Mild throat pain sits on left of adam's apple.ear pain on same side.been 5 days.smoker for 4yrs.pack a day.nodes in the back of neck painful touched?

Onset of infection: Sounds like a throat infection is setting up. The painful nodes are a good sign that your immune system is responding to try and fight the infection, whether it is viral of bacterial. Since it doesn't sound like you are getting much better after 5 days, you need to be checked for strep throat and take antibiotics if you are positive. The other outside possibility at your age is Mono. Get seen!