evening right earache for 5 days

[carmencita305]

I am 55F years  old,do not smok or drink.One year ago I finished 16 months of Interferon for hep.virus c,and I cured it.The Interferon caused  then some earaches,most in  right ear with a little loss of hearing,and noysy contractions of the muscle in the ear, but after the Interferon the ear was +/- O.K.
5 days ago in the eavening I felt a little pain in the upper side of right farinx,and after a few minuts it past and started a right earache till in the next morning.All the day was O.K.,but in the evening the pain was back,and like that in the next 5 days(evenings).The ENT doctor did not see anything,except a little red larynx,and recomanded me to take  Omeprazol for GERD.I   am going every afternoon at sport class wher is a lot a music. Yesterday all the day was O.K.,but in the evening I was at a concert and after 15 min,the pain started :ear plus right upper farynx(I do not if I feel like the pain is in the throat  or in the ear or both).
Why the pain is  more in the evening:because the sport?,because the music?,or after meal?,or I have something more serious ?Please help me!Thank you

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Was the white discharge thrush? Thrush is an overgrowth of a fungus that is normally found in the mouth, called Candida albicans.  This generally looks like cheese curds, which when wiped off, leave a raw, bleeding surface. Thrush could certainly cause pain with swallowing.  This is treated with Nystatin Oral Suspension or Mycelex. This can cause a throat infection. There are tubes called ‘Eustachian tubes’ which connect the middle ear to the throat, this balances the air pressure in the ears. This tube can get blocked due to infections of the throat, which can give lead to a feeling of fullness in the ears. This can cause pain with swallowing.

Others causes for the pain could be neuromuscular disorders or pharyngeal muscle spasms. So, if your symptoms do not resolve, discuss this with your consulting doctor.

Hope this helped and do keep us posted.

[carmencita305]

Thank you very much for answering me.Today I did a posterior flexible Rhinoscopy,and the doctor said he has looked at everything and I have just  some white secretion in throat. He recomanded to me a nasal spray with cortison.The pain is intermitent in the right superior farinx ,sometime during or after meals,but not just  and now I  feel that the pain just reflects towards the right earache and it is not from the ear. Another  ENT doctor said me(by phone) that  could be maybe some faringian muscle.I had in past some episodes of pain like this in this region, but just for 1-3 days, and just when I was swallowing or speaking,without reflection towards the ear.What do you think?Thank you again!

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Usually sinus issues vary with postures and worsen towards the evening, with sinusitis you should have facial pain. If the ENT exam did not reveal any ear inflammation, your symptoms could be due to temporomandibular (TMJ) joint arthritis. This is the jaw joint and inflammation of this joint can cause pain on opening the mouth and tenderness on palpating behind the ear. If you have had a recent throat infection, it could also be a lymph node enlargement. So, if the pain does not resolve, please consult a dentist for assessment. He may even ask for blood test and an X ray. In the meantime you can use OTC Acetaminophen for relief from pain.

Hope this helped and do keep us posted.