<s>[INST] Over the last 3 days I randomly get a stabbing pain at the base of my tongue which causes me to not be able to talk until the pain goes away. I am unable to get anything out, I have to cough a couple times and swallow then I am able to talk again. I recently had sinus surgery too. Any idea what could be causing this? [/INST] hello thanks for the queiry,,it could be tonsillolith,,it could be tonsillitis also,, do salt water gargle thrice daily,,drink warm water,, u may need antibiotics and analgesics ,,so conslt a ent specialist at the earliest if prblm persists,, hope it helps,,tc </s>