HPV Throat Infection and Neck Pain: Seeking the Right Specialist

HPV infection in the throat and cervical spine issues (recently discovered)?

1.
I visited both an otolaryngologist and a pulmonologist but still felt uncomfortable.
Later, after undergoing an upper gastrointestinal endoscopy with a gastroenterologist, I discovered that I had polyps deeper in my throat, which were tested and found to be infected with HPV.
To be cautious, I also had my girlfriend get tested.
Which specialist should I follow up with for monitoring or what department should I consult? Thank you, as the gastroenterologist did not provide me with any further instructions.
2.
Recently, I have been experiencing severe pain in my neck and cervical spine.
I'm unsure which specialty to choose.
I have seen a family medicine doctor and discussed all the above symptoms, but I only received medication for throat inflammation and something similar for muscle soreness.

Li, 30~39 year old female. Ask Date: 2020/05/21

Dr. Liao Yaopan reply Family Medicine

Hello, regarding HPV infection, you may consult an infectious disease specialist for assistance.
If you continue to experience discomfort in your cervical spine, you should seek an evaluation from a neurosurgeon.
Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about your well-being.

Reply Date: 2020/05/21

More Info

When dealing with HPV throat infections and associated neck pain, it's crucial to approach the situation with a comprehensive understanding of the virus and its implications. Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to various health issues, including cancers of the throat and neck.
1. Choosing the Right Specialist: Given your situation, where you have been diagnosed with HPV in the throat and are experiencing neck pain, it is advisable to consult with an Otolaryngologist (ENT specialist). They specialize in conditions affecting the ear, nose, and throat, and they can provide a thorough evaluation of your throat condition, including the HPV infection. If the ENT specialist determines that the HPV infection has led to any lesions or other complications, they can guide you on the appropriate treatment options.
Additionally, if your neck pain persists or is severe, it may be beneficial to see a Neurologist or an Orthopedic specialist who focuses on the spine. They can assess whether the neck pain is related to muscular issues, nerve compression, or other underlying conditions.
2. Follow-Up Care: After your initial consultation with the ENT, they may recommend further diagnostic tests, such as imaging studies (like an MRI or CT scan) if they suspect any structural issues in the neck or throat. They may also suggest a follow-up with a Gastroenterologist if there are concerns about the esophagus or other digestive tract issues, especially since you mentioned having undergone an endoscopy.

3. Understanding HPV and Its Risks: It’s important to understand that while many HPV infections resolve on their own, some high-risk strains can lead to cancer over time. Regular monitoring and follow-up are essential. The presence of HPV in the throat can be concerning, especially if there are symptoms like persistent sore throat, difficulty swallowing, or changes in voice.
4. Managing Neck Pain: For your neck pain, it’s essential to address it holistically. While medications like anti-inflammatories can help, physical therapy may also be beneficial. A physical therapist can provide exercises to strengthen neck muscles and improve flexibility, which may alleviate pain.
5. Preventive Measures: If your girlfriend is concerned about her HPV status, it’s advisable for her to undergo regular screenings, including Pap smears and HPV testing, as recommended by her healthcare provider. Vaccination against HPV can also significantly reduce the risk of developing HPV-related cancers, and it’s recommended for both males and females.

6. Psychological Support: Dealing with an HPV diagnosis can be stressful. It might be helpful for both you and your girlfriend to seek counseling or support groups where you can share your experiences and concerns with others facing similar challenges.

In summary, for your HPV throat infection and neck pain, start with an ENT specialist for the throat issues and consider a neurologist or orthopedic specialist for the neck pain. Regular follow-ups and screenings are crucial for managing HPV, and addressing neck pain through physical therapy and proper medical care can lead to better outcomes. Always communicate openly with your healthcare providers about your symptoms and concerns to ensure you receive the best possible care.

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