<s>[INST] i am a smoker and have had chronic nect pain especially at the base of my neck for several month.s  Lately, I have notice a tight feeling in my neck/throat area and my glands seem a little swollen.  At times, when I just turn my head I get a sharp pain in my neck. [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Neck pain and swollen glands in neck in chronic smoker can be due to either infection or cancer. So possibility of throat infection or cancer in neck (vocal cords, pharynx, larynx etc) is more.So better to quit smoking as soon as possible. Consult ENT doctor and get done 1. Clinical examination of neck 2. CT scan of neck 3. Endoscopic examination of pharynx and larynx. You may need biopsy if there is any mass lesion. You may need antibiotic, anti histamine and anti inflammatory drugs if it is infection. Don't worry, you will be alright but first quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>