Difficulty Swallowing with Ear Pain: ENT Issues - Otolaryngology

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There is a sensation of difficulty swallowing that extends to the ear?


Two weeks ago, I primarily experienced throat discomfort and mild cold symptoms.
After visiting my primary care physician, the doctor did not prescribe cold medication but instead provided treatment for esophageal mucosal repair, as he believed the throat discomfort was caused by gastroesophageal reflux, which I do have mildly.
Subsequently, my cold symptoms gradually improved, but the throat symptoms have been slow to resolve.
One day, after coughing, I suddenly felt a foreign body sensation deep in the right side of my throat, along with difficulty swallowing and a feeling of tightness in my throat.
At times, this sensation even extended to the entire right side of my neck and radiated to my ear, resembling mild otitis media.
However, upon palpation, my tonsils and thyroid did not appear swollen.
Due to the slow recovery of my throat, I consulted an otolaryngologist.
The ENT specialist indicated that there was injury to the pharynx and esophagus and prescribed medication, which has shown some improvement, but the difficulty swallowing and foreign body sensation have hardly improved.
Occasionally, I still experience the sensation extending to my ear.
I am unsure if this is due to the previous cold virus not fully resolving and causing a recurrent infection, and I would like to know which specialist I should see next.

Lin Xiansheng, 20~29 year old female. Ask Date: 2020/10/26

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you continue to experience difficulty swallowing or a persistent sensation of a foreign body that has not improved, it is recommended to follow up with an otolaryngologist or consult a gastroenterologist for further evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/10/26

More Info


It sounds like you are experiencing a complex interplay of symptoms involving ear pain, difficulty swallowing, and a sensation of a foreign body in your throat. This can be quite distressing, especially when you are trying to manage your health and maintain your daily activities. Based on your description, it appears that you may be dealing with several interconnected issues that could involve both the ENT (ear, nose, and throat) system and possibly gastrointestinal factors.

Firstly, the sensation of a foreign body in the throat and difficulty swallowing can often be associated with conditions such as gastroesophageal reflux disease (GERD), which you mentioned you have a history of. GERD can lead to inflammation of the esophagus and throat, causing symptoms like discomfort, tightness, and even referred pain to the ears. This is due to the shared nerve pathways between the throat and the ear, which can result in a sensation of pain or discomfort in the ear when there is an issue in the throat.

The fact that you have experienced a recent upper respiratory infection could also contribute to your symptoms. Viral infections can lead to inflammation and swelling in the throat, which may exacerbate any existing conditions like GERD. Additionally, post-nasal drip from a cold can irritate the throat and contribute to a sensation of tightness or discomfort.

Your visit to the ENT specialist was a good step, especially since they identified that there was some injury to the pharynx and esophagus. The medications prescribed should help with healing, but it is concerning that you are not seeing significant improvement in your swallowing difficulties and the sensation of a foreign body. This could indicate that the inflammation is more persistent than initially thought, or that there may be additional factors at play.

In terms of the ear pain you are experiencing, it is possible that this is related to Eustachian tube dysfunction, which can occur when there is inflammation in the throat or nasal passages. The Eustachian tube connects the middle ear to the back of the throat, and if it becomes blocked or does not function properly, it can lead to a feeling of fullness, pressure, or pain in the ear, as well as potential fluid buildup.

Given your ongoing symptoms, it may be beneficial to follow up with your ENT specialist for further evaluation. They may consider additional diagnostic tests, such as a laryngoscopy to visualize the throat and assess for any abnormalities, or imaging studies if they suspect structural issues. If your symptoms persist despite treatment, they may also refer you to a gastroenterologist to further evaluate the GERD and its management.

In the meantime, there are several self-care strategies you can employ to help alleviate your symptoms. Staying hydrated, avoiding irritants such as smoke or strong odors, and using a humidifier can help soothe your throat. Additionally, dietary modifications to reduce acid reflux, such as avoiding spicy or fatty foods, can also be beneficial.

In summary, your symptoms of ear pain and difficulty swallowing may be interconnected, likely involving both ENT and gastrointestinal factors. Continued follow-up with your healthcare providers is essential to ensure a comprehensive approach to your treatment and to address any underlying issues effectively.

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