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Why Does My Throat and Ear Hurt on the Right Side?

Published in Throat Ear Pain 4 mins read

Pain in your right throat and ear can stem from various causes, often indicating an issue localized to that side of your body. This discomfort frequently arises because the throat and ear share nerve pathways, meaning a problem in one area can refer pain to the other.

Several conditions, ranging from common infections to structural issues, can lead to this specific type of unilateral pain.

Common Causes of Right-Sided Throat and Ear Pain

The pain you're experiencing on your right side could be due to a variety of factors. Here are some of the most common culprits:

Infections

Infections are a frequent cause of unilateral throat and ear pain, as inflammation and irritation can spread or be more pronounced on one side.

  • Common Cold and Other Viral Infections: While often causing generalized symptoms, a cold or flu can lead to a sore throat that feels worse on one side, sometimes accompanied by ear pain due to Eustachian tube inflammation or referred pain.
  • Strep Throat (Streptococcal Pharyngitis): This bacterial infection primarily affects the throat, but the intense inflammation can cause significant pain that radiates to one or both ears.
  • Mononucleosis (Mono): Often called the "kissing disease," mono can cause severe sore throats, swollen tonsils, and swollen lymph nodes, which can lead to referred pain in the ear, potentially more pronounced on one side.
  • Sinus Infection (Sinusitis): An infection in the right sinus cavities can cause pressure and pain that extends to the right side of the throat and ear. This is especially true if the post-nasal drip irritates one side of the throat.
  • Tooth Infection or Abscess: A severe infection in a molar or wisdom tooth on the right side of your upper or lower jaw can cause significant pain that radiates up to the ear and down to the throat due to nerve connections.

Other Conditions

Beyond infections, several other conditions can contribute to right-sided throat and ear discomfort.

  • Allergies: Allergic reactions can lead to inflammation and post-nasal drip, which may irritate one side of the throat more than the other, causing discomfort and potentially referred ear pain.
  • Temporomandibular Joint (TMJ) Disorders: Issues with the temporomandibular joint, located just in front of your ear on the right side, can cause significant pain that radiates to the ear, jaw, face, and even the throat. This pain often worsens with chewing or talking. Learn more about TMJ disorders.
  • Acid Reflux (Gastroesophageal Reflux Disease - GERD): Stomach acid backing up into the esophagus and throat can irritate the tissues, leading to a sore throat. If reflux occurs frequently, especially while sleeping on one side, it might cause more irritation and pain on that side of the throat, potentially referring to the ear.
  • Swollen Lymph Nodes: Lymph nodes on the right side of the neck or jaw can swell due to infection, leading to tenderness and pain that can be felt in the throat and referred to the ear.
  • Tonsillitis: Inflammation or infection of the right tonsil can cause severe localized throat pain that radiates to the right ear.
  • Peritonsillar Abscess: A collection of pus behind one of the tonsils, typically very painful and causing difficulty swallowing and ear pain on the affected side.

When to Seek Medical Attention

While many causes of throat and ear pain resolve on their own, it's important to consult a healthcare professional if you experience:

  • Severe pain that doesn't improve
  • Difficulty swallowing or breathing
  • High fever or chills
  • Swelling in the neck or face
  • A lump in your neck
  • Persistent pain lasting more than a few days

A medical professional can accurately diagnose the underlying cause of your symptoms and recommend the appropriate treatment.