Throat Issues: Symptoms, Causes, and Treatments - Otolaryngology

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Throat issues


Hello, doctor.
A few days ago, I had a sore throat, which turned into itching the next day, along with a lot of phlegm, mild nasal congestion, and a runny nose, accompanied by nausea and diarrhea.
I've been taking medication for the cold, and my symptoms have improved, but I still feel some pain above my right clavicle whenever I swallow saliva or eat.
Is this related to the cold? Also, whenever I open my mouth, I hear a cracking sound in my right ear, which has been happening for several months.
What could this issue be? Thank you.

Yuki, 20~29 year old female. Ask Date: 2018/07/09

Dr. Zheng Jueyi reply Otolaryngology


Hello, the pain above your right clavicle may be related to muscle soreness and could possibly be caused by a cold.
However, if the pain persists without improvement, it is advisable to seek medical attention for further evaluation.
Additionally, the clicking sound you hear in your right ear when you open your mouth may be associated with issues related to the temporomandibular joint or the external auditory canal.
It is recommended to visit an otolaryngology clinic for assessment.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/07/09

More Info


Hello! It sounds like you're experiencing a range of symptoms that can be quite distressing. Let's break down your situation regarding throat issues, their potential causes, and treatments.

From what you've described, it seems you initially had a sore throat, which progressed to itching, increased mucus production, mild nasal congestion, and nausea, along with diarrhea. These symptoms can indeed be associated with a viral upper respiratory infection, commonly known as a cold. The progression from sore throat to other symptoms is typical, as viral infections can affect multiple areas of the upper respiratory tract.

The pain you're experiencing near your right clavicle (collarbone) when swallowing or eating could be related to several factors. One possibility is that the inflammation from your throat infection has spread to nearby structures, including the lymph nodes, which can become swollen and tender during infections. This can cause referred pain, making it feel like the pain is originating from the clavicle area.
Additionally, the "clicking" sound in your right ear when you open your mouth could be related to Eustachian tube dysfunction. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. When you have a cold or throat infection, inflammation can affect this tube, leading to sensations of fullness, pressure, or clicking sounds.
Given that you've been experiencing these symptoms for several months, particularly the ear clicking, it may be worthwhile to consult with a healthcare professional. Chronic symptoms can sometimes indicate a need for further evaluation to rule out conditions such as allergies, chronic sinusitis, or even issues related to the temporomandibular joint (TMJ), which can also cause ear-related symptoms.

In terms of treatment, since your symptoms have improved with medication, it suggests that you might be dealing with a viral infection that your body is gradually overcoming. Over-the-counter medications such as decongestants, antihistamines, or throat lozenges can help alleviate symptoms. Staying hydrated and using saline nasal sprays can also be beneficial.

If your symptoms persist or worsen, especially the pain when swallowing or the ear clicking, it would be prudent to seek medical attention. A healthcare provider may perform a physical examination, possibly including a throat swab or imaging studies, to determine the underlying cause of your symptoms.

In summary, while your symptoms may be related to a viral infection, the persistence of certain symptoms warrants further investigation. Don't hesitate to reach out to a healthcare professional for a thorough evaluation and tailored treatment plan. Take care, and I hope you feel better soon!

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