[47M] Experiencing pain when swallowing with referred pain to the head

Patient Description

A 47-year-old male reports experiencing pain when swallowing that radiates to both sides of the head. The symptom onset was today, and the pain intensity is described as moderate, with a severity of 5 out of 10. The patient has not identified any specific foods that exacerbate the pain, and it is unclear if the pain is worse at any particular time of day. No additional symptoms were reported. Further evaluation is necessary to determine the cause of the oropharyngeal pain and its referral to the head.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible conditions include:

  • Pharyngitis: This is inflammation of the throat (pharynx) and can cause pain or discomfort when swallowing. It's often caused by viral or bacterial infections.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. It may cause pain when swallowing, and this pain may radiate to other areas.

    • Treatment typically involves lifestyle changes and over-the-counter medications. Prescription medications or surgery might be needed in severe cases.
  • Esophagitis: This is inflammation that may damage tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach. Esophagitis can cause painful, difficult swallowing and chest pain.

    • Treatment typically involves medications to decrease stomach acid and lifestyle changes.

Please note that these are possible conditions and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Over-the-counter pain relievers may help with the pain.
  2. Stay hydrated and try to eat soft foods that are easy to swallow.
  3. Avoid spicy or acidic foods as they may worsen the pain.
  4. If you smoke, consider quitting as it can worsen your symptoms.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Pain in the chest
  • High fever
  • Blood in your saliva or phlegm
  • Difficulty swallowing to the point of not being able to eat or drink
  • Symptoms that persist for more than a few days or worsen over time

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are common causes of pain when swallowing?

Common causes of pain when swallowing include infections like pharyngitis, gastroesophageal reflux disease (GERD), and esophagitis. Other causes can include throat injuries or allergies.


How can I differentiate between pharyngitis and GERD?

Pharyngitis typically presents with a sore throat and may be accompanied by cold-like symptoms, while GERD often involves heartburn and regurgitation. A healthcare provider can perform tests to differentiate between the two.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes for managing GERD include avoiding trigger foods (such as spicy or acidic foods), eating smaller meals, not lying down immediately after eating, losing weight if overweight, and quitting smoking.


When should I seek medical attention for swallowing pain?

You should seek medical attention if you experience difficulty breathing, chest pain, high fever, blood in saliva or phlegm, or if the pain persists or worsens over time.


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