|Lesion on Tonsil won't heal
Aug 31, 2008
Dear Dr. McGowan,
I've been poz about 4 years, currently on meds, VL<48, cd4 602/32%. I feel great but, for over year, I have had a sore spot on my right tonsil that won't heal. At it's worse it looked like a giant canker sore however hardly visible now. At times it make it hard to swallow, causes minor pressure on my inner ear and some nights I wake up suddenly with a choking sensation and cough spasm. My doc has put me on Valtrex, courses of antibotics and anti-inflamatory steriods. The steriod will give a breif period of relief but as soon as I come off this sore spot comes right back in the exact same place. My doc doesn't seem overly concerned but it is very uncomfortable. Any thoughts? I hate to keep nagging him but I'd be sleeping now if not in pain.
Response from Dr. McGowan
This sounds like a very disturbing problem. Certainly herpes simplex (HSV) would be a possibility, but this should be helped by valtrex. Drug resistant HSV may be a possibility and a viral culture of the lesion may help to demontrate that. Certain other sexually transmitted diseases such a syphilis (usually not tender) or gonorrhea can cause lesions or sore throats, but unless you are being repeatedly infected these would usually not last a year. If you have chronic post-nasal drip from allergic rhinitis (runny nose and congestion in the nose) that may cause this. This may also be caused by a cancer or benign polyp on the vocal cords, especially if you are a smoker. The best thing to do next would be an evaluation by an ear-nose-and-throat (ENT) specialist who may want to take a biopsy of the sore.
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.