HomeAnswersEndocrinologyhypothyroidismI have throbbing pain below my left ear with pressure around my neck. What to do?

Why do I have pressure around my neck with difficulty swallowing?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

Dr. K. Shobana

Published At November 8, 2021
Reviewed AtJune 14, 2023

Patient's Query

Hi doctor,

Hi, I am a 30-year-old female. Before six months, I felt throbbing pain below my left ear associated with numbness in my left arm and left foot, and sometimes, with a feeling of chest pain. I thought that it was an ear infection. But I confirmed that it was not my problem after I went to an ENT. The doctor gave me various prescriptions for my nerve because he thought that it was just a nerve issue. I tried to let him check my thyroid but he told me that my neck is just masculine in nature. After taking Polynerve for two weeks, the numbness went away. But I still experience episodes of headaches. Even after six months, all the pain and numbness on the left part of my body persists.

Unlike last time, where I was advised not to go to the laboratory without consulting first, I went to the laboratory this time and checked my creatinine, TSH, uric acid, SGPT, and CBC. All the results were fine based on the normal levels suggested on the results except for my TSH which recorded 46 mIU/mL. My FT3 and FT4 were within the normal range. Aside from the pain below my ear and numbness starting from the left side of my neck down to my left arm and my left foot, I also felt pressure around my neck like food is being lodged and I am not able to swallow completely which makes me vomit almost after every meal. My left shoulder feels injured as sometimes I cannot take off my shirt while bending and lifting my left arm. It scares me actually as we have a family history of thyroidism. I hope that my TSH levels can still be managed with diet, exercise, and medications without removing my thyroid. Please I really need your medical expertise on this one.

Thank you in advance and god bless.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome to icliniq.com.

I just read your query and from what you have attached in the report (attachment removed to protect patient identity). It appears that you have hypothyroidism in view of very high TSH (thyroid-stimulating hormone) levels. Also, your thyroid gland is enlarged due to the same reason which can also cause pressure symptoms that you are describing. Hope it will resolve once the thyroid gland is functioning well with the treatment which we shall start now. I suggest that you start with Levothyroxine 25 mcg tablet once daily early in the morning on empty stomach and avoid eating anything for the next 1 hour. Since this is the first time to take this medication for you, so I am initiating the treatment with a low dose and will expect you to repeat the thyroid function test after 6 weeks, and then we will decide about a further increase in the dose if necessary. I assume that you do not have any other medical conditions and you are not pregnant. If you have any of the above two, then please let me know as soon as possible.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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