Throat Pain: Causes and When to Seek ENT Help - Otolaryngology

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Throat issues?


About two months ago, I started experiencing pain on the left side of my throat near the Adam's apple when swallowing, sneezing, and blowing my nose.
There is no pain when pressing on it.
I have undergone nasal and throat endoscopy as well as an ultrasound, and no abnormalities were found.
Recently, the pain has worsened during swallowing, and I also feel pain inside my ear, which is painful to the touch.
What could be the possible causes? Which specialist should I consult?

hou, 20~29 year old female. Ask Date: 2019/01/28

Dr. Zheng Jueyi reply Otolaryngology


Hello: The ENT examination showed no significant issues.
You may consider consulting a gastroenterologist to check for esophageal problems or a neurologist to investigate potential neuropathic pain.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/01/28

More Info


Throat pain can be a common symptom with various underlying causes, and it can sometimes be challenging to pinpoint the exact reason without a thorough examination. Based on your description, it seems that you have been experiencing pain on the left side of your throat, particularly when swallowing, sneezing, or blowing your nose. The fact that you have undergone nasal and throat endoscopy and ultrasound without any abnormalities is a good sign, but it does not completely rule out certain conditions.

One possible cause of your throat pain could be related to inflammation or irritation of the throat tissues, which can occur due to several reasons, including viral infections, allergies, or even gastroesophageal reflux disease (GERD). Viral infections, such as the common cold or flu, can lead to throat discomfort, but since you mentioned that you have had these symptoms for two months, it may not be solely due to an acute infection.

Another potential cause could be related to muscle tension or strain in the throat area, especially if you have been experiencing stress or have been using your voice more than usual. This can lead to discomfort that may radiate to the ears, as the throat and ear are closely connected through the Eustachian tube.
Additionally, conditions such as tonsillitis or pharyngitis could cause localized pain, but these typically present with other symptoms such as fever, swollen lymph nodes, or visible redness in the throat. Given that you have not reported these symptoms, it may be less likely.

The fact that you are experiencing pain when swallowing and that it has worsened to the point of affecting your ear suggests that it might be beneficial to consult an Ear, Nose, and Throat (ENT) specialist. An ENT can perform a more detailed examination and may consider additional diagnostic tests, such as a CT scan, to evaluate for any underlying issues that may not have been visible during the initial examinations.

It's also worth considering that referred pain from dental issues or temporomandibular joint (TMJ) disorders could contribute to your symptoms. If you have any dental concerns or have experienced jaw pain, it might be worth discussing these with your healthcare provider.

In summary, while your symptoms could be attributed to several benign causes, the persistence and worsening of your throat pain warrant further evaluation by an ENT specialist. They can help determine the exact cause of your discomfort and recommend appropriate treatment options. If you experience any additional symptoms, such as difficulty breathing, severe pain, or swelling, seek medical attention promptly.

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