[44F] Experiencing chronic sore throat with associated neck, chest, and upper back pain

What might be happening

Based on your symptoms, the following conditions could be considered:

• Chronic Pharyngitis: This condition is characterized by a persistent sore throat and can be accompanied by neck pain, especially if the lymph nodes in the area are swollen. It can also cause difficulty swallowing and a hoarse voice.

  • Treatment usually involves rest, hydration, and over-the-counter pain relievers. If the cause is bacterial, antibiotics may be prescribed.

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing a sore throat, chest pain, and difficulty swallowing.

  • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.

• Thyroiditis: Inflammation of the thyroid gland, located in your neck, can cause pain and discomfort in the area, difficulty swallowing, and a hoarse voice. It can also cause weight fluctuations and heart palpitations.

  • Treatment depends on the type and cause of thyroiditis. It might involve monitoring the condition, taking over-the-counter pain relievers, taking hormone replacement medication, or reducing the dose of thyroid hormone replacement medication.

• Heart Conditions: Although less likely, some heart conditions can cause chest pain and heart palpitations. However, these conditions usually come with other symptoms like shortness of breath, sweating, nausea, and lightheadedness.

  • Treatment depends on the specific heart condition and its severity. It might involve lifestyle changes, medications, or surgery.

Remember, this is not an exhaustive list and these conditions might not apply to your case. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

1. Try to rest and stay hydrated.
2. Over-the-counter pain relievers might help with your pain.
3. Avoid foods and drinks that can trigger reflux, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
4. Try to eat smaller meals.
5. Don't lie down after a meal.
6. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.
7. If you smoke, quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back
• Severe difficulty swallowing or breathing
• A sudden, severe headache
• Sudden numbness or weakness on one side of your body
• Fainting or loss of consciousness
• A sudden, severe increase in your heart rate or palpitations

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.