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Can Strep Throat Cause Pain In The Middle Of Chest?

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Posted on Thu, 7 Jul 2016
Question: Can strep throat cause pain in the middle of your chest and travel in your back when trying to swallow ? I have been diagnosed years ago with a hyhatial hernia.
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Answered by Dr. Panagiotis Zografakis (40 minutes later)
Brief Answer:
no chest pain

Detailed Answer:
Hello,

streptococcal pharyngitis (or tonsillitis) is not supposed to cause chest pain and this kind of pain cannot be attributed to it. Esophagitis sounds likely in your case because hiatal hernias predispose to acid reflux and reflux predisposes to esophagitis. Another potential cause is the following. Antibiotic treatment may cause (as a side effect) yeast infection in the esophagus. In such cases there is - usually - oropharyngeal evidence of candida (milky appearance of the mucosa). Your doctor may detect these signs and advice you accordingly.

If the symptoms have started concurrently with the sore throat then reflection of the pain can be considered if the main site of pain is the throat and chest and back are less painful. This is not common though. Ear pain is far more common in cases of streptococcal pharyngitis.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Can Strep Throat Cause Pain In The Middle Of Chest?

Brief Answer: no chest pain Detailed Answer: Hello, streptococcal pharyngitis (or tonsillitis) is not supposed to cause chest pain and this kind of pain cannot be attributed to it. Esophagitis sounds likely in your case because hiatal hernias predispose to acid reflux and reflux predisposes to esophagitis. Another potential cause is the following. Antibiotic treatment may cause (as a side effect) yeast infection in the esophagus. In such cases there is - usually - oropharyngeal evidence of candida (milky appearance of the mucosa). Your doctor may detect these signs and advice you accordingly. If the symptoms have started concurrently with the sore throat then reflection of the pain can be considered if the main site of pain is the throat and chest and back are less painful. This is not common though. Ear pain is far more common in cases of streptococcal pharyngitis. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!