One-Sided Throat Pain: Causes and Remedies for Ear and Throat Issues - Otolaryngology

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Sore throat on one side?


Two days ago, I noticed that my throat hurts when I swallow, but only on one side (the left side), and the pain radiates to my ear.
I don't have any other symptoms, just occasional nasal congestion.
Two months ago, I had a fungal infection in my ear, which resolved after seeing a doctor.
I would like to know if this condition is related to my ear (currently, my ear feels fine).
What are some ways to improve this situation? (I am currently abroad and finding it inconvenient to seek medical care).
Thank you!

Niming, 10~19 year old female. Ask Date: 2021/07/20

Dr. Zheng Jueyi reply Otolaryngology


Hello: Sore throat is commonly associated with inflammation, and ear pain may be related to the sore throat.
If medication does not improve the condition, it is advisable to seek medical examination for confirmation.
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: 2021/07/20

More Info


One-sided throat pain, especially when it radiates to the ear, can be indicative of several underlying issues. The connection between the throat and ear is primarily due to the shared nerve pathways and anatomical structures, particularly the Eustachian tube, which connects the middle ear to the nasopharynx. This anatomical relationship explains why pain in one area can often be felt in another.

In your case, the left-sided throat pain that extends to the ear could be due to several factors:
1. Infection or Inflammation: The most common cause of unilateral throat pain is an infection, which could be viral or bacterial. Conditions such as tonsillitis, pharyngitis, or even a localized abscess can cause pain that radiates to the ear. Since you mentioned a history of ear issues, it’s possible that a residual effect from a previous infection could be contributing to your current symptoms.

2. Referred Pain: The nerves that supply the throat and the ear are closely related. Infections or inflammation in the throat can lead to referred pain in the ear. This is often seen in cases of tonsillitis or pharyngitis, where the pain is felt in the ear due to the shared nerve pathways.

3. Eustachian Tube Dysfunction: Given your history of ear infections, it’s possible that you may be experiencing Eustachian tube dysfunction. This can occur when the tube does not open properly, leading to pressure changes in the ear and discomfort that can be felt in the throat.

4. Allergies or Sinus Issues: Occasional nasal congestion can also contribute to throat pain. Allergies or sinus infections can lead to post-nasal drip, which irritates the throat and can cause pain that may radiate to the ear.

5. Muscle Tension: Sometimes, muscle tension in the neck and throat can lead to pain that feels like it is radiating to the ear. This is often exacerbated by stress or poor posture.

To address your symptoms, here are some potential remedies and steps you can take:
- Hydration: Drink plenty of fluids to keep your throat moist and help alleviate irritation.

- Saltwater Gargle: Gargling with warm salt water can help reduce inflammation and soothe the throat.

- Over-the-Counter Pain Relief: Non-prescription pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.

- Humidifier: Using a humidifier can help keep the air moist, which may ease throat discomfort, especially if dry air is a factor.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate throat pain.

- Rest: Ensure you are getting enough rest to allow your body to heal.

If your symptoms persist or worsen, it is advisable to seek medical attention. While you mentioned that accessing healthcare is challenging, consider reaching out to a local clinic or telemedicine service that can provide guidance. A healthcare professional may recommend further evaluation, such as a throat examination or possibly a referral to an ENT specialist, to rule out any serious conditions.

In summary, while your symptoms may be related to your previous ear infection, they could also be indicative of a new issue such as an infection or inflammation in the throat. Monitoring your symptoms and seeking appropriate care will be key to addressing your discomfort effectively.

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