Welcome back to icliniq.com.
The picture you uploaded (attachment removed to protect patient identity), is quite normal. The pain near Adam's apple can be due to multiple reasons. It could be due to laryngitis, which is inflammation of the lower throat, due to an infection, chronic reflux, injury while swallowing (say fish bone causing abrasion of the mucosa or any other sharp object), etc. We can rule that out by doing a laryngoscopy. We can rule out any growth, mass or cancer in the region as well. Usually, cancer is accompanied by foreign body feeling, feeling of lump in the throat, visible or palpable swelling, loss of appetite, loss of weight, etc. Considering your age and you being a non-smoker, it is unlikely to be cancer. Your symptoms also do not match. Cancer in larynx region causes a change in voice as well. Next, for the problem you have described, I suggest you try doing the following. 1) Take a good antacid tablet before meals twice daily. Pantoprazole 40 mg or Rabeprazole 20 mg will be good enough. 2) I recommend you use Digene or Mucaine gel (combination of Oxetacaine, Aluminium hydroxide, and Magnesium) two teaspoons after each meal. 3) Temporarily, avoid all cold and spicy foods. 4) Drink plenty of liquids. If tonsils have caused you enlarged lymph nodes and if you have been having tonsil issues for long, discuss with your doctor regarding their removal. Tonsillectomy seems to be indicated in you. Though it is done under general anesthesia, it is a safe procedure. In my set up, I do it using coblation technology, which ensures almost zero bleeding and early recovery. Please note if there is any external visible or palpable swelling in the region, or if there is any fever, loss of weight, appetite, malaise, difficulty in swallowing, globes sensation, difficulty in breathing, cough, breathlessness, etc. Do revert back with the details.