Neck Tonsil Pain and Dizziness: When to See an ENT Specialist - Otolaryngology

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The tonsils in the neck often experience pain?


I underwent a neurological examination at the hospital from August to September of last year due to dizziness on the right side of my head, which lasts about 10 seconds when I get up.
After the examination, the doctor advised me to see an otolaryngologist.
Since March of this year, the pain has shifted to my right neck, where the tonsils feel pressed and painful.
The area where I experience dizziness sometimes also hurts, approximately once every two weeks.
Could you please advise me on where to go for a comprehensive examination for this condition in Taipei? I have listed the names of my medications for the doctor's reference: Ace (pymadon), Delamin (Brompheniramine), Ty (Ulwycon), Ep (epiderm).

Xiao Pan, 40~49 year old female. Ask Date: 2009/05/05

Dr. Chen Jianzhi reply Otolaryngology


Dear Xiao Pan,
Based on your literal description, the condition seems a bit unusual.
Without a physical examination, it is difficult to address your concerns.
I recommend that you return to Mackay Memorial Hospital in Taipei for further evaluation.
Sincerely,
Dr.
Chen Jian-Zhi
Physician, Taoyuan Hospital, Department of Health
Lecturer, Fu Jen Catholic University School of Medicine

Reply Date: 2009/05/05

More Info


It sounds like you have been experiencing a complex set of symptoms involving dizziness, neck pain, and discomfort in the area of your tonsils. Given the duration and nature of your symptoms, it is essential to approach this situation methodically to identify the underlying causes and receive appropriate treatment.

Firstly, the dizziness you are experiencing, particularly when getting up, could be related to several factors. Orthostatic hypotension, which is a drop in blood pressure upon standing, can lead to dizziness. This condition can be exacerbated by dehydration, certain medications, or even underlying health issues. It is crucial to monitor your hydration levels and discuss any medications you are taking with your healthcare provider to rule out these possibilities.

The pain in your neck and the sensation of pressure in the area of your tonsils could be indicative of several conditions. One possibility is that you may be experiencing referred pain from your cervical spine (neck) or from the muscles in that area. Muscle tension and strain can lead to discomfort that radiates to other areas, including the head and throat. Additionally, if there is inflammation or infection in the tonsils or surrounding lymphatic tissue, this could also contribute to your symptoms.

Given that you have already been advised to see an ENT (Ear, Nose, and Throat) specialist, this is a logical next step. An ENT specialist can perform a thorough examination of your throat, neck, and ears to assess for any signs of infection, inflammation, or other abnormalities. They may also conduct imaging studies, such as a CT scan or MRI, if they suspect any structural issues that could be contributing to your symptoms.

In terms of the medications you listed, it is essential to discuss these with your healthcare provider. Some medications can have side effects that may contribute to dizziness or other symptoms. For instance, antihistamines can cause drowsiness and dizziness in some individuals. Your doctor can help determine if any of your current medications may be impacting your symptoms and whether adjustments are necessary.

In addition to seeing an ENT specialist, it may also be beneficial to consult with a neurologist if your symptoms persist or worsen. A neurologist can evaluate for any neurological conditions that may be causing your dizziness and neck pain. They may perform tests such as a neurological examination, imaging studies, or other diagnostic tests to rule out conditions like migraines, vestibular disorders, or cervical spine issues.

Lastly, it is important to maintain open communication with your healthcare providers about your symptoms and any changes you experience. Keeping a symptom diary can be helpful in tracking when your symptoms occur, their severity, and any potential triggers. This information can assist your healthcare team in making a more accurate diagnosis and developing an effective treatment plan.

In summary, your symptoms warrant a comprehensive evaluation by an ENT specialist, and potentially a neurologist, to determine the underlying causes and appropriate treatment. Don't hesitate to seek medical attention, as early intervention can lead to better outcomes. Remember to take care of your overall health by staying hydrated, managing stress, and following up with your healthcare providers as needed.

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