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30 yr-old female with severe right ear, neck & throat pain. When I swallow, my ear hurts. Just swallowing alone hurts severely. Headaches are bad. Fatigue is bad. Loss of appetite and obviously weight. Gone through two rounds of antibiotics, to no avail. I also have a cough, and my voice comes and goes - becomes hoarse. Been dealing with this for a month now, and the pain just keeps getting worse. Been inspecting/feeling my throat for a few weeks now, and noticed a lump in my neck today. The lump is located in the right portion of the middle part of my neck. My neck is also very tender to touch.

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replied May 14th, 2010
Ear, Nose and Throat Disorders Answer A12098
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the severe right ear pain, pain in neck and throat, cough, hoarseness of voice, headaches, loss of weight and appetite and painful lump in the right neck.
You seem to be suffering from throat infection with possibility of acute tonsillopharyngitis and the same has caused lymph node enlargement in the neck as well as the ear pain.URI may also be causing the acute laryngitis leading to hoarseness of voice. As you have not responded to augmentin and azithromycin, it may be viral possibly infectious mononucleosis etc. but fever is essential part of the triad for mono. Other possibility to consider is the TMJ syndrome as fever is absent and there is pain on swallowing, headache and fatigue. Another rare possibility is of cancer larynx and you must see otolarnyngologist for examination of larynx to rule out the same if hoarseness becomes progressive over 2-3 weeks.
You must consult your family physician who only can establish the diagnosis after detailed examination and relevant investigations.
Hope this helps. Take care.
Note: This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

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