those with diabetes.

2. Herpes Simplex Virus (HSV): Oral herpes can cause lesions in the mouth and throat, presenting as painful blisters that may break open and form ulcers. While HSV typically causes painful lesions, some individuals may experience milder symptoms.

3. Strep Throat: This bacterial infection can cause red and swollen areas in the throat, often accompanied by white patches or streaks. It is usually painful and may be associated with fever and swollen lymph nodes.

4. Allergic Reactions or Irritation: Sometimes, irritants such as certain foods, medications, or environmental factors can cause localized redness and swelling in the throat.

5. Lichen Planus: This inflammatory condition can affect the mucous membranes, leading to white patches and red lesions in the mouth and throat.

Given the potential for STIs and other infections, it is crucial to consult a healthcare provider for a thorough examination. They may perform a physical examination, take a medical history, and possibly conduct tests (such as swabs or blood tests) to determine the exact cause of your symptoms.

In the meantime, here are some general recommendations:
- Avoid Irritants: Stay away from spicy, acidic, or rough foods that could further irritate your throat.

- Maintain Oral Hygiene: Regular brushing and rinsing with a mild saltwater solution can help keep the area clean and may alleviate some discomfort.

- Stay Hydrated: Drink plenty of fluids to keep your throat moist and aid in healing.

- Avoid Alcohol and Tobacco: These can irritate the throat and exacerbate symptoms.

Regarding your concern about the lesions being related to HPV, it's important to note that while HPV can be transmitted through oral sex, not all lesions in the throat are caused by this virus. The presence of lesions does not automatically indicate an STI, but it is wise to discuss your sexual history with your healthcare provider, who can provide guidance on testing and preventive measures.

In conclusion, while your symptoms warrant attention, only a healthcare professional can provide a definitive diagnosis and appropriate treatment plan. Please seek medical advice as soon as possible to address your concerns and ensure your health and well-being.