Conversation: The conversation between human and AI assistant.
[|Human|] I have been having severe ear pain which radiates down my neck. I also have shoulder pain under my right collar bone. Tonight I have ulcers on both sides of my tongue. I recently was diagnosed with benign thyroid masses. I am an embalmer and around formaldehyde daily. Should I be concerned about nasopharyngeal cancer with these symptoms?
[|AI|]  Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe ear, neck and shoulder pain. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, TMJ problem, nerve compression, ear infection or heart problem like angina. I would suggest you to consult orthopedic surgeon for proper examination and treatment. Doctor may order CT scan, MRI along with nerve conduction test and physical examination to confirm the diagnosis. Doctor may prescribe muscle relaxant, anti-inflammatory, nerve supplement along with physical therapy. For now stay calm, take ibuprofen, apply warm compresses to shoulder and arm, do light stretching exercises under expert or acetaminophen for pain and take proper rest. Doctor may also refer you to cardiologist for cardiac problem or to ENT specialist for ear problem. Hope your concern has been resolved. Get Well Soon. Best Wishes,