Hello, Welcome to Healthcaremagic. There are many causes for difficulty in swallowing and chest pain. Tonsillar enlargement is not only a cause. Some important causes. Any mass like tumour in pharynx, oesophagus Stricture in pharynx or oesophagus. Degenerative diseases of brain and motor nerves like Parkinson s, Multiple Sclerosis. Achlasia cardia, Motility disorders. So you need further work up to identify the cause for the symptoms experienced by you. 1. Physical examination can easily identify any tumour, neurologic disease etc. 2. Endoscopy. 3. Esophageal manometry 4. Barium swallow. 5. Chest X-Ray. 6. CT- neck and Thorax if needed. Please consult a physician with these reports. Hope this helps. If any doubt, Kindly reply. Take care.