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Suggest Treatment For Ear And Throat Pain

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Posted on Thu, 19 Nov 2015
Question: Pain on left side affecting ear and back of throat (tounsil?). Only affects left side. No problem eating or swallowing. Originally told I had MTD (Muscle Tension Disphnia). Went to ENT. He said it was paralysis of left vocal cord. Went to Voice Therapy. Vocal cord repaired itself. Still painful. Six months later told I had small ulcer on left vocal cord. Steroid spray. Six months laer botox. In September I was told the ulcer had healed itself. Still have pain but now it is focused in ear and I think my left tounsil. The ENT put his finger on it when he examined me and said everything felt normal. I have been living with this for 2.5 Years now. Should I have my tounsils removed? Sometimes the pain goes away if I take enough Advil. Hoping you can shed some light on this painful situation.
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Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
You need to have CT scan or MRI head and neck with enhancement of PNS

Detailed Answer:
Hi! Welcome to health care magic!

Based on the history you have shared, it seems as if you have been alot, and it is sad to know at you had to go through but it is commendable the way you have kept up with very good pace and compliance to your treatment.

As for the current issue, it can be peritonsillar abscess or infection extending into soft tissue in pharngeal recess or any signs due to nerve compressions or other compressions symptoms in sorrounding area. if it had been simple tonsillitis it would have been picked up by the ENT specialist on examination.

The best initial step should be to get blood screened for complete blood count for white blood cells count and ESR and CRP to look for any indications of sever infections. If it seems to be the case the next options would be to go for CT or MRI of head and neck with enhancement of middle ear and Paranasal sinuses. If would further clarify the situation.

Meanwhile you can continue using analgesics like acetaminophen or ibuprofen alongwith anti histamines like cetrizine or loratidine. As for this moment unless infection is proven need for surgery of tonsils or antibiotics isn't indicated.

Hope this has answered your query. Keep me apprised of the situation. If you dont have any more questions, please close the discussion. You can also reach me directly through my profile in future, in case of any more queries. Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Suggest Treatment For Ear And Throat Pain

Brief Answer: You need to have CT scan or MRI head and neck with enhancement of PNS Detailed Answer: Hi! Welcome to health care magic! Based on the history you have shared, it seems as if you have been alot, and it is sad to know at you had to go through but it is commendable the way you have kept up with very good pace and compliance to your treatment. As for the current issue, it can be peritonsillar abscess or infection extending into soft tissue in pharngeal recess or any signs due to nerve compressions or other compressions symptoms in sorrounding area. if it had been simple tonsillitis it would have been picked up by the ENT specialist on examination. The best initial step should be to get blood screened for complete blood count for white blood cells count and ESR and CRP to look for any indications of sever infections. If it seems to be the case the next options would be to go for CT or MRI of head and neck with enhancement of middle ear and Paranasal sinuses. If would further clarify the situation. Meanwhile you can continue using analgesics like acetaminophen or ibuprofen alongwith anti histamines like cetrizine or loratidine. As for this moment unless infection is proven need for surgery of tonsils or antibiotics isn't indicated. Hope this has answered your query. Keep me apprised of the situation. If you dont have any more questions, please close the discussion. You can also reach me directly through my profile in future, in case of any more queries. Regards.