Neck Pain: Possible Causes and Connections to Recent Meals - Internal Medicine

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Lymphatic issues


When I woke up today, I felt some pain on the right side of my neck near the jaw, but there is no swelling.
I had a gastroscopy yesterday afternoon and ate ginger duck in the evening, and I'm not sure if this is related.

victoria, 10~19 year old female. Ask Date: 2020/01/16

Dr. Hong Yuanbin reply Internal Medicine


Hello, could you please check if there is a small lump about the size of a coin? Based on your description, the most likely possibility is lymphadenopathy.
If this occurred suddenly, it is usually due to inflammation or infection in the nearby area, most commonly related to dental issues or a cold.
Typically, it will resolve on its own within a few days, and it is likely unrelated to endoscopy or food.
If it disappears, there is generally no concern, but if it persists, you may want to consider seeing an ENT specialist.
Thank you for your question.

Reply Date: 2020/01/16

More Info


Neck pain can arise from a variety of causes, and understanding the potential connections to recent meals or activities is essential for proper diagnosis and management. In your case, the pain you are experiencing on the right side of your neck near the jaw could be related to several factors, including muscular strain, nerve irritation, or even referred pain from other areas, such as the digestive system.

One common cause of neck pain is muscle strain, which can occur due to poor posture, sudden movements, or even sleeping in an awkward position. If you slept in a position that strained your neck muscles, this could explain the discomfort you are feeling. Additionally, if you were engaged in activities that required repetitive neck movements or prolonged periods of looking down, these could also contribute to muscle fatigue and pain.

Another possibility is that the pain could be related to the recent meal you had, particularly if it was rich or spicy, such as ginger duck soup. Foods that are heavy or rich can sometimes lead to gastrointestinal discomfort, which may cause referred pain to the neck or jaw area. This is particularly true if you experienced any acid reflux or indigestion after your meal, as the esophagus runs close to the neck and can cause discomfort in that region.

Moreover, if you underwent a gastroscopy (stomach scope) the previous day, it is possible that the procedure could have caused some temporary irritation or inflammation in the throat or esophagus, leading to discomfort that radiates to the neck. This is not uncommon, as the throat and neck are closely interconnected, and any irritation in one area can lead to sensations of pain or discomfort in another.

In some cases, neck pain can also be associated with nerve issues, such as cervical radiculopathy, where a nerve in the neck is compressed or irritated, leading to pain that can radiate down the arm or into the jaw. If you notice any additional symptoms such as numbness, tingling, or weakness in your arms, it would be advisable to seek medical attention.

If the pain persists or worsens, or if you develop additional symptoms such as fever, swelling, or significant difficulty swallowing, it would be prudent to consult a healthcare professional. They may recommend imaging studies, such as X-rays or an MRI, to assess for any underlying issues related to the cervical spine or soft tissues.

In summary, while your neck pain could be related to muscle strain or irritation from recent meals or medical procedures, it is essential to monitor your symptoms closely. If you experience any concerning signs or if the pain does not improve, seeking medical advice is the best course of action. Remember to maintain good posture, take breaks to stretch if you are in a fixed position for long periods, and consider dietary choices that may affect your gastrointestinal comfort.

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