Suggest Treatment For Severe Pain In Mouth

Posted on Thu, 2 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 2 Jun 2016 Answered on

Mon, 4 Jul 2016 Last reviewed on

Question : hi can you help me? iv had pain in my mouth for around 1 year, iv had a ct scan which my doctor said they couldnt see anything, they sent me for an mri scan a few weeks ago and im currently waiting for results. The ent doctor looked in my mouth and saw nothing that could cause the pain that im getting. iv recently been looking in my mouth and have found some kind of mass behind one of my tonsil archs, to see the mass you have to pull the arch back as its hidden if you dont. there isnt a mass on the other side. my ent didnt say anything about the mass and im not sure they spotted it when they were examining me, iv only just noticed it after 1 year. the pain is definitely coming from the mass and im also getting pain across the whole soft palate on and off. im not sure how to upload a photo but the mass is in the corner of the tonsil fossa, inbetween the 2 arches. its around 5mm and feels hard and defo no moveable.

Answered by Dr. Suresh Heijebu (8 hours later)

Brief Answer:
Possible Tonsillolith? Outcome depends on test results.

Detailed Answer:
Hello ,Sir.

I can certainly understand your concern.

This mass which you are mentioning could likely to be an enlarged tonsil or a stone within the tonsil called Tonsillolith.

It's important to get an MRI, for which you are currently awaiting for the results.

Please upload the test results.

If possible try to get me an image of the mass.

Further management if any(medical vs surgical) will depend only on MRI results.

Post your further queries if any.

Thank you

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Suresh Heijebu (6 hours later)

as u can see its the mass behind my left tonsil(right side in photo) i get a throbbing pain thats really painful. any ideas?

Answered by Dr. Suresh Heijebu (3 hours later)

Brief Answer:
Possible Tonsillar Abscess?Need Confirmation.

Detailed Answer:
Hello, Sir.

I have worked through your attached images.

This could possibly be s tonsillar abscess or an enlarged tonsil.

MRI scan with or without a needle examination, is required for diagnosis and further management.

Kindly let me know the test results to guide you further.

In case of abscess, Incision and surgical drainage is required.

Post your further queries if any.
Thank you

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Suresh Heijebu (21 minutes later)

my tonsil is the pinky coloured mass at the bottom, the redder mass ismt attached to too the tonsil more to the arch? thats what causing me the pain?

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Seems to be certain abscess.Early intervention mandatory.

Detailed Answer:
He, Sir.

Yes, I totally got your finding.

This seems to be a certain abscess.

It's important that you get an early MRI scan and a possible Otolaryngologist consultation for a visual inspection.

Early intervention can prevent the future complications.

Post your further queries if any .
Thank you.

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. Chakravarthy Mazumdar