<s>[INST] I have a polyp on the roof of my mouth by my uvula. It has been small and pink for years. This morning when I awake it is more swollen and has black and blue spots. I do not have money for a doctor. Should I go to ER. If this is cancer is time and emergency room use critical [/INST] Hello, This is a definite change and a professional exam is recommended. Do you constantly monitor the area? Was there any recent trauma, exposure to irritants or burn? Do you have any other medical conditions or medications that may contribute? Are you up to date on your dental exam? Viruses, Strep and assorted infections can cause a response in the throat. It is difficult to advise you without a clinical exam or detailed history. You may need a prescription medication to resolve the area, rest. Or a biopsy to evaluate the tissue. Aggressive cancers can exhibit abrupt changes associated with pain and nonhealing lesions. Seek immediate care if a severe condition develops. Thank you for your inquiry. I hope you will schedule an appointment to confirm a diagnosis and put yourself at ease. You can rinse with salt water and try some Anti-inflammatory medication while waiting for your appointment. </s>