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Pain in throat, anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have tenderness near the glands in my throat. I do not thing it is actually the glands themselves, but just behind them. It has been constant pain for 3-4 weeks. First 2-3 weeks it was on the left side, now both sides. Pain is about 4/10 and is fairly constant, hurting more at night. There does not appear to be any swelling or enlargement either. Went to Dr and CBC was "normal". Any ideas? My Dr says "don't wrooy" and sent me home.
Doctor :   Hi
User :   Helo
User :   how are you today?
Doctor :  
May I know your age and gender?
User :   38 male
Doctor :   Do you have sore throat?
User :   no
Doctor :  
Do you have pain/difficulty in swallowing?
User :   no
Doctor :  
Do you have fever?
User :   no
Doctor :  
Do you have any other symptoms apart from the pain?
User :   not that i can tell...
Doctor :   Can you describe the pain?
User :   it's sort of a dull ache
Doctor :   Is it located at one particular region or the whole neck aches?
User :   it i press on my glands themselves, it doesn't really hurt. but if i press just behind them, i can feel it
User :   just that region
User :   i would describe the area like this....
Doctor :   Please.
User :   if you eat something really sour, that area you feel near your glands seems to be stimulated
User :   its that area
Doctor :  
Do you mean the pain is located inside the throat and not outside?
User :   no it is outside, but i'm trying to help describe the general area
User :   i know it is difficult to understand as it is hard to describe as well
Doctor :  
Ok
User :   lets say it is outside but not quite superficial
User :   a little deeper
Doctor :   Ok
Doctor :  
Do you have cough or breathing problem?
User :   no
Doctor :  
Are you on any medications for the pain relief?
User :   i take tylenol and ibuprofen here and there but it doesnt really do a lot
User :   plus the pain is not terrible
Doctor :  
Is the pain located above the Adam's apple or below it?
User :   just that it has been there too long
User :   no
User :   i dont think thyroid area
Doctor :  
OK
User :   below ears but near the glands at jaw
Doctor :  
Ok
Doctor :  
Do you have any ear problems?
Doctor :  
* I means symptoms such as ear pain/
User :   well they vibrate, but that has been for years
User :   maybe a little more than usual lately
Doctor :  
ear discharge or hearing difficulties?
User :   no
User :   dr looked at them and said "pink like a baby"
Doctor :  
Ok
User :   its strange isnt it??
Doctor :  
May I know few details about your occupation?
User :   I am a software consultant
User :   I work at my home office
Doctor :  
These questions are relevant in knowing about the condition.
User :   no problem
Doctor :  
Does it involve lot of stress?
User :   to be honest, at times yes it can be
User :   not always
Doctor :   OK.
Doctor :  
Are you married?
User :   yes
User :   happily
Doctor :  
Do you past history of diabetes/hypertension/asthma?
User :   no
Doctor :  
Ok.
Doctor :  
I shall explain it to you.
User :   ok
Doctor :   from the history you have given the cause for the pain could either be due to
Doctor :  
muscular pain or due to psychogenic factors.
Doctor :  
The area that is affection you contains muscles, nerves and few glands.
User :   ok
Doctor :   But since there is no other symptoms and the complete blood counts are normal, it is unlikely that there is a problem in the nerves or the glands.
Doctor :  
Hence the possible cause could be muscular.
User :   do you think anythng might be related to lymph nodes?
User :   and i was in Spain a week before this started
Doctor :  
With the contribution from the psychogenic factors.
User :   dont know if that even would matter
Doctor :  
Lymphnodes are too small to cause pain.
User :   ok
Doctor :  
especially when you say there are no swellings.
User :   yes
User :   so no infection seems present since not swollen, right?
Doctor :  
It is unlikely that you have an inflamed lymphnodes.
User :   ok
Doctor :  
More over since the blood counts are normal it is not due to inflammation.
Doctor :   I will suggest you few measures.
User :   please do
Doctor :  
1. You may use pain killers for pain relief.
User :   this has caused me more stress, as i tend to worry lol
Doctor :  
Yes, i can understand that.
Doctor :   By psychogenic factors, I meant this stress and worries.
User :   right
User :   i understand
Doctor :  
The pain killers that can help you are
Doctor :  
simple pain relief from tylenol tablets.
Doctor :  
If tylenol is not helping you, you may try using ibuprofen 400mg tablets.
Doctor :  
2. You can use hot water bags if the pain is severe and if you develop difficulty in moving your neck.
Doctor :  
3.You need to have good and adequate sleep.
Doctor :  
A good sleep is the best stress and anxiety buster.
User :   ok
User :   I am a light sleeper and wake up a lot... I used to sleep better, not so much any mroe
Doctor :  
If you are finding difficult to sleep, you may use tylenol cold instead of plain tylenol at night.
User :   I usually stay away from that type of meds
Doctor :  
Tylenol cold can make you feel drowsy and aid in sleeping.
Doctor :   This is not a sleeping pill, but it is always better to stay away from medications to aid in sleeping.
User :   yes
Doctor :   the use of this medications would be in extreme circumstances
User :   yes, I probably won't take it
Doctor :  
when you are finding difficult to sleep at all.
User :   ok
Doctor :   It is always better to avoid it though.
User :   agreed
Doctor :  
Apart from this follow with good healthy diet.
Doctor :  
Do not skip meals as hunger can increase the stress levels.
Doctor :  
Be regular with your diet.
Doctor :  
And lastly you may use multivitamin one tablet a day for supplementary purpose.
Doctor :  
The more you train on stress and anxiety management you will feel better.
User :   yes i think i am bad at anxiety management
Doctor :  
Alternative ways of anxiety managements are
User :   I am naturally anxious and a worrier
Doctor :   I can understand that.
Doctor :  
But you need to train your self to manage your anxiety well,
Doctor :  
The alternative measures are
Doctor :  
1. you can take a cool shower when you feel your worries are increasing
Doctor :  
2. Regular physical exercises
Doctor :  
3. Breathing exercises during the episodes of anxiety.
Doctor :  
4. meditation and yoga.
Doctor :   You may follow these as well.
User :   ok
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   I will try to manage my stress better. I know it is an issue
User :   should I be concerned if this lasts much longer? at what point would you suggest i go back to my Dr about this?
Doctor :  
If the problems increases or if you develop any new symptoms then you may consider consulting your doctor for alternative medications.
Doctor :  
These would be more for the management of anxiety and not that you have a serous condition.
User :   ok
Doctor :  
Have you followed?
User :   I understand
Doctor :  
Do you have any other query?
User :   no not at this time
Doctor :  
Please fill the feed back form too.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   thanks
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