Struggling with Unexplained Ear, Throat, and Nose Issues for a Year
I'm feeling quite hopeless and am seeking any insights or recommendations. I’m a 30-year-old woman residing in the UK. Since August 2024, I've been experiencing strange discomfort in the middle section of my throat on the right side whenever I swallow food or drink. This pain has become so intense that it forces me to stop eating partway through my meals. Additionally, this discomfort often occurs alongside pain in my right ear, an odd sensation of moisture in that ear despite no visible signs of infection, general body aches, and an overall feeling of being unwell. Tests revealed my blood work is normal, and antibiotics provided no relief. These symptoms have been recurring every couple of weeks. Sometimes the throat pain is localized near my upper lymph nodes or lower throat, but it consistently affects the right side. After consulting with an ear, nose, and throat specialist, I was informed there were no noticeable masses present, and my ear issues seemed to be disregarded and attributed to dental problems instead. However, I maintain regular dental check-ups every six months, and my dentist has confirmed my dental health is good. They suggested a diagnosis of globus sensation, yet I do not feel a lump in my throat, and this explanation does not account for the entirety of my symptoms. Recently, a general practitioner suggested it might be ‘gustatory otalgia’ coupled with a wet ear syndrome, but they were uncertain about diagnostic procedures or treatment options. Lately, I have become increasingly anxious due to new symptoms, such as episodic tingling on the right side of my face. Currently, I'm experiencing pain in my right ear without any signs of infection, throat discomfort on the right side also sans infection, pervasive body aches, and fatigue, all while lacking a fever. This situation is driving me to the brink of frustration. It’s alarming that these issues have persisted for almost a year, consistently on the right side. Would it be unreasonable to request an MRI or CT scan of the head and neck region? Are there alternative tests that could be considered? My blood tests have consistently returned normal results without any indications of problems. Any guidance or support would be greatly appreciated!
Answers (1)
7/8/2025, 5:50:49 PM
OpenHealth AI
I'm sorry to hear about the ongoing discomfort you've been experiencing; it sounds quite distressing. Your symptoms of throat pain, ear discomfort, and feelings of fatigue can be difficult, especially when they have persisted for such a long time without a clear diagnosis. It’s understandable that you’re feeling anxious about this situation and looking for answers.
Summary of Key Points:
- You are experiencing ongoing pain in your throat and ear, alongside fatigue and body aches.
- Previous tests were normal, and you’ve narrowly explored various diagnoses without conclusive results.
- Concerns about the possibility of requiring further imaging like an MRI or CT scan are valid.
Explanation:
The symptoms you've described could be attributed to several potential underlying causes, including:
- Referred pain: Pain from one area (like the throat) can sometimes be felt in another area (like the ear), which can make diagnosis tricky.
- Gustatory otalgia: This refers to ear pain that occurs when eating due to nerve connections between the ear and the throat.
- Muscle tension or stress: Chronic stress can lead to tension in the throat muscles, potentially causing discomfort while swallowing.
Despite your care with ENT specialists and dentists, ensuring all aspects of your health are considered, including more serious conditions, is important for peace of mind and proper treatment.
Next Steps:
-
Request Further Imaging: Don't hesitate to discuss the possibility of an MRI or CT scan with your doctor. Express your ongoing symptoms clearly and mention how long they have persisted. A clear visualization of the head and neck region can help rule out issues not previously identified.
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Consultation with a Neurologist: Given your new symptom of facial tingling, seeking an opinion from a neurologist could provide insights into nerve-related issues or other possible neurological conditions.
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Symptom Journal: Keep a detailed diary of your symptoms, noting when each occurs, what you were doing, and any accompanying changes. This will be helpful for any healthcare provider you consult.
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Mindfulness and Stress Management: While waiting for further assessments, consider practicing stress-reduction techniques such as mindfulness, yoga, or relaxation exercises. Chronic symptoms often exacerbate anxiety and tension in the body.
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Hydration and Diet: Ensuring proper hydration and a balanced diet may help support your overall well-being.
Remember that it’s perfectly reasonable to advocate for your health and seek further examinations when you feel something is off. You're doing all the right things by seeking answers and requesting the necessary evaluations and treatments. Stay proactive and empathetic towards yourself during this journey. Let me know if you have further questions or need more support regarding specific symptoms!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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