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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On And Off Pain When Swallowing On Left Side Of Throat. No Help From Antibiotics. All Tests Clear. On Antibiotics, Oneprazole, Codiene. Ideas?

Hi there
I have had a pain when swallowing on the left side of my throat just below my adams apple for over 5 months now. Every now and then it flares up around the inside of my mouth and cause me terrible pain when swallowing, I have been on different anti biotiocs over 4 times because of this. I have also been to see an ent who put a camera down through my nose, a ultrasound xray on my throat and glands, a blood test and a chest xray. they all came back normal. I am cuurently on my 5th lot of anti biotics aswell as omeprazole for my stomach and codiene for the pain. Any ideas please help!
yours kevin
Wed, 4 Sep 2013
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General & Family Physician 's  Response
Hello Kevin,

Thanks for posting,

You are having the symptom known as odynophagia. Odynophagia is painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficulty swallowing. It can be caused by many conditions, including very hot or cold food or drink, drugs, ulcers and mucosal destruction, upper respiratory tract infections, immune disorders, epiglottitis, cancers, and motor disorders. Now, given that your ENT doctor had already done all the necessary tests needed to rule out most of the above mentioned possible causes, it will be wise to have a doctor look at psychogenic pain, immune disorder and/or motor disorders which could possible be responsible. Taking medications such as tricyclic antidepressants (prescription drug) could also help with the pain.
I do not think you are suffering from recurrent throat infection and so to me and so the antibiotics is of no use.

Hope this helps
I find this answer helpful
Allergist and Immunologist Dr. Suman Kumar's  Response
can be post nasal drip of sinuses or gerd n which acid comes back in throat leading to drness of oesophageal mucosa nad causing the problem
grd can also be related to sinus
get xray pns waters view and treat sinus accordingly
mean time your med are ok
add antacid gel
and anti allergic tabs
no antibiotics
I find this answer helpful

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On And Off Pain When Swallowing On Left Side Of Throat. No Help From Antibiotics. All Tests Clear. On Antibiotics, Oneprazole, Codiene. Ideas?

Hello Kevin, Thanks for posting, You are having the symptom known as odynophagia. Odynophagia is painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficulty swallowing. It can be caused by many conditions, including very hot or cold food or drink, drugs, ulcers and mucosal destruction, upper respiratory tract infections, immune disorders, epiglottitis, cancers, and motor disorders. Now, given that your ENT doctor had already done all the necessary tests needed to rule out most of the above mentioned possible causes, it will be wise to have a doctor look at psychogenic pain, immune disorder and/or motor disorders which could possible be responsible. Taking medications such as tricyclic antidepressants (prescription drug) could also help with the pain. I do not think you are suffering from recurrent throat infection and so to me and so the antibiotics is of no use. Hope this helps