Throat Pain: Is It a Throat Ball or Something Else? - Otolaryngology

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Sore throat, could it be pharyngitis?


Hello doctor, I would like to ask about the pain I’ve been experiencing on the right side of my throat for the past couple of days.
It feels like something is stuck in there, but I have difficulty swallowing water, and when I swallow saliva, it feels like there is phlegm.
Since my job requires me to talk a lot, I’m worried it might be vocal cord nodules or laryngitis.
If I need to visit a clinic for an examination, how should I explain my symptoms clearly? I’m concerned that some doctors might be dismissive and just give it a quick look.
Are there any larger hospitals you would recommend? I rarely get sick and don’t have a regular healthcare provider.
Thank you for taking the time to answer my questions.

Niming, 30~39 year old female. Ask Date: 2015/08/20

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is recommended to visit an otolaryngology clinic or hospital for an examination.
If necessary, the physician may use a nasopharyngoscope to confirm the diagnosis.
It is advisable to first check with an otolaryngologist's clinic near your home.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/20

More Info


When it comes to throat pain, especially when you feel like there is something stuck in your throat, it can be quite concerning. Your symptoms of pain on the right side of your throat, difficulty swallowing, and the sensation of phlegm can be indicative of several conditions. It’s important to understand the potential causes and when to seek medical attention.

Firstly, the sensation of something being stuck in your throat could be due to a few common issues. One possibility is pharyngitis, which is inflammation of the throat often caused by viral infections, but can also be bacterial. This condition can lead to pain, difficulty swallowing, and a feeling of tightness or obstruction in the throat. Another possibility is tonsillitis, especially if the tonsils are swollen or infected, which can also cause similar symptoms.

You mentioned that you use your voice a lot for work. This could lead to vocal cord strain or laryngitis, where the vocal cords become inflamed, causing pain and discomfort. Overuse of the voice can lead to nodules or polyps on the vocal cords, which can also create a sensation of something being stuck.

In more rare cases, you might be concerned about esophageal issues such as esophageal spasms or even gastroesophageal reflux disease (GERD), which can cause pain and a sensation of something stuck due to acid irritation.

Regarding your concern about throat nodules or laryngeal ball, these are typically benign growths that can develop due to chronic irritation, often from overuse of the voice. However, if you are experiencing persistent pain, it’s essential to have it evaluated by a medical professional.

When you visit a clinic or hospital, it’s crucial to communicate your symptoms clearly. Here’s how you can explain your situation:
1. Describe Your Symptoms: Start by stating that you have been experiencing pain on the right side of your throat for the past couple of days. Mention the sensation of something being stuck and the difficulty swallowing, particularly when trying to swallow saliva.

2. Mention Your Work: Explain that your job requires you to speak frequently, which may contribute to the issue. This context can help the doctor understand the potential for vocal strain.

3. Ask Specific Questions: You can ask if they can check for signs of pharyngitis, tonsillitis, or any vocal cord issues. It’s also reasonable to inquire about the possibility of nodules or other growths.

4. Request Further Evaluation: If the doctor does not seem thorough, don’t hesitate to ask for a referral to an ENT (Ear, Nose, and Throat) specialist, who can perform a more detailed examination, including a laryngoscopy if necessary.

As for which hospitals to visit, look for facilities that have a good reputation for ENT specialists. Larger hospitals or medical centers often have specialized departments and experienced professionals who can provide a comprehensive evaluation.

In summary, while your symptoms could be due to several benign conditions, it’s essential to get a proper diagnosis to rule out any serious issues. Don’t hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your health is important, and being proactive about it is the best approach.

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