[18F] Experiencing throat tightness after eating specific foods

Patient Description

An 18-year-old female reported throat tightness after consuming pretzels and a cookies and creme Hershey bar. The symptoms occurred a couple of days ago and lasted for approximately 30 minutes after eating the chocolate. She described difficulty swallowing her drinks or food during the episode. Additionally, she experienced lightheadedness and a rapid heartbeat, but no hives, rash, or facial swelling were observed. The patient has had similar reactions to foods in the past but has no known allergies. She also experiences panic attacks, which can mimic breathing difficulties. The patient is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Food Allergy: This occurs when your immune system reacts to a particular food. This can cause a variety of symptoms, including throat tightness, difficulty swallowing, and a rapid heartbeat. Common food allergens include peanuts, tree nuts, milk, eggs, wheat, soy, fish, and shellfish. However, any food can potentially cause an allergy.

    • Diagnosis typically involves allergy testing, which may include skin tests or blood tests.
    • Treatment involves avoiding the allergenic food. In case of accidental ingestion, medications like antihistamines or epinephrine may be used.
  • Panic Attack: You mentioned that you have a history of panic attacks. These can cause a variety of physical symptoms, including a feeling of choking or difficulty swallowing, a rapid heartbeat, and lightheadedness.

    • Treatment typically involves cognitive behavioral therapy (CBT) and, in some cases, medications.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. You should consult with a healthcare provider for a formal evaluation.

What you can do

  1. Avoid eating pretzels and cookies and cream Hershey bars for now, as they may be causing your symptoms.
  2. Make an appointment with a healthcare provider. They can evaluate your symptoms and may refer you to an allergist for further testing if they suspect a food allergy.
  3. If you have an episode of throat tightness and difficulty swallowing again, seek immediate medical attention. This could be a sign of a severe allergic reaction, which can be life-threatening.
  4. If your symptoms are related to panic attacks, consider seeking help from a mental health professional. They can provide treatments such as cognitive behavioral therapy, which can help you manage your symptoms.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or wheezing
  • Swelling of your lips, tongue, or throat
  • A rash or hives
  • Fainting or loss of consciousness

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of a food allergy?

Common symptoms of a food allergy include hives, itching, swelling of the lips, face, tongue, or throat, difficulty breathing, abdominal pain, diarrhea, nausea, vomiting, dizziness, and a rapid heartbeat.


How can panic attacks mimic symptoms of an allergic reaction?

Panic attacks can mimic allergic reactions by causing symptoms such as a rapid heartbeat, difficulty breathing, throat tightness, and lightheadedness. These symptoms occur due to the body's fight-or-flight response during a panic attack.


What steps should I take if I suspect I have a food allergy?

If you suspect you have a food allergy, you should avoid the suspected food and consult with a healthcare provider. They may refer you to an allergist for testing, which could include skin tests or blood tests to confirm the allergy.


When should I seek immediate medical attention for allergic reactions?

You should seek immediate medical attention if you experience difficulty breathing, wheezing, swelling of the lips, tongue, or throat, a rash or hives, or if you faint or lose consciousness, as these could be signs of a severe allergic reaction.


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