<s>[INST] Im having an issue and hope you can help.For about two weeks Ive been experiencing a sporatic sensation on the upper left side of my adams apple and inner left ear when I swallow.Im having sinus issues and tonsils are a bit red.It not tender anywhere in the area and there isnt any obvious swelling.I used smokless tobacco very lightly for about 15 years but was very consciencious about never swallowing and alwasy brushing twice daily and flossing.I was diagnosed with GERD a few months ago and was wondering if this could be another symptom .I had a scope procedure in April and the Dr. said everything looked good and my CBC came back clear.does this sound like something more serious like cancer? [/INST] Hi, HERD has got similar symptoms. Simply based on this symptom no definite diagnosis can be made. Earache can be explained as the nerve supply to the throat region and tongue are similar like that of inner ear and there are communications. Anyway an indirect laryngoscopy should be done by an experienced ENT specialist. If he/she can find any abnormality then direct laryngoscopy/ fiber optic laryngoscopy may be done. Take care. </s>