Painful swallowing three days after thyroid puncture, it is recommended to consult a doctor as soon as possible to find out the cause, you can take oral medication with the effect of swelling and pain relief under the guidance of the doctor. After thyroid puncture, there may be pain when swallowing food, you can take oral medication with the effect of swelling and pain relief, such as ibuprofen extended-release capsules for pain relief, can relieve the pain. After completion of thyroid puncture, 30 minutes of observation is required, ultrasonography to confirm whether there is local bleeding; avoid eating diets and medications that increase the risk of bleeding; prohibit strenuous activities in the neck; and seek medical attention when there is neck swelling, increased pain, and difficulty in breathing. It is recommended that patients go to regular medical institutions, can improve the thyroid ultrasound and other tests, and then under the guidance of the doctor for appropriate treatment.