What are the symptoms of cobblestone throat?
You can tell the primary symptom of cobblestone throat by its name — bumps in the back of your throat that resemble cobblestones or pebbles. The bumps may look red, irritated or inflamed. You’ll likely have a sore throat (pharyngitis), too.
Other symptoms depend on what’s causing your cobblestone throat. They may include:
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- Dry cough.
- Hoarseness.
- Bad breath.
- Stuffiness.
- Fever.
- Pain when you talk.
- Pain when you swallow.
- A tickly or scratchy throat.
- A feeling like there’s something stuck in your throat.
What causes cobblestone throat?
The bumps appear when your tonsils and adenoids become irritated and swollen. Your tonsils are a pair of soft tissues located in the back of your throat. Your adenoids are a patch of soft tissue located high in your nasal cavity behind your nose. Your tonsils and adenoids prevent germs from entering your respiratory passages. Mucus coats these tissues and your passageways to further trap germs.
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Sometimes, invaders like viruses bypass these defenses and trigger your body’s immune response. When this happens, the tissue in your throat swells and mucus production increases. The increased mucus helps with flushing out germs. The mucus thickens and trickles down your throat (postnasal drip), irritating your tonsils and adenoids. The bumps in your throat are a sign of this irritation.
You can get cobblestone throat in response to:
- A cold.
- The flu.
- Allergies.
- Acid reflux.
- Breathing dry air.
- Smoking or vaping.
- Other upper respiratory infections.
COVID-19 is caused by a virus, which means cobblestone throat may result from an infection. Still, cobblestone throat isn’t a common COVID-19 symptom. Common respiratory infections, like the flu or a cold, are more likely causes.
Can HPV cause cobblestone throat?
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Many people with cobblestone throat worry that the bumps are cancerous lumps or signs of an HPV infection that may become throat cancer. But cobblestone throat isn’t related to high-risk strains of HPV or throat cancer.
With cobblestone throat, HPV and oral cancer, you may have a sore throat. But neither an oral HPV infection nor throat cancer produces the characteristic bumps associated with cobblestone throat. You’re more likely to notice a lump in your neck or a red or white patch in your throat if you have a high-risk strain of HPV. Often, HPV doesn’t produce any symptoms.
Is cobblestone throat contagious?
Cobblestone throat isn’t contagious, but it may result from a contagious condition. For example, you can pass along a viral infection causing your throat irritation, like the flu, or a bacterial infection, like strep throat. Both viruses and bacteria are contagious and can lead to cobblestone throat. Other causes, like allergies or acid reflux, aren’t contagious. It depends.
The person who contracted the infection may or may not develop cobblestone throat, even if they got the germ from someone who does have it. It depends on each person’s immune response and how irritated their throat gets.
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