Should You Visit a Major Hospital for Throat Issues? - Family Medicine

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Do I need to go to a major hospital for an examination?


Hello, doctor: I would like to ask if the two lumps in my throat are commonly referred to as the tonsils? If so, there are some circular, bubble-like formations on the surface of the tonsils, but these bubble-like circles are flat.
Is this a typical bacterial infection, or could it be an adult enterovirus? (One side of my throat sometimes hurts, but it does not affect my ability to eat or drink, and I have also experienced some mild diarrhea.) Last week, I had gastrointestinal discomfort, and this week, I have throat discomfort.

karen, 20~29 year old female. Ask Date: 2018/07/26

Dr. Liao Yaopan reply Family Medicine


Hello, if you continue to feel unwell, it is recommended to consult an otolaryngologist for evaluation.
Please note that online consultations are not equivalent to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations.
Changhua Hospital cares about your well-being.

Reply Date: 2018/07/26

More Info


When it comes to throat issues, particularly concerning the tonsils, it's essential to understand the anatomy and potential causes of symptoms. The tonsils, located at the back of the throat, can indeed become inflamed or infected, leading to various symptoms, including pain, swelling, and the appearance of lesions or bumps, which you described as "little blisters."
The presence of these blisters or bumps on the tonsils could be indicative of several conditions. One common cause is viral infections, such as those caused by the herpes simplex virus or the Coxsackie virus, which is associated with hand, foot, and mouth disease. This virus can lead to the development of vesicular lesions in the throat, which may appear as small blisters. Alternatively, bacterial infections, particularly streptococcal infections (strep throat), can also cause swelling and discomfort in the tonsils, though they typically do not present with blisters.

Given your symptoms of unilateral throat pain and gastrointestinal issues like diarrhea, it is crucial to consider the possibility of a viral infection, especially if you have experienced gastrointestinal discomfort recently. Viruses can often cause a constellation of symptoms, including throat pain and gastrointestinal upset, as seen in viral pharyngitis or tonsillitis.

While your symptoms may not be severe enough to warrant immediate emergency care, it is advisable to consult with a healthcare professional, especially if the symptoms persist or worsen. A visit to a major hospital or an ENT (Ear, Nose, and Throat) specialist may be warranted if you experience significant pain, difficulty swallowing, or if the lesions do not resolve within a few days. Major hospitals often have the necessary resources for thorough examinations, including rapid strep tests, throat cultures, and imaging if needed.

In the meantime, there are several self-care measures you can take to alleviate discomfort. Staying hydrated is essential, as is consuming soothing foods like warm broths or soft foods that are easy to swallow. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain and reduce inflammation. Gargling with warm salt water may also provide temporary relief.

If you notice any of the following warning signs, you should seek medical attention promptly:
1. Difficulty breathing or swallowing.

2. High fever (above 101°F or 38.3°C) that does not respond to medication.

3. Severe pain that does not improve with over-the-counter medications.

4. Signs of dehydration, such as dry mouth, dizziness, or decreased urination.

5. A rash or other systemic symptoms that could indicate a more serious infection.

In summary, while your symptoms may not seem alarming at first glance, they warrant careful monitoring. If you have concerns about your throat and the appearance of the tonsils, especially if symptoms persist or worsen, do not hesitate to seek medical advice. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your specific condition.

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