Throat Pain: Is It Just a Cold or Something More Serious? - Otolaryngology

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Throat issues


Hello doctor, a while ago I performed oral sex on my boyfriend (who is a virgin) for the first time, and afterward, I experienced some pain on the left side of my throat.
The pain is not constant; it occurs occasionally, especially when swallowing saliva.
I went to see a doctor, and she said it was a mild cold.
I took two packets of medication but forgot to bring the medicine with me when I went out, so I didn't take it.
For a while, I didn't feel any pain, but a few days ago, my boyfriend caught a cold, and we still kissed.
Now, I've started to experience throat pain again, and my neck feels a bit sore, but it's still not very painful or constant; it feels more like a discomfort that occurs when swallowing.
I would like to ask the doctor if this could be oropharyngeal cancer or if it's just a common cold.
TT

Leilei Kiwi, 10~19 year old female. Ask Date: 2019/02/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: The common symptoms are typically associated with a cold infection.
If the pain persists and does not improve after two weeks, it is advisable to seek medical evaluation.
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: 2019/02/26

More Info


Throat pain can arise from various causes, and understanding the underlying reason is crucial for appropriate management. Based on your description, it seems that your throat pain is intermittent and associated with swallowing, which is a common symptom of several conditions, including viral infections like the common cold, allergies, or even irritation from physical activities such as oral sex.

In your case, since you mentioned that the pain started after engaging in oral sex, it is essential to consider the possibility of irritation or minor trauma to the throat. This can happen due to friction or the introduction of bacteria or viruses, especially if your partner had a cold or any other upper respiratory infection at the time. The fact that you experienced throat pain after your partner's cold suggests that you might have contracted a viral infection, which is quite common and typically resolves on its own.

The symptoms you describe—throat pain that occurs when swallowing and mild neck discomfort—are consistent with a viral pharyngitis, which is often accompanied by other symptoms such as a runny nose, cough, or general malaise. If your doctor diagnosed you with a mild cold, it is likely that this is the cause of your symptoms. However, if the pain persists or worsens, or if you develop additional symptoms such as fever, difficulty swallowing, or swollen lymph nodes, it would be prudent to seek further medical evaluation.

Regarding your concern about the possibility of oropharyngeal cancer, it is essential to note that cancer typically presents with more persistent and severe symptoms. Common signs of oropharyngeal cancer may include a sore throat that does not improve, difficulty swallowing, a lump in the neck, or changes in voice. Given that your symptoms are intermittent and mild, it is less likely that they are indicative of cancer, especially in the absence of other concerning symptoms.

However, if you are experiencing anxiety about this possibility, it is always best to consult with a healthcare professional who can perform a thorough examination and, if necessary, recommend further testing such as imaging studies or a referral to an ear, nose, and throat (ENT) specialist for a more detailed evaluation.

In summary, your throat pain is likely related to a viral infection or irritation rather than something more serious like cancer. It is essential to monitor your symptoms and seek medical advice if they persist or worsen. Staying hydrated, using throat lozenges, and possibly taking over-the-counter pain relievers can help alleviate your discomfort. If you have any further concerns or if your symptoms change, do not hesitate to reach out to a healthcare provider for guidance.

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