Many of us have experienced the discomfort of painful swallowing at some point. During our childhood, our mothers usually blamed it on something going down the “wrong pipe,” and we accepted that explanation. Now that we’re all grown up, we tend to want a more accurate explanation as to why this takes place. Does it happen once and then resolve, or does it linger? Let’s have a closer look at potential causes of painful swallowing and identify when it’s time to come in and see us for a consultation.
Causes of painful swallowing
Various areas, such as the mouth, throat, esophagus, or chest, can feel pain during swallowing. This condition, known as “odynophagia”, is typically temporary, but can in some cases be a symptom of various other medical conditions.
Painful swallowing can be the result of these common causes.
Tonsillitis
Tonsillitis refers to the inflammation of the tonsils, two little masses of tissue located at the back of the throat. Tonsillitis produces symptoms such as a sore throat, inflammation, and trouble swallowing and is typically the outcome of a bacterial or viral infection.
If the condition is the result of a bacterial infection, antibiotics will usually be prescribed and, of course, rest and hydration. The tonsils may need to be removed with a surgery known as a tonsillectomy if the condition is severe and persistent enough.
Strep Throat
Group A streptococcus is a bacteria that is usually responsible for strep throat. Inflamed lymph nodes, scratchy throat, and difficulty swallowing are all common symptoms. Strep throat is transmitted from person-to-person via respiratory droplets and is fairly contagious.
Fast medical attention, typically involving antibiotics, is crucial to effectively treat strep throat and prevent potential complications.
Esophagitis
When the muscular tube that links the throat to the stomach, called the esophagus, becomes inflamed, it’s called esophagitis. This condition usually causes a sore throat, difficulty swallowing, chest pain, and is a consequence of some medications or acid reflux.
Treatment for esophagitis requires dealing with the underlying cause. This can differ from lifestyle modifications to medications, or in extreme situations, surgical interventions.
Mono
Mononucleosis, or “mono,” is an infectious disease mainly brought about by the Epstein-Barr virus (EBV). Fever, inflamed lymph nodes, fatigue, and sore throat are common symptoms of “mono”. Mono is typically spread by saliva, that’s why it’s commonly called “the kissing disease”.
While most cases of mono usually clear up with rest and supportive care, but potential for a serious complication is possible though, and people are warned to avoid activities that could propagate the virus during the contagious phase of the infection.
If you’re having pain when you swallow, whatever the cause, consult your doctor.
When is it time to consult an ENT for painful swallowing?
Make an appointment with us as soon as possible if you have painful swallowing along with any of the following symptoms:
- Experiencing shortness of breath or lightheadedness
- Noticing lumps in the neck
- Symptoms persisting beyond one week
- Presence of blood in bowel movements or saliva
- Unexplained weight loss
- Hoarse voice
Call us right away if you’re struggling with painful swallowing, we will usually run tests and also may look for tumors in the throat.