Throat Pain: Is It Just Allergies or Something More? - Otolaryngology

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Pain in the upper oral cavity?


Two years ago, I experienced moist ears and occasional sounds of water.
After examination, the doctor said it was likely caused by allergies.
However, aside from that period two years ago, I rarely sneeze or have allergic rhinitis.
Recently, I haven't had any significant allergic symptoms, aside from a few sneezes and a little nasal discharge.
But for the past two to three weeks, I've had pain in the upper part of my throat when swallowing.
The doctor said it was due to post-nasal drip causing rhinitis.
After a week without improvement, I went back to the doctor.
This time, I noticed that sometimes when I swallow, in addition to the pain in my throat, my ears also feel uncomfortable, and there is a sensation of a foreign body in my throat that I can't clear or blow out (no nasal discharge).
The doctor diagnosed it as nasopharyngitis.

Could you please tell me, doctor, if my symptoms are truly just a result of allergies causing throat pain? When I use my tongue to touch the upper part of my oral cavity, it doesn't feel smooth, and the area in my throat that hurts when I swallow has not improved with medication.

Niming, 20~29 year old female. Ask Date: 2017/01/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common pharyngitis related to allergies can be effectively managed by controlling allergic rhinitis with medication, which helps reduce the symptoms of chronic inflammation.
Additionally, issues such as gastroesophageal reflux can also lead to inflammation in the pharyngeal area.
It is advisable to seek medical attention for ongoing pain to ensure continued treatment.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/15

More Info


Throat pain can be a perplexing symptom, often leading individuals to wonder whether it is merely a result of allergies or indicative of a more serious condition. Based on your description, it seems that you have been experiencing throat pain for two to three weeks, accompanied by discomfort in your ears and a sensation of something being stuck in your throat. Your physician has suggested that these symptoms may be due to post-nasal drip caused by allergic rhinitis, which is a common condition where nasal mucus drips down the back of the throat, leading to irritation and pain.

Allergies can indeed cause throat pain, particularly when they lead to nasal congestion and post-nasal drip. When the nasal passages are inflamed due to allergens, such as pollen, dust mites, or pet dander, the body produces excess mucus. This mucus can drip down the throat, causing irritation and discomfort. Additionally, the inflammation can lead to a sensation of fullness or pressure in the ears, as the Eustachian tubes (which connect the throat to the middle ear) can become blocked or swollen.

However, it is essential to consider other potential causes of your symptoms. For instance, if the throat pain persists despite treatment for allergies, it may be worthwhile to investigate other conditions. Chronic throat pain can also be associated with infections, such as viral or bacterial pharyngitis, or conditions like gastroesophageal reflux disease (GERD), where stomach acid irritates the throat. In some cases, throat pain can be a symptom of more serious conditions, such as tonsillitis or even malignancies, although these are less common.

Given that your symptoms have not improved with medication and you are experiencing additional discomfort in your ears and a sensation of an obstruction in your throat, it may be prudent to seek further evaluation. A thorough examination by an ear, nose, and throat (ENT) specialist could provide more insight. They may perform a laryngoscopy to visualize the throat and nasal passages directly, which can help identify any abnormalities, such as swelling, lesions, or signs of infection.

In the meantime, there are several strategies you can employ to alleviate your symptoms. Staying well-hydrated can help thin mucus and soothe throat irritation. Gargling with warm salt water may provide temporary relief from throat pain. Additionally, using a humidifier in your living space can help keep the air moist, which may ease throat discomfort caused by dryness or irritation.

If allergies are indeed the culprit, over-the-counter antihistamines or nasal corticosteroids may be beneficial. However, if your symptoms persist or worsen, it is crucial to follow up with your healthcare provider for a more comprehensive evaluation and tailored treatment plan.

In summary, while your symptoms may be related to allergies, the persistence and nature of your throat pain warrant further investigation. Consulting with an ENT specialist can help clarify the diagnosis and ensure that you receive appropriate treatment. Remember, it is always better to err on the side of caution when it comes to your health.

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