Ear, Nose, and Throat Concerns: Common Questions Answered - Internal Medicine

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Hello, I visited an otolaryngologist a few days ago, but I'm still a bit worried and would like to ask the doctor a few more questions.
The ENT specialist said everything looked normal and that the structure is something I naturally have, but there is a small area with a hole that is causing me pain.
I have three questions for the doctor.

First, should I be concerned about the small raised area that is circled? Secondly, I just noticed some red spots in the photo; do they indicate any issues? Lastly, I feel a slight pain when I touch a certain area with my tongue, and it feels uneven.
Is this normal? It seems like a small bump that the doctor mentioned is typically present, but could something new suddenly appear, or could it be that after biting it, it healed unevenly? Thank you for taking the time to answer.

Images: https://ibb.co/x23Ydjg https://ibb.co/GpVj4Yb

J, 20~29 year old female. Ask Date: 2021/05/17

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on the image, it does appear to be normal tissue on the tongue.
If an otolaryngologist has also examined it, there should be no need for excessive concern unless there are any unusual changes that warrant medical attention.
Thank you for your question.

Reply Date: 2021/05/17

More Info


Hello! It’s understandable to have concerns after a visit to an ENT specialist, especially when it comes to changes in your ear, nose, or throat. Based on your description, it seems like you have a few specific questions regarding the findings from your examination. Let’s address your concerns one by one.

1. The Small Raised Area: If the ENT doctor mentioned that the small raised area is a normal anatomical structure, it’s likely that it is a benign feature. Many people have small bumps or variations in their ear, nose, or throat anatomy that are completely normal. These can be due to natural variations in tissue or even remnants of previous infections or injuries. If the doctor did not express concern about it, it is generally safe to assume it’s nothing to worry about. However, if you notice changes in size, color, or if it becomes painful, it would be wise to follow up with your doctor.

2. The Red Spot: The appearance of a red spot can be concerning, but it’s important to consider the context. Red spots can arise from various causes, including irritation, minor trauma, or even allergic reactions. If the ENT specialist did not indicate that the red spot was problematic, it may simply be a transient issue. However, if it persists, changes, or is accompanied by other symptoms (like pain, swelling, or discharge), it would be advisable to have it re-evaluated.

3. Painful Area with Irregular Texture: The sensation of pain when touching a specific area and the irregular texture you describe could be due to several factors. If you recently bit your tongue or injured the area, it could lead to localized swelling or changes in texture as it heals. Healing tissue can sometimes feel different than the surrounding areas, and it may take time for everything to return to normal. If the area feels particularly tender or if you notice any signs of infection (such as increased redness, swelling, or pus), you should consult your doctor for further evaluation.

In general, it’s not uncommon for individuals to notice changes in their bodies, especially after an injury or infection. The body has a remarkable ability to heal, but sometimes the healing process can leave behind changes that may feel concerning.
If you continue to feel uneasy about your symptoms or if they worsen, don’t hesitate to reach out to your ENT specialist for further clarification or additional tests. It’s always better to be proactive about your health.
In summary, while some changes in your ear, nose, or throat can be normal, it’s essential to monitor them and seek medical advice if you notice any concerning symptoms. Your health and peace of mind are important, so don’t hesitate to ask questions and seek further evaluations if needed. Wishing you good health!

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