Sore throat (due to external trauma)
Hello, doctor.
My situation is that I sustained a blow to the Adam's apple area while playing basketball.
At the time, I felt some pain, but it was not severe and was bearable.
Now, about a week has passed, and I still experience discomfort when yawning, sneezing, or tilting my head back and opening my mouth (but talking and swallowing do not cause pain).
Is there a possibility that I have a fracture in my throat? Should I get it checked? If so, can I go to a general ENT clinic, or do I need to go to a major hospital? Thank you.
Fu Shih-Hung, 20~29 year old female. Ask Date: 2017/07/21
Dr. Zheng Jueyi reply Otolaryngology
Hello, if you are still experiencing discomfort, it is recommended to visit a hospital for an examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/07/21
More Info
Throat pain following an impact, such as the one you experienced while playing sports, can be concerning, especially if the discomfort persists beyond the initial injury. Based on your description, it seems that while you initially felt some pain, it was manageable. However, the ongoing discomfort during specific movements like yawning, sneezing, or extending your neck raises some important considerations.
First, let’s address the possibility of a fracture. The throat area, particularly the larynx and surrounding structures, can be susceptible to injury from blunt force trauma. While fractures in the throat are relatively rare, they can occur, especially in high-impact sports. Symptoms of a fracture may include persistent pain, swelling, difficulty breathing, or changes in voice. Since you are experiencing discomfort with certain movements but not during swallowing or speaking, it may suggest a less severe injury, such as a soft tissue injury or strain rather than a fracture.
Given that it has been a week since the injury, and you are still experiencing discomfort, it would be prudent to seek medical evaluation. While the pain may not be severe, persistent symptoms warrant a professional assessment to rule out any serious injuries, including fractures or damage to the soft tissues, ligaments, or cartilage in the throat area.
Regarding where to seek medical attention, starting with an Ear, Nose, and Throat (ENT) specialist is a good option. They are equipped to evaluate throat injuries and can perform necessary examinations, such as a laryngoscopy, to visualize the throat structures. If the ENT specialist suspects a more serious injury or fracture, they may refer you for imaging studies, such as X-rays or a CT scan, to get a clearer picture of the injury.
If you have difficulty accessing an ENT specialist, visiting a general practitioner or a sports medicine clinic can also be a viable option. They can perform an initial evaluation and determine if a referral to a specialist is necessary. In some cases, if the injury is suspected to be more severe, they may recommend going directly to a hospital for further evaluation.
In summary, while your symptoms may not indicate a severe injury, the persistence of discomfort after a week suggests that a medical evaluation is warranted. An ENT specialist would be the most appropriate choice for this type of injury, but a general practitioner can also provide initial care and guidance. It’s always better to err on the side of caution when it comes to injuries in sensitive areas like the throat. Seeking medical attention can help ensure that any potential issues are addressed promptly, allowing for appropriate treatment and a quicker recovery.
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