Brief Answer:
Possible causes explained and treatments recommended.

Detailed Answer:
Hello,
Thank you for asking at healthcaremagic.

I carefully read your question and understand your concern.

The pain you prescribe, from the ear to the back of the tongue goes well with pain due to blockage of the eustachian tube which connects the throat with the ears and does the drainage of the ear spaces. Sometimes when we have a simple viral infection of the throat this tube gets blocked and might give that kind of pain. It is generally self limited and does not need specific treatment. To help with pain might be good to take some ibuprofen (advil) and also make sure you drink well and nasal saline solution lavage to help make secretions thin and not allow them to block the eustachian tube at the back of the nose.

If you have red throat with white patches on the tonsilla and you develop fever than bacterial tonsillitis might be considered as the cause and antibiotics are needed. Amoxiciline 1g twice a day for 7-10 days is the first choice if you don't have allergy to it.

Another cause of a similar pain might be due to dental issues. If you have pain when you press on your teeth or when you drink or eat than this might be the cause. Taking pain killers like ibuprofen and seeing your dentist is recommended in this case.

A more rare cause of the pain located there might be due to the temporomandibular joint (the joint we use a lot when we chew). In this case pain is worse when you chew and you might be able to make it worse when you press locally infront of the ear while you open and close your mouth. If this is the case, again ibuprofen is helpful and if not enough release you will need to see a physiotherapist to help you with advises and exercises related to this.

So to conclude i would say:
1. take some ibuprofen (600 mg every 6 hours after food to protect your stomach) to help release the pain. Most of the selflimiting causes will improve in a few days (viral infection with blockage of the eustachian tube)
2. If you have fever, red throat and white patches on the tonsilla than you might need antibiotics (Amoxicilline) and ibuprofen for pain.
3. If not enough release or improvement in a few days or any worsening other causes like dental pain and pain due to temporomandibular joint might be considered and in this case you will need a visit to determine the cause and get the appropriate help.

I hope this is helpful and answers to your questions but please feel free to reply in case more clarification is needed on this.

Kind regards,

Antoneta Zotaj, MD

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