White Patches in the Throat: What You Need to Know - Otolaryngology

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There are some white areas on the surface of the throat wall?


Recently, I used a flashlight to look at my throat and noticed some white patches on the pharyngeal wall.
They remain even after drinking water.
I usually don't have any issues eating or drinking.
Today, I visited an ENT specialist, and the doctor said that those are not leukoplakia but are normal.
However, I do have a bit of sinusitis.
I'm still a bit worried about what those white areas could be.
😭

A-Wen, 20~29 year old female. Ask Date: 2021/05/12

Dr. Li Jiaxuan reply Otolaryngology


Vitiligo is a scar formed by the separation of the epidermis and dermis.
Avoid vigorous rubbing and refrain from consuming hard and hot foods.
Wishing you safety and well-being.

Reply Date: 2021/05/12

More Info


When you notice white patches in your throat, it can understandably cause concern. However, it’s important to understand that not all white patches are indicative of a serious condition. Based on your description, it seems that you have already consulted an ENT specialist who reassured you that the white patches are not leukoplakia (a condition that can be precancerous) but rather a normal finding. This is a common scenario, and many individuals experience similar observations without any underlying pathology.

White patches in the throat can be caused by several benign conditions. One common cause is the presence of oral thrush, which is a fungal infection caused by Candida species. This condition typically presents as creamy white lesions on the tongue and inner cheeks, but it can also extend to the throat. However, you mentioned that you do not experience any discomfort while eating or drinking, which is less typical for thrush.

Another possibility is the presence of post-nasal drip, especially if you have sinusitis or nasal congestion. Mucus can accumulate in the throat and appear as white or discolored patches. This can happen when the body produces excess mucus in response to inflammation or infection, leading to irritation in the throat.

Additionally, the appearance of white patches can sometimes be attributed to the normal anatomical variations of the throat. The mucosal lining can have different textures and colors, and what you are observing might simply be a normal variant rather than a pathological condition.

In your case, since the ENT specialist has indicated that the white patches are not concerning and attributed your symptoms to sinusitis, it would be prudent to follow their advice. Sinusitis can lead to a variety of symptoms, including post-nasal drip, sore throat, and nasal congestion. Treatment typically involves managing the underlying sinusitis, which may include nasal decongestants, saline nasal sprays, or, in some cases, antibiotics if a bacterial infection is suspected.

If you continue to have concerns about the white patches or if you notice any changes such as pain, difficulty swallowing, or persistent lesions, it would be wise to follow up with your healthcare provider. They may recommend further evaluation or monitoring to ensure that there are no underlying issues.

In summary, while white patches in the throat can be alarming, they are often benign and can result from various non-threatening conditions. It’s essential to maintain open communication with your healthcare provider and report any new symptoms or changes. Regular check-ups and being attentive to your body’s signals are key components of maintaining good health.

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