My throat hurts and I feel like there is a lump

When the throat hurts, people will not feel that there are other diseases. This is just a symptom of tonsillitis. However, some people have a sore throat and feel a lump. In this case, it can be considered that there are polyps or swollen tonsils. You need to go to the hospital first to check the current condition of the throat and get timely diagnosis and treatment.

Inspection method

Common inspection items

White blood cell differential count

MRI of the nasopharynx

The oropharyngeal mucosa shows acute diffuse congestion and swelling. The lymphoid follicles on the posterior pharyngeal wall are bulging and congested. When the lateral pharyngeal cord is affected, longitudinal cord-like bulges can be seen on the outer wall of the oropharynx, which also appear congested. When the infection is severe, edema may occur in the uvula and soft palate. The lymph nodes at the mandibular angle may be enlarged and tender. The severity of this disease is related to many factors. If it is a highly virulent bacterial infection, the total white blood cell count and neutrophil classification in the peripheral blood will be very high, and the systemic symptoms will be severe. To identify the pathogenic bacteria, throat swab culture and bacterial sensitivity tests are often used.

Cause Analysis

Resistance decreased (30%):

This disease is often caused by a decrease in systemic and local resistance due to cold, excessive fatigue, excessive smoking and drinking, which allows pathogenic microorganisms to take advantage of the situation and invade the body. Over-fatigue refers to a sub-healthy state of exhaustion caused by long working hours, excessive labor intensity, and excessive psychological pressure. Its biggest hidden danger is that it causes the body's latent diseases to rapidly worsen, such as worsening underlying diseases such as hypertension, leading to acute circulatory organ disorders such as cerebrovascular disease or cardiovascular disease, and even fatal symptoms. This sudden death caused by long-term chronic fatigue is also called "death from overwork".

Malnutrition (20%):

Malnutrition in a broad sense should include both undernutrition or deficiency and overnutrition. Here we only discuss the former. Malnutrition is often secondary to medical and surgical causes, such as chronic diarrhea, short bowel syndrome, and malabsorptive disorders. Non-medical causes of malnutrition include poor eating habits, lack of nutritional knowledge, and parents' neglect of scientific feeding methods.

Chronic diseases (20%):

People with chronic heart, kidney, and joint diseases, poor living and working environment, and frequent exposure to high temperatures, dust, and harmful irritating gases are all susceptible to this disease. The main pathogenic microorganisms are hemolytic streptococci, pneumococci, influenza bacilli, and viruses.