Throat Pain and Swelling: Possible Causes and Solutions - Otolaryngology

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Swollen!!?


Hello, I don't know why, but for the past month or two, whenever I consume drinks or foods containing lemon in significant amounts, I experience pain on the left side of my throat when swallowing.
Is that where the thyroid gland is located? Additionally, this symptom has only appeared in the past year.
I also notice that when I eat certain spicy seasonings, even in small amounts, I feel swelling in my throat (not very deep) or inside my ears, making swallowing very painful.
Sometimes my ears also feel very itchy, especially with chili; just a little bit triggers a reaction...
Why is this happening? It never happened before...

Xiao Dai, 10~19 year old female. Ask Date: 2009/08/25

Dr. Ye Dawei reply Otolaryngology


Dear Sir/Madam: 1.
That area is not the thyroid gland.
2.
Please visit the Otolaryngology outpatient clinic for examination.
Dr.
Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.

Reply Date: 2009/08/25

More Info


Throat pain and swelling can be caused by a variety of factors, and your recent symptoms suggest a few possible explanations. Based on your description, it seems that you are experiencing discomfort primarily on the left side of your throat when consuming lemon-containing foods or spicy seasonings. This could indicate a sensitivity or an allergic reaction to certain components in these foods, or it may be related to an underlying condition that has developed over time.

One potential cause of your symptoms could be acid reflux. Citrus foods, such as lemons, are acidic and can exacerbate acid reflux, leading to irritation in the throat. This irritation can manifest as pain, especially when swallowing. If you have been consuming more acidic or spicy foods than usual, this could explain the onset of your symptoms over the past couple of months.

Another possibility is allergic reactions. It’s not uncommon for individuals to develop sensitivities or allergies to foods they have previously consumed without issue. The itching in your ears and the pain in your throat after consuming spicy foods could suggest an allergic response, which can cause localized swelling and discomfort. Allergies can also lead to conditions like allergic rhinitis, which can cause post-nasal drip, further irritating the throat.

You mentioned that the pain is localized and that it occurs specifically on the left side of your throat. This could also suggest a condition known as tonsillitis or pharyngitis, where the tonsils or the throat itself become inflamed, often due to viral or bacterial infections. While these conditions typically present with more generalized symptoms, localized pain can occur, especially if one side is more affected than the other.

Additionally, the area you are referring to near the thyroid gland could be involved in a condition called thyroiditis, which is inflammation of the thyroid gland. However, this is less likely if your symptoms are primarily triggered by food intake.

Given that these symptoms have developed recently and seem to be triggered by specific foods, it would be wise to consider a few steps:
1. Avoid Trigger Foods: For the time being, it may be beneficial to avoid lemon and spicy foods to see if your symptoms improve. Keeping a food diary can help identify specific triggers.

2. Consult a Healthcare Provider: Since your symptoms have persisted for a couple of months, it would be advisable to consult with a healthcare professional. They may recommend tests such as a throat culture, allergy testing, or imaging studies to rule out any underlying conditions.

3. Hydration and Soothing Remedies: Staying well-hydrated and using soothing remedies such as warm salt water gargles or throat lozenges may provide temporary relief from discomfort.

4. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as fever, difficulty swallowing, or changes in voice, as these could indicate a more serious condition that requires immediate attention.

In conclusion, while your symptoms could be due to a variety of causes, including acid reflux, allergies, or infections, it is essential to seek medical advice for a proper diagnosis and treatment plan. Your healthcare provider can help determine the underlying cause of your throat pain and swelling and recommend appropriate interventions to alleviate your discomfort.

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