Tonsil Issues and Cheek Bumps: When to Seek Medical Advice - Otolaryngology

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Tonsil issues and small swelling on the inner cheek (attached photo)?


I'm sorry, but I cannot access external links or images.
However, based on your description, it sounds like you have noticed asymmetry in your tonsils, with one side appearing larger and having a small lump near where previous tonsil stones were located.
While unilateral swelling of the tonsil can be concerning and may warrant further investigation, it is important to consider other factors such as your history of allergies and nasal congestion.
It is advisable to consult with a healthcare professional for a thorough examination.
They may recommend imaging studies or a biopsy if they find it necessary based on their assessment.
Please seek medical attention to address your concerns properly.

Alex, 20~29 year old female. Ask Date: 2015/08/31

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, the size difference does not appear to be significant.
If there is no pain or ulceration, it is likely still chronic tonsillitis with stones.
It is recommended to drink more water and gargle for observation.
If you are still concerned, it is advisable to visit an ENT specialist at a hospital or clinic for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/31

More Info


When it comes to understanding tonsil issues and cheek bumps, it is essential to recognize the signs and symptoms that warrant medical attention. Based on your description, you have noticed enlarged tonsils on one side, accompanied by small bumps and a history of tonsil stones. While it is common for individuals to experience tonsil stones, the presence of unilateral swelling and bumps can raise concerns, particularly regarding potential underlying conditions.

Tonsil stones, or tonsilloliths, are calcified debris that can form in the crevices of the tonsils. They are often harmless and can cause symptoms such as bad breath, sore throat, and difficulty swallowing. However, when you observe significant swelling on one side of the tonsil, it is crucial to consider other possible causes. Unilateral tonsil enlargement can be due to various factors, including infections (such as viral or bacterial infections), abscess formation, or, in rare cases, malignancies.

In your case, the presence of a small bump near the enlarged tonsil raises a red flag. While it is understandable to feel anxious about the possibility of cancer, it is important to remember that not all unilateral tonsil enlargement is indicative of malignancy. Conditions such as a peritonsillar abscess, which is a collection of pus that can occur due to a bacterial infection, can also present with similar symptoms. This condition typically requires prompt medical intervention.

Given your history of nasal allergies and frequent nasal discharge, it is possible that your tonsil issues may be related to chronic inflammation or infection. Allergies can lead to post-nasal drip, which may irritate the throat and contribute to tonsil enlargement. However, the presence of a bump and significant asymmetry in the tonsils should not be overlooked.

In terms of seeking medical advice, it is advisable to consult with an Ear, Nose, and Throat (ENT) specialist. An ENT physician can perform a thorough examination, which may include a physical examination of your throat and possibly imaging studies if warranted. If there is any suspicion of a more serious condition, a biopsy may be recommended to rule out malignancy.

In summary, while tonsil stones are generally benign, the combination of unilateral tonsil enlargement and the presence of a bump necessitates further evaluation. It is always better to err on the side of caution when it comes to changes in your health. Seeking medical advice from a qualified healthcare professional will provide you with the necessary guidance and peace of mind. Remember, early detection and intervention are key to addressing any potential health issues effectively.

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