Left Ear Pain Linked to Throat: When to Seek Medical Attention? - Otolaryngology

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Pain in the throat connected to the left ear?


Hello Dr.
Cheng: I have been experiencing pain in the internal part of my left ear connected to my throat (the eardrum) for the past 2-3 days.
Swallowing saliva makes the pain in my ear more pronounced, but the throat does not feel like the typical sore throat associated with a cold.
I initially thought I might have contracted COVID-19, but I do not have a real sore throat or any other symptoms, and I have tested negative twice with rapid tests.
I am unsure if I need to go to the hospital for treatment.

Chen Siying, 30~39 year old female. Ask Date: 2022/06/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: If the pain persists without significant improvement, it is recommended to seek medical evaluation 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: 2022/06/15

More Info


When experiencing left ear pain that is linked to throat discomfort, it is essential to consider several factors before deciding whether to seek medical attention. The symptoms you describe, particularly the pain in the ear that intensifies when swallowing, suggest a possible connection between the ear and throat, which could be indicative of several underlying conditions.

Firstly, the ear and throat are interconnected through the Eustachian tube, which helps equalize pressure in the ear and drain fluid. If there is inflammation or infection in the throat, it can lead to referred pain in the ear, a condition known as referred otalgia. This is common in cases of upper respiratory infections, tonsillitis, or pharyngitis. However, since you have tested negative for COVID-19 and do not exhibit typical cold symptoms, it may be less likely that a viral infection is the cause.

Another possibility is that you may be experiencing symptoms related to Eustachian tube dysfunction. This can occur due to allergies, sinus infections, or even changes in atmospheric pressure. When the Eustachian tube is blocked or not functioning properly, it can lead to a feeling of fullness in the ear, pain, and sometimes even hearing changes.

Additionally, conditions such as temporomandibular joint (TMJ) disorders can also cause ear pain. The TMJ is located near the ear, and issues with this joint can lead to pain that radiates to the ear, especially during activities like chewing or swallowing.

Given that your symptoms have persisted for 2-3 days, it is advisable to seek medical attention if you experience any of the following:
1. Severe Pain: If the pain becomes unbearable or is accompanied by swelling.

2. Hearing Loss: Any noticeable changes in your hearing should prompt a visit to a healthcare provider.

3. Fever: A fever may indicate an infection that requires treatment.

4. Discharge: If you notice any fluid or pus coming from the ear, this could indicate an ear infection.

5. Persistent Symptoms: If the pain does not improve or worsens over the next few days.

In terms of medical evaluation, an ear, nose, and throat (ENT) specialist can perform a thorough examination. They may use an otoscope to look inside your ear for signs of infection, fluid buildup, or other abnormalities. Additionally, they may assess your throat and perform further tests if necessary.

In the meantime, you can manage your symptoms with over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help alleviate discomfort. Staying hydrated and using warm compresses on the affected ear may also provide some relief.

In conclusion, while there are several potential causes for your left ear pain linked to throat discomfort, it is crucial to monitor your symptoms closely. If you experience any concerning signs or if the pain persists, do not hesitate to seek medical attention. Early intervention can help prevent complications and ensure appropriate treatment.

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