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Hi, Recently I Have Noticed Lots Of Small Bumps On

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Posted on Fri, 17 Jul 2020
Question: Hi, Recently I have noticed lots of small bumps on my soft palate. The are mostly focused in the middle and run from front to back. They don't really have a color, and appear to be the same color as the roof of my mouth. Sometimes it feels smoother, and other times more rough. Are these bumps on the roof of mouth normal? They don't hurt necessarily, but does feel uncomfortable at times. I have experienced this feeling before when I have a sore throat, but don't recall the bumps remaining. It may just be I am noticing the bumps that are always there because my palate was irritated. I went to urgent care and was given magic mouthwash (they weren't sure what it was and said sometimes it cures things doctors aren't sure about), but it didn't create any improvement.
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Follow up: Dr. Sumit Bhatti (0 minute later)
Hi, Recently I have noticed lots of small bumps on my soft palate. The are mostly focused in the middle and run from front to back. They don't really have a color, and appear to be the same color as the roof of my mouth. Sometimes it feels smoother, and other times more rough. Are these bumps on the roof of mouth normal? They don't hurt necessarily, but does feel uncomfortable at times. I have experienced this feeling before when I have a sore throat, but don't recall the bumps remaining. It may just be I am noticing the bumps that are always there because my palate was irritated. I went to urgent care and was given magic mouthwash (they weren't sure what it was and said sometimes it cures things doctors aren't sure about), but it didn't create any improvement.
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for your query.

1. These bumps on the hard palate are normal. They are known as the palatal torus or XXXXXXX They may increase with age.

2. There is some congestion and redness over the soft palate. Small bumps here are usually small islands of lymphoid (tonsil-like) tissue or minor salivary glands.

3. Allergy, infections, reflux, snoring, certain rough foodstuff, multivitamin deficiencies, excess calcium, certain toothpastes, oral rinses can cause a transient raw feeling.

4. Besides the mouthwash, a course of anti-allergy, anti-inflammation and anti-reflux medication will help. Antibiotics may be given if a throat swab culture turns positive.

5. From the attached image it seems that this should settle down. Unless the swellings are very large or there is ulceration, there is no cause for worry. If this persists, a local dental and ENT specialist should be consulted.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sumit Bhatti (0 minute later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for your query.

1. These bumps on the hard palate are normal. They are known as the palatal torus or XXXXXXX They may increase with age.

2. There is some congestion and redness over the soft palate. Small bumps here are usually small islands of lymphoid (tonsil-like) tissue or minor salivary glands.

3. Allergy, infections, reflux, snoring, certain rough foodstuff, multivitamin deficiencies, excess calcium, certain toothpastes, oral rinses can cause a transient raw feeling.

4. Besides the mouthwash, a course of anti-allergy, anti-inflammation and anti-reflux medication will help. Antibiotics may be given if a throat swab culture turns positive.

5. From the attached image it seems that this should settle down. Unless the swellings are very large or there is ulceration, there is no cause for worry. If this persists, a local dental and ENT specialist should be consulted.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumit Bhatti (1 hour later)
Thank you for your response. The bumps I am referring to and tried to show in the photo are on the soft palate, not the hard palate. I have uploaded a photo where I zoomed in and circled the area in question. These bumps on the soft palate sometimes feel a bit more firm, and other times feel softer when I place my tongue over them. Are these bumps on the small palate normal? For the mouthwash, what do you recommend and for the anti-allergy, anti-inflammation and anti-reflux medication, I started cetirizine a couple weeks ago to rule out allergies. What is the active ingredient recommend for anti-inflammation? Is the reflux medication to rule out this as a possible cause?
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Follow up: Dr. Sumit Bhatti (0 minute later)
Thank you for your response. The bumps I am referring to and tried to show in the photo are on the soft palate, not the hard palate. I have uploaded a photo where I zoomed in and circled the area in question. These bumps on the soft palate sometimes feel a bit more firm, and other times feel softer when I place my tongue over them. Are these bumps on the small palate normal? For the mouthwash, what do you recommend and for the anti-allergy, anti-inflammation and anti-reflux medication, I started cetirizine a couple weeks ago to rule out allergies. What is the active ingredient recommend for anti-inflammation? Is the reflux medication to rule out this as a possible cause?
doctor
Answered by Dr. Sumit Bhatti (41 minutes later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. As mentioned earlier, small bumps here are usually islands of lymphoid (tonsil-like) tissue or minor salivary glands. The white line is the normal fibrous midline raphe. There are no other important structures there, besides muscles and the mucosal lining, so at the most, there is an inflammation, infection or enlargement of these normal tissues.

2. It is rather difficult to feel the soft palate with the tongue, so you might actually be feeling part of the hard palate.

3. Benzydamine (0.15% w/v) mouthwash (any brand) will help. Cetirizine 10 mg once daily is fine as an anti-allergy medication. Paracetamol 500 mg/ 650 mg twice a day as an anti-inflammation and rabeprazole 20 mg/ pantoprazole 40 mg twice a day as anti-reflux medication should be fine. If no relief in 48-72 hours (not more than 3 days), get a local specialist's opinion.

4. Yes, the anti-reflux medication is to rule out acid reflux as a cause and in case the other medications cause/worsen acid reflux.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Sumit Bhatti (0 minute later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. As mentioned earlier, small bumps here are usually islands of lymphoid (tonsil-like) tissue or minor salivary glands. The white line is the normal fibrous midline raphe. There are no other important structures there, besides muscles and the mucosal lining, so at the most, there is an inflammation, infection or enlargement of these normal tissues.

2. It is rather difficult to feel the soft palate with the tongue, so you might actually be feeling part of the hard palate.

3. Benzydamine (0.15% w/v) mouthwash (any brand) will help. Cetirizine 10 mg once daily is fine as an anti-allergy medication. Paracetamol 500 mg/ 650 mg twice a day as an anti-inflammation and rabeprazole 20 mg/ pantoprazole 40 mg twice a day as anti-reflux medication should be fine. If no relief in 48-72 hours (not more than 3 days), get a local specialist's opinion.

4. Yes, the anti-reflux medication is to rule out acid reflux as a cause and in case the other medications cause/worsen acid reflux.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sumit Bhatti (16 hours later)
most of the medications you provided do not appear to be readily available over the counter, or go by different names. do you know any common brand names in the U.S. for these?
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Follow up: Dr. Sumit Bhatti (0 minute later)
most of the medications you provided do not appear to be readily available over the counter, or go by different names. do you know any common brand names in the U.S. for these?
doctor
Answered by Dr. Sumit Bhatti (6 hours later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. The medicine names are generic common names. All these should be available OTC (Over The Counter) and the pharmacy should be able to help you out on the strength and dosing.

2. Cetirizine will be available as Zyrtec. Other similar medications will include Allegra (fexofenadine) and Claritin (loratadine).

3. Benzydamine (0.15% w/v) mouthwash will be available as Difflam.

4. Paracetamol (acetaminophen) as Tylenol or Panadol.

5. Anti-reflux medications omeprazole as Prilosec, pantoprazole as Protonix, and rabeprazole as Aciphex.

Hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Sumit Bhatti (0 minute later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. The medicine names are generic common names. All these should be available OTC (Over The Counter) and the pharmacy should be able to help you out on the strength and dosing.

2. Cetirizine will be available as Zyrtec. Other similar medications will include Allegra (fexofenadine) and Claritin (loratadine).

3. Benzydamine (0.15% w/v) mouthwash will be available as Difflam.

4. Paracetamol (acetaminophen) as Tylenol or Panadol.

5. Anti-reflux medications omeprazole as Prilosec, pantoprazole as Protonix, and rabeprazole as Aciphex.

Hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Hi, Recently I Have Noticed Lots Of Small Bumps On

Hi, Recently I have noticed lots of small bumps on my soft palate. The are mostly focused in the middle and run from front to back. They don't really have a color, and appear to be the same color as the roof of my mouth. Sometimes it feels smoother, and other times more rough. Are these bumps on the roof of mouth normal? They don't hurt necessarily, but does feel uncomfortable at times. I have experienced this feeling before when I have a sore throat, but don't recall the bumps remaining. It may just be I am noticing the bumps that are always there because my palate was irritated. I went to urgent care and was given magic mouthwash (they weren't sure what it was and said sometimes it cures things doctors aren't sure about), but it didn't create any improvement.