Throat Pain: Causes of Discomfort When Swallowing - Otolaryngology

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Doctor, this month I have been experiencing pain whenever I swallow saliva, whether it's before or after meals, regardless of whether I have hiccups or not. Additionally, there is a sensation of something being stuck in my throat, and now I also feel pain on the left side of my throat when I swallow?


Doctor, this month I have been experiencing pain whenever I swallow saliva, whether I burp or not, after or before meals.
There is also a sensation of something being stuck in my throat.
Additionally, I feel pain on the left side of my throat when swallowing.
Since the Dragon Boat Festival, I have had pain near my right tonsil close to my throat, which seemed to improve after visiting the clinic.
However, from June 7 to June 27, I have been experiencing pain every time I swallow, both before and after meals.
Now, the left side of my throat also hurts, and I still have that sensation of something being stuck in my throat.
Doctor, could you please tell me what this condition might be?

Binggan, 20~29 year old female. Ask Date: 2019/06/27

Dr. Zheng Jueyi reply Otolaryngology


Hello: There are many causes for a sensation of something stuck in the throat, commonly including tonsil stones, gastroesophageal reflux, and smoking.
If the symptoms persist without improvement, it is advisable to seek medical evaluation for a definitive diagnosis.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/06/27

More Info


Throat pain, especially when swallowing, can be a distressing symptom that may arise from various underlying causes. Based on your description, it seems that you are experiencing discomfort in your throat, particularly on the left side, which is exacerbated during swallowing. This can be attributed to several potential conditions, and understanding these can help in managing your symptoms effectively.

One common cause of throat pain when swallowing is pharyngitis, which is inflammation of the pharynx. This condition can be viral or bacterial in origin. Viral infections, such as the common cold or flu, are often accompanied by other symptoms like cough, runny nose, and fever. Bacterial infections, particularly streptococcal infections, can lead to more severe pain and may require antibiotic treatment.

Another possibility is tonsillitis, which is the inflammation of the tonsils. This condition can cause significant pain, especially when swallowing, and may be associated with swollen lymph nodes, fever, and difficulty swallowing. If your pain is localized to the right side, it could indicate that the right tonsil is inflamed or infected.

Gastroesophageal reflux disease (GERD) is another condition that could explain your symptoms. In GERD, stomach acid flows back into the esophagus, leading to irritation and pain, particularly when swallowing. This can also cause a sensation of a lump in the throat or a feeling of tightness.

You mentioned experiencing a "卡卡的情形" (a sensation of something stuck in the throat), which could also suggest globus sensation. This is often associated with anxiety or stress but can also occur with physical conditions affecting the throat.

Given that your symptoms have persisted for several weeks, it is essential to consider other factors such as allergies, which can cause post-nasal drip leading to throat irritation, or even muscle tension in the throat area, which can occur due to stress or anxiety.

To address your symptoms effectively, I recommend the following steps:
1. Consult a Healthcare Provider: Since your symptoms have been ongoing, it is crucial to see a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly recommend tests such as a throat culture or imaging studies to determine the exact cause of your pain.

2. Symptomatic Relief: In the meantime, you can try over-the-counter pain relievers such as ibuprofen or acetaminophen to help alleviate pain. Gargling with warm salt water may also provide temporary relief.

3. Hydration and Humidification: Staying well-hydrated and using a humidifier can help soothe throat irritation. Avoiding irritants such as smoke and strong odors is also advisable.

4. Dietary Adjustments: If you suspect GERD, consider dietary changes such as avoiding spicy, acidic, or fatty foods, and try to eat smaller meals.

5. Monitor Symptoms: Keep track of any additional symptoms that may develop, such as fever, difficulty breathing, or swelling, which would require immediate medical attention.

In conclusion, throat pain when swallowing can arise from various causes, including infections, reflux, or muscle tension. A healthcare professional can provide a definitive diagnosis and appropriate treatment plan tailored to your specific situation. Don't hesitate to seek medical advice, especially if your symptoms persist or worsen.

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