One-Sided Throat Pain: Causes and Remedies - Otolaryngology

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Unilateral throat pain?


Today, I suddenly have a sore throat on the left side, and when I press on the left side of my neck, it feels tight and sore, but the right side is fine.
I'm hesitant to visit a clinic due to concerns about COVID-19.
What could this condition be? Is it sufficient to just go to a pharmacy for medication?

Niming, 10~19 year old female. Ask Date: 2020/03/01

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly associated with general throat and tonsil inflammation, it is advisable to drink plenty of water and monitor your symptoms.
If you experience a fever or worsening throat pain, it is recommended to seek medical evaluation for confirmation.
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: 2020/03/01

More Info


Experiencing one-sided throat pain can be concerning, especially in the context of current health anxieties related to COVID-19. The pain you describe on the left side of your throat, accompanied by a sensation of pressure and soreness in the left side of your neck, could be attributed to several potential causes.


Possible Causes of One-Sided Throat Pain
1. Infections: One of the most common causes of throat pain is an infection, which can be viral or bacterial. Conditions such as pharyngitis (inflammation of the throat) or tonsillitis (inflammation of the tonsils) often present with unilateral pain. If the infection is viral, it may accompany other symptoms like a runny nose, cough, or fever. Bacterial infections, such as strep throat, can also cause localized pain and may require antibiotics for treatment.

2. Muscle Strain: If you have been engaging in activities that strain your neck muscles, such as poor posture or sleeping in an awkward position, this could lead to localized pain that feels like it is radiating to your throat. Muscle tension can cause discomfort and a feeling of tightness in the neck and throat area.

3. Allergies or Irritants: Allergies to pollen, dust, or other environmental factors can lead to throat irritation. Additionally, exposure to smoke or strong odors can cause localized discomfort. If you have a history of allergies, this could be a contributing factor.

4. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause throat pain, particularly if stomach acid irritates the lining of the throat. This discomfort may be more pronounced on one side, depending on the position of the esophagus and the severity of the reflux.

5. Lymph Node Swelling: Infections can cause lymph nodes in the neck to swell, leading to discomfort and a feeling of pressure. If the lymph nodes on the left side are swollen, this could explain the localized pain.


Recommendations for Management
Given your symptoms and concerns about visiting a clinic during the pandemic, here are some steps you can take:
- Over-the-Counter Pain Relief: You may consider taking over-the-counter pain relievers such as acetaminophen or ibuprofen to help alleviate the pain and reduce any inflammation.

- Hydration: Ensure you are drinking plenty of fluids. Warm teas or broths can be soothing for a sore throat.

- Gargling Salt Water: Gargling with warm salt water can help reduce throat irritation and may provide temporary relief.

- Rest: Allow your body to rest and recover. Avoid straining your voice or engaging in activities that may exacerbate the pain.

- Monitor Symptoms: Keep an eye on your symptoms. If you develop a fever, difficulty swallowing, or if the pain persists for more than a few days, it would be advisable to seek medical attention, even if it means taking precautions to minimize exposure to COVID-19.


When to Seek Medical Attention
If your symptoms worsen or do not improve with home care, it is important to consult a healthcare professional. They may recommend a throat swab to check for strep throat or other infections, or they may assess for other underlying conditions that could be causing your symptoms.

In summary, while one-sided throat pain can often be managed at home, it is crucial to remain vigilant about your symptoms and seek medical advice if necessary. Your health and safety are paramount, and there are ways to consult healthcare providers while minimizing the risk of infection.

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