Throat Pain: Causes and When to Seek Help - Otolaryngology

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Sore throat


Hello doctor, I have had a sore throat for a week.
I initially thought it was a cold, but it hasn't worsened or presented any other cold symptoms.
I later realized that the pain is localized to the upper left area of my throat, feeling sharp, like the pain of having a fishbone stuck, even though I haven't eaten fish.
Previously, I experienced a similar issue after eating something too sharp or hard, but recently I haven't felt any discomfort while eating.
It just suddenly started like this.
Eating and drinking don't cause pain; it only hurts when I move my mouth to a certain position.
I also tend to breathe through my mouth unconsciously; could this be causing dryness and cracking?

Ms. Chen, 20~29 year old female. Ask Date: 2016/04/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is commonly caused by inflammation or ulcers.
If it persists without improvement, it is advisable to seek medical evaluation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/15

More Info


Throat pain can be a common yet concerning symptom, and understanding its potential causes is essential for determining when to seek medical help. Based on your description, it sounds like you are experiencing localized pain in the upper left area of your throat, which feels sharp and resembles the sensation of having something stuck, even though you have not ingested anything that could cause such an injury.
There are several possible causes for throat pain that you might be experiencing:
1. Injury or Trauma: As you mentioned, you previously had a similar experience where you might have injured your throat by eating something sharp. Even if you haven't experienced a recent injury, it's possible that minor trauma could occur from coughing, swallowing hard foods, or even from vigorous throat clearing.

2. Infection: While you noted that you do not have other cold symptoms, infections can sometimes present with isolated throat pain. Conditions such as pharyngitis (inflammation of the throat) or tonsillitis can cause localized pain. Viral infections are more common, but bacterial infections, such as strep throat, can also occur without the classic symptoms of fever or body aches.

3. Dryness or Irritation: You mentioned that you often breathe through your mouth, which can lead to dryness in the throat. Dry air, especially in winter months or in air-conditioned environments, can irritate the throat lining, leading to pain. Additionally, allergies or exposure to irritants like smoke or pollution can also contribute to throat discomfort.

4. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can cause throat pain, particularly if stomach acid irritates the esophagus and throat. This can happen without the classic symptoms of heartburn.

5. Muscle Strain: If you have been coughing frequently or speaking loudly, you may have strained the muscles in your throat, leading to localized pain.

Given that your throat pain has persisted for a week without improvement, it is advisable to seek medical attention, especially if you experience any of the following symptoms:
- Difficulty swallowing or breathing
- Fever or chills
- Rash or swelling
- Persistent pain that worsens over time
- Any other unusual symptoms that concern you
A healthcare provider can perform a thorough examination, which may include looking at your throat with a light, checking for signs of infection, and possibly conducting tests if necessary. They may also ask about your medical history, any recent illnesses, and other symptoms to help determine the cause of your throat pain.

In the meantime, here are some self-care measures you can take to alleviate discomfort:
- Stay Hydrated: Drink plenty of fluids to keep your throat moist and help with any dryness.

- Humidify the Air: Using a humidifier can add moisture to the air, which may help soothe your throat.

- Gargle Salt Water: Gargling with warm salt water can help reduce inflammation and provide temporary relief.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate your throat pain.

- Rest Your Voice: If possible, try to minimize talking or whispering, which can strain your throat further.

In conclusion, while throat pain can have various causes, persistent pain warrants a medical evaluation to rule out any serious conditions and to receive appropriate treatment. Your health and comfort are important, so do not hesitate to seek help if your symptoms continue or worsen.

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