Otolaryngology
I have been experiencing a sore throat for the past few days, along with coughing and wheezing.
Initially, I thought it was due to tachycardia, but every time I cough or wheeze, I also experience dry heaving, whether I'm sitting still or moving around.
I can't recall exactly when the sore throat started, but I always keep antiseptic throat lozenges and throat soothing spray on hand.
Over the past two days, I suddenly noticed that no matter what sounds I listen to, whether through headphones or directly, there is a sense of dissonance.
It feels as if the pitch has been lowered, and although I don't have perfect pitch, the sensation regarding the music I usually enjoy is very intense.
I have experienced this forced lowering of pitch before, but I don't remember the circumstances under which it occurred.
Huang A Yue, 20~29 year old female. Ask Date: 2024/07/04
Dr. Ji Zhaoyun reply Otolaryngology
Based on your description, you have recently experienced symptoms of sore throat, cough, wheezing, and auditory disturbances.
These symptoms may be related to various factors, including a cold, throat infection, respiratory issues, or other medical conditions.
Here are some recommendations, but please note that online consultations are for reference only; it is best to seek in-person evaluation for an accurate diagnosis and treatment advice:
1.
Rule out sudden hearing loss, Eustachian tube dysfunction, and otitis media: Consider seeking medical advice and diagnosis, especially if symptoms persist or worsen.
A doctor can perform a thorough physical examination and assess your symptoms and medical history.
1) Eustachian tube dysfunction: This is the most common cause and can occur not only during air travel, hiking, or diving but also from forceful nose blowing or bending over.
2) Sudden sensorineural hearing loss (commonly referred to as "ear stroke").
3) Otitis media:
a) Acute otitis media: Often occurs alongside upper respiratory infections (colds) and sinusitis, and in severe cases, the ear may discharge fluid or pus.
b) Chronic otitis media with acute exacerbation: Typically occurs when there is a pre-existing perforation in the eardrum, often due to contaminated water or improper ear cleaning, leading to inflammation.
2.
Throat relief: Using throat soothing sprays or gargles can help alleviate sore throat and discomfort.
Follow the product usage instructions and avoid overuse, while ruling out infections or other underlying issues.
3.
Maintain good hygiene practices: Wash your hands frequently, avoid contact with potential pathogens, and limit close interaction with individuals exhibiting cold symptoms.
4.
Keep indoor air fresh: Ensure good ventilation indoors and avoid environments with harmful gases or unpleasant odors.
5.
Rest and maintain overall health: Ensure adequate rest, a balanced diet, and moderate exercise to help boost your immune system.
If symptoms persist, it is advisable to seek direct medical evaluation.
Wishing you a speedy recovery!
Reply Date: 2024/07/04
More Info
It sounds like you are experiencing a complex set of symptoms involving throat pain, coughing, and changes in your hearing perception. These symptoms can be quite distressing, and understanding their potential causes is crucial for effective management.
Firstly, the throat pain and cough you are experiencing could be indicative of an upper respiratory infection, which may include viral or bacterial infections. The presence of a cough, especially if it is accompanied by dry heaving, suggests that your throat is irritated, which can be caused by post-nasal drip, inflammation, or even gastroesophageal reflux disease (GERD). If the throat pain persists or worsens, it would be advisable to consult a healthcare professional for a thorough examination and possibly a throat culture to rule out strep throat or other infections.
The sensation of hearing changes, particularly the feeling of sounds being altered or "lowered," can be linked to several factors. One possibility is that the inflammation in your throat and surrounding areas is affecting the Eustachian tubes, which connect the middle ear to the back of the throat. If these tubes are not functioning properly, it can lead to a sensation of fullness in the ears and altered hearing. This dysfunction can occur due to swelling from an infection or allergies, which can also cause your throat symptoms.
Additionally, the perception of sound being "off" or altered can sometimes be associated with a condition known as auditory processing disorder, where the brain has difficulty interpreting sounds. However, this is less common and would typically require a more in-depth evaluation by an audiologist or an ENT specialist.
Given your symptoms, it is essential to consider the following steps:
1. Consult an ENT Specialist: Since you are experiencing both throat and hearing issues, an ENT (Ear, Nose, and Throat) specialist can provide a comprehensive evaluation. They may perform a physical examination, including looking at your throat and ears, and may conduct hearing tests to assess any changes in your auditory perception.
2. Consider Allergy Testing: If you have a history of allergies, it might be worthwhile to explore this avenue. Allergies can lead to inflammation in the throat and Eustachian tubes, contributing to both your throat pain and hearing changes.
3. Monitor Symptoms: Keep track of when your symptoms worsen or improve, as well as any potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause.
4. Hydration and Humidification: Ensure you are staying well-hydrated and consider using a humidifier in your living space, especially if you are in a dry environment. This can help soothe throat irritation and may assist with Eustachian tube function.
5. Avoid Irritants: Try to avoid smoking, strong perfumes, or other irritants that could exacerbate your throat symptoms.
6. Medication: Over-the-counter medications such as antihistamines or decongestants may provide relief if allergies or nasal congestion are contributing to your symptoms. However, consult with a healthcare provider before starting any new medications.
In summary, your symptoms of throat pain, coughing, and altered hearing perception warrant a thorough evaluation by an ENT specialist. They can help determine the underlying cause and recommend appropriate treatment options. Early intervention is key, especially if there is an infection or other treatable condition involved. Remember, your health and comfort are paramount, so seeking professional advice is the best course of action.
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