Throat Pain: Causes and Cancer Concerns - Otolaryngology

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Throat issues


1.
Recently, I felt pain when touching the right side of my throat (above the clavicle), but it doesn't hurt now.
However, when I touch the left side of my throat, it feels slightly painful, but it doesn't hurt if I don't touch it.
What could be the possible reasons for this?
2.
If it were cancer, could it cause intermittent pain that comes and goes?

LEE, 50~59 year old female. Ask Date: 2018/07/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no noticeable lump, pain is often related to inflammation.
If you are concerned, you can visit a clinic for a check-up.
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: 2018/07/24

More Info


When it comes to throat pain, particularly in the context of cancer concerns, it is essential to consider a variety of potential causes and the nature of the symptoms. Your description indicates that you experienced pain on the right side of your throat, which has since changed to the left side, and that the pain is not constant but rather intermittent. This pattern can be indicative of several conditions, ranging from benign to more serious.

1. Possible Causes of Throat Pain:
- Muscle Strain: Sometimes, pain in the throat area can result from muscle strain, especially if you have been coughing a lot, speaking loudly, or straining your voice.

- Infections: Viral infections (like the common cold or flu) or bacterial infections (such as strep throat) can cause throat pain. These infections can lead to swelling and discomfort that may come and go.

- Allergies: Allergic reactions can also cause throat discomfort, particularly if you are exposed to allergens like pollen, dust, or pet dander.

- Gastroesophageal Reflux Disease (GERD): Acid reflux can lead to throat pain, especially if stomach acid irritates the lining of the throat.

- Throat Irritation: Environmental factors such as dry air, smoke, or pollutants can irritate the throat, leading to pain that may fluctuate in intensity.

2. Cancer Concerns:
- While it is natural to worry about cancer, especially if you are experiencing unusual symptoms, it is important to note that cancer-related pain is typically more persistent and may be accompanied by other symptoms such as difficulty swallowing, unexplained weight loss, or a lump in the neck.

- Intermittent pain that comes and goes is less characteristic of cancer. However, certain types of cancers, such as throat cancer, can present with fluctuating symptoms, especially in the early stages. It is crucial to consider the overall context, including any additional symptoms you may be experiencing.

3. When to Seek Medical Attention:
- If the pain persists, worsens, or is accompanied by other concerning symptoms (like difficulty swallowing, persistent hoarseness, or a lump in the neck), it is advisable to consult a healthcare professional for a thorough evaluation.

- A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, or a referral to an ENT specialist for further assessment.

4. Conclusion:
- While your symptoms could be due to a variety of benign causes, it is essential to remain vigilant and seek medical advice if you have concerns about cancer or if your symptoms change. Early detection and intervention are key in managing any potential health issues effectively.

- Remember, it is always better to err on the side of caution when it comes to health concerns, especially those that involve potential cancer symptoms. Regular check-ups and open communication with your healthcare provider can help ensure that any serious conditions are caught early and treated appropriately.

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