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Ear, Nose, and Throat Disorders

Throat pain while yawning

06/30/2009

Question:

I am a 20 year old female. About 2 months back I shouted and yelled excessively (I was also crying at the same time). Then suddenly the left side of my throat hurt, like a jabbing pricking pain. Then there was a lot of pain while swallowing and especially a very killing pain while yawning. Tears and crying only made it worse and more painful. Gradually I started experiencing a throbbing pain in my left ear also. My voice seems ok but the pain is killing. When I consulted an ENT he said that due to yelling the muscles above my tonsils were swollen and gave me antibiotics. Now after 1 week of the antibiotics course my pain has reduced only a bit(maybe 40%). It doesn’t seem to go completely. What could this be?Infection to tonsils or infection/damage to my voice box (or vocal chords) due to yelling? Could you please explain? Thanx God Bless

Answer:

There are many possibilities, including:

1. Infection or fluid in the ear which may be due to inflammation or a mass blocking the eustachian tube (tube which goes from the ear to the back of nose). This possibility is easily ruled in or out by looking at your ear; also an exam of the back of your nose should be done; this can be done by a mirror but is usually done by a fiberoptic scope which your ENT can place.

2. Infection/Inflammation or some lesion in the back of the throat. Lesions in this area can cause ear pain. Tonsil infections certainly can explain this. 40% decrease in pain seems significant, but if it does not completely resolve, more work-up may be included. This could include a fiberoptic exam of your throat and larynx, and possibly a CT scan, but this depends on your exam.

3. Vocal cord damage. If your voice is okay, this seems unlikely. A hemorrhage in the vocal cord can cause sudden pain, but the voice is usually very affected.

Please let me know if you have more questions.

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Response by:

University of Cincinnati Siddarth M Khosla, MD
Assistant Professor
Department of Otolaryngology
College of Medicine
University of Cincinnati
Siddarth M Khosla, MD