Throat Pain and Ear Discomfort: When to Seek Help - Otolaryngology

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Sore throat for one day, persistent sensation of a foreign body for three days, and ear pain?


Hello, Doctor.
I experienced a sore throat that lasted only one day, and it hurt even when drinking water, but there was no difficulty breathing.
After the sore throat appeared, the pain almost completely disappeared within a day.
Today is the third day, and I only feel a slight sensation of something in my throat.
Initially, I had sharp pain in one ear, and today is the fourth day; the ear pain has neither worsened nor improved.
I don't feel it when I'm busy, only when I pay special attention to it, and the pain is not significant.
I have not experienced any symptoms such as coughing, cold, runny nose, sneezing, fever, throat itching, phlegm, or any unknown fluid in the ear.
Could you please provide a preliminary assessment of what might be causing these symptoms? Additionally, if you could recommend a department other than otolaryngology for a more thorough examination when I visit a major hospital, I would appreciate it.

Zhao Enyou, 30~39 year old female. Ask Date: 2020/11/28

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no improvement, it is recommended to visit an otolaryngologist or a neurologist for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/11/28

More Info


Hello! Thank you for sharing your symptoms and concerns regarding your throat and ear discomfort. Based on your description, it seems that you are experiencing a combination of throat pain and ear discomfort, which can often be interconnected due to the anatomical and functional relationships between the throat, ears, and nasal passages.


Understanding Your Symptoms
1. Throat Pain: The fact that your throat pain lasted only a day and has significantly improved suggests that it may have been a mild viral infection or irritation. Common causes of acute throat pain include viral pharyngitis, which often resolves quickly, or even allergic reactions that can cause transient discomfort.

2. Ear Pain: The ear pain you described, particularly if it is intermittent and not associated with other symptoms like fever or nasal congestion, could be related to several factors:
- Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If it becomes blocked or does not function properly, it can lead to discomfort or a sensation of fullness in the ear.

- Referred Pain: Sometimes, pain from the throat can be referred to the ear due to shared nerve pathways. This is common in conditions affecting the throat, such as infections or inflammation.

- Muscle Tension: Stress or tension in the jaw and neck can also lead to ear discomfort, especially if you are clenching your jaw or grinding your teeth.


When to Seek Help
Given that your symptoms are mild and have improved, it may not be necessary to seek immediate medical attention. However, you should consider consulting a healthcare professional if:
- The ear pain persists or worsens.

- You develop new symptoms, such as fever, significant swelling, or difficulty swallowing.

- You experience any hearing loss or persistent tinnitus (ringing in the ears).


Recommended Specialists
If you decide to seek further evaluation, here are some specialists you might consider:
- Otolaryngologist (ENT Specialist): This is the most appropriate specialist for your symptoms, as they can evaluate both your throat and ear issues comprehensively.

- Allergist: If you suspect that allergies may be contributing to your symptoms, an allergist can help identify triggers and provide management strategies.

- Dentist or Oral Surgeon: If there is a concern about jaw-related issues, such as temporomandibular joint (TMJ) dysfunction, a dentist or oral surgeon can provide insights and treatment options.


Conclusion
In summary, your symptoms appear to be mild and may resolve on their own, but it's essential to monitor them closely. Should you notice any changes or worsening of your condition, do not hesitate to reach out to a healthcare professional. An ENT specialist would be your best bet for a thorough evaluation, but depending on your findings, other specialists may also be beneficial. Remember to take care of yourself, stay hydrated, and consider rest as part of your recovery process. Wishing you a speedy recovery!

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