On the morning of June 7th, I started experiencing severe pain on the right side of my throat near the tonsils. Doctor, what could this be?
On June 7th, the morning of the Dragon Boat Festival, I started experiencing severe pain on the right side of my throat near the tonsils.
Doctor, could you please explain what this might be? I woke up with this pain, and it is located very close to the tonsils, but it only hurts on the right side.
The pain has persisted from June 7th to June 8th, making it two days now.
What could this be? If it were a cold, both tonsils would typically swell and hurt, not just one side.
This is the first time I've encountered such a situation, and I would like to ask if this could be a sign of tonsil cancer?
Binggan, 20~29 year old female. Ask Date: 2019/06/08
Dr. Zheng Jueyi reply Otolaryngology
Hello: The common issues are primarily related to infections or ulcers.
If symptoms persist for more than a week without improvement, it is advisable to seek medical evaluation.
Wishing you safety and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.
Reply Date: 2019/06/08
More Info
Severe pain in one side of the throat, particularly near the tonsils, can be concerning and may indicate several potential issues. Given your description of the pain being localized to the right side and persisting for two days, there are a few possibilities to consider.
Firstly, unilateral throat pain can often be attributed to tonsillitis, which is an inflammation of the tonsils. This condition can be caused by viral or bacterial infections. In cases of bacterial tonsillitis, particularly streptococcal infections, the pain can be quite severe and may be accompanied by other symptoms such as fever, difficulty swallowing, and swollen lymph nodes. If the pain is due to a viral infection, it may be less severe but still localized.
Another possibility is a peritonsillar abscess, which is a collection of pus that forms near the tonsil, often as a complication of tonsillitis. This condition typically presents with severe pain on one side of the throat, difficulty swallowing, and sometimes a noticeable swelling on the affected side. Patients may also experience a "hot potato" voice, which is a muffled sound due to the swelling.
Additionally, other causes of unilateral throat pain could include pharyngitis, which is inflammation of the pharynx, or even referred pain from dental issues, such as an abscessed tooth or temporomandibular joint (TMJ) disorders. In some cases, muscle strain from excessive coughing or even sleeping in an awkward position can lead to localized pain in the throat area.
Regarding your concern about tonsil cancer, while it is important to be vigilant about any persistent pain, especially if it is severe and localized, cancer is less common in younger individuals without other risk factors. Symptoms of tonsil cancer may include persistent sore throat, difficulty swallowing, a lump in the neck, or changes in voice. If you do not have these additional symptoms, it is less likely that your pain is due to cancer.
Given the duration of your symptoms and the severity of the pain, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination of your throat, possibly including a throat swab to check for streptococcal infection or other pathogens. They may also consider imaging studies if there is suspicion of an abscess or other complications.
In summary, while unilateral throat pain can be alarming, it is often due to more common conditions such as tonsillitis or a peritonsillar abscess. It is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help alleviate symptoms and prevent potential complications.
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