Right-Sided Throat Pain: Tonsillitis or Lymphadenitis? - Otolaryngology

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Swelling and pain on the right side of the throat?


Hello doctor, I woke up today and noticed that the area between my throat and jaw on the right side (around the bone near my ear) is very painful when I press down or swallow.
However, I do not have a cold.
Recently, I've also been experiencing pain in my teeth on the right side.
After researching online, I found that it might be related to my teeth, but the area of pain in my neck is quite large, so I don't think it's a serious issue.
Could this be tonsillitis or lymphadenitis?

Qi, 10~19 year old female. Ask Date: 2018/01/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: A common cause of neck lymphadenitis may be an infection of the teeth.
If you experience fever or persistent pain, it is advisable to visit an otolaryngologist or a dentist for examination.
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: 2018/01/26

More Info


Based on your description of right-sided throat pain, particularly in the area between your throat and jaw, as well as the pain when swallowing and pressing on the area, it is essential to consider a few potential causes. The two primary conditions that could be responsible for your symptoms are tonsillitis and lymphadenitis.

Tonsillitis is an inflammation of the tonsils, which are located at the back of your throat. Symptoms typically include sore throat, difficulty swallowing, and swollen tonsils, which may be accompanied by fever and general malaise. In some cases, tonsillitis can be caused by viral infections, such as the common cold, or bacterial infections, such as streptococcus. If your throat pain is severe and you notice swelling or redness in the tonsils, it could indicate tonsillitis.

On the other hand, lymphadenitis refers to the inflammation of the lymph nodes, which can occur in response to infections, including dental infections, upper respiratory infections, or even systemic infections. The lymph nodes in the neck can become swollen and tender, particularly if there is an infection in the area, such as a dental abscess or an ear infection. Given that you also mentioned experiencing pain in your right-side teeth, it is plausible that a dental issue could be contributing to your lymph node swelling and pain.

In your case, the absence of cold symptoms and the presence of dental pain suggest that a dental infection could be a significant factor. Dental issues can lead to referred pain in the throat and jaw area, and the lymph nodes may react to the infection by becoming inflamed.
To differentiate between these conditions, a thorough examination by a healthcare professional is necessary. They may perform a physical examination of your throat and neck, check for swollen tonsils or lymph nodes, and possibly order imaging studies or lab tests if needed. If a dental issue is suspected, a visit to a dentist may also be warranted to evaluate for cavities, abscesses, or other dental problems.

In summary, while both tonsillitis and lymphadenitis are possible causes of your symptoms, the involvement of dental pain suggests that a dental infection could be a contributing factor. It is advisable to seek medical attention promptly to receive an accurate diagnosis and appropriate treatment. If the pain persists or worsens, or if you develop additional symptoms such as fever, difficulty swallowing, or swelling, do not hesitate to seek immediate care. Early intervention can help prevent complications and ensure a quicker recovery.

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Lymphadenitis

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Tonsillitis

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Sore Throat

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