Persistent Throat Pain and Tinnitus: Causes and Home Remedies - Otolaryngology

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Sore throat with pain on the right side when swallowing saliva for 2 months / after taking medication, high-frequency tinnitus occurred. Additionally, when turning the neck to the right and tucking the chin, there is a sound in the ear and the tinnitus becomes louder?


Hello Doctor, I have been experiencing pain on the right side of my throat when swallowing saliva for the past two months.
The pain level has remained constant, neither increasing nor decreasing.
There is no pain when eating or drinking, and I have no other symptoms such as fever, cough, or muscle aches.
However, prior to the onset of the throat pain, I had been staying up late and had an irregular schedule.
I usually have nasal mucosal swelling, which causes some breathing sounds, occasional sneezing, and runny nose when eating hot food.
When I apply pressure to my nose, I can hear sounds in my ears.
Occasionally, I experience gastroesophageal reflux at night, which wakes me up.
Initially, my right tonsil was swollen, but it has since subsided.
I tried over-the-counter pain relief and anti-inflammatory medication, Advil (Ibuprofen), for a week, which reduced the pain while taking it, but the pain returned after stopping.
I also took over-the-counter stomach medication, Famotidine, for two weeks, but there was no change in pain.
I visited a clinic and took the following medications for five days: Voren cap.
50mg, Lysozyme 100mg, and Mylantacero 250mg (7-day supply).
While taking these medications, the pain completely disappeared, but it returned along with a sensation of something being stuck in my throat after stopping.
Additionally, I developed high-frequency tinnitus, which becomes louder when I turn my neck to the right and tuck my chin.
Currently, I am abroad and hesitant to go to the hospital due to the pandemic.
I would like to ask: 1.
What could be causing my throat and tinnitus symptoms? 2.
What can I do at home to improve my condition? 3.
Can you recommend any over-the-counter ingredients that I can buy at the pharmacy? Thank you, Doctor!

Ally, 30~39 year old female. Ask Date: 2020/05/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: Chronic sore throat and tinnitus may be related to gastroesophageal reflux disease (GERD).
It is recommended to strengthen dietary control, such as reducing the intake of spicy foods, avoiding coffee, tea, and desserts.
You may continue using famotidine for gastric relief, and use ibuprofen for pain control as needed.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/05/25

More Info


Persistent throat pain and tinnitus can be quite distressing, especially when they linger for an extended period. Based on your description, there are several potential causes for your symptoms, and I will address them along with some home remedies and over-the-counter (OTC) medications that may help alleviate your discomfort.


Possible Causes
1. Tonsillitis or Pharyngitis: You mentioned that your right tonsil was swollen initially but later subsided. This could indicate a viral or bacterial infection that may have caused inflammation in the throat. Even if the swelling has decreased, residual pain can persist.

2. Gastroesophageal Reflux Disease (GERD): You noted experiencing gastroesophageal reflux, which can lead to throat irritation and pain. Acid from the stomach can irritate the lining of the throat, causing discomfort, especially when lying down.

3. Eustachian Tube Dysfunction: The sound you hear when you apply pressure to your nose could be related to Eustachian tube dysfunction, which can also contribute to tinnitus. This occurs when the tubes that connect the throat to the middle ear become blocked or do not function properly, leading to pressure changes and discomfort.

4. Allergic Rhinitis: Your symptoms of nasal congestion, sneezing, and post-nasal drip could indicate allergies. Allergies can lead to throat irritation and contribute to both throat pain and tinnitus.

5. Muscle Tension: The pain you feel when turning your neck may suggest muscle tension or strain, which can also contribute to ear-related symptoms like tinnitus.


Home Remedies
1. Saltwater Gargle: Gargling with warm salt water can help soothe throat pain and reduce inflammation. Mix about half a teaspoon of salt in a glass of warm water and gargle several times a day.

2. Stay Hydrated: Drinking plenty of fluids can help keep your throat moist and may alleviate discomfort. Warm teas with honey can be particularly soothing.

3. Humidifier: Using a humidifier in your room can help keep the air moist, which may relieve throat irritation, especially if you are in a dry environment.

4. Avoid Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate your symptoms. If you suspect allergies, consider using an over-the-counter antihistamine.

5. Dietary Adjustments: If GERD is a concern, try to avoid spicy, acidic, or fatty foods that may trigger reflux. Eating smaller, more frequent meals can also help.


Over-the-Counter Medications
1. Pain Relievers: Since you found relief with ibuprofen (Advil), you may continue using it as directed. Acetaminophen (Tylenol) is another option for pain relief.

2. Antacids: If you suspect GERD is contributing to your throat pain, consider taking an OTC antacid like Tums or a proton pump inhibitor like omeprazole (Prilosec) for longer-term relief.

3. Antihistamines: If allergies are suspected, an antihistamine like loratadine (Claritin) or cetirizine (Zyrtec) may help alleviate nasal congestion and throat irritation.

4. Throat Lozenges: Sucking on throat lozenges can provide temporary relief from throat pain and help keep your throat moist.


Conclusion
While these suggestions may help alleviate your symptoms, it is essential to monitor your condition. If your throat pain and tinnitus persist or worsen, it would be advisable to seek medical attention when possible, even if it means visiting a healthcare provider in your area. Persistent symptoms may require a more thorough evaluation to rule out any underlying conditions. In the meantime, implementing these home remedies and OTC medications may provide some relief. Take care, and I hope you feel better soon!

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