[23F] Experiencing throat tightness and tender neck discomfort

Patient Description

A 23-year-old female has been experiencing a sensation of something stuck in her throat for the past three days, which sometimes relieves itself. The sensation is not associated with any specific time of day or type of food but usually happens after eating. Additionally, she has been feeling neck pain that is sore on one side, rating the pain as a 3 out of 10 in severity. The discomfort does not hurt all the time but feels like swollen lymph nodes, which are tender to touch and seem to shift from one side of the neck to the other. She has not experienced any fever, chills, difficulty swallowing, changes in voice, night sweats, unintentional weight loss, or recent injuries. The patient does not have any known allergies, is not taking any medications, and does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Globus Sensation: This is a persistent feeling of a lump or something stuck in the throat, often described as a 'tightness'. It's not usually painful, but it can be quite uncomfortable. It's often not related to eating and can come and go. Anxiety can contribute to this sensation.

    • Treatment typically involves addressing any underlying causes, such as GERD or anxiety, and sometimes speech or physical therapy.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This can sometimes cause a feeling of something being stuck in your throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.
  • Lymphadenitis: This is an infection of the lymph nodes (glands that help your body fight off illness). This can cause tenderness and discomfort in the neck.

    • Treatment typically involves antibiotics, and in some cases, pain relievers.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including a feeling of tightness or a lump in the throat and tender lymph nodes.

    • Treatment typically involves psychological therapy, medication, and lifestyle changes.

What you can do

You should consult a healthcare professional about your symptoms. They may need to perform some tests to confirm a diagnosis. In the meantime, you can try the following:

  1. If you're feeling anxious, try some relaxation techniques such as deep breathing or meditation.
  2. Avoid foods and drinks that can trigger reflux, such as fatty foods, alcohol, chocolate, mint, garlic, onion, and caffeine.
  3. Try to eat smaller meals more frequently, rather than three large meals a day.
  4. Don't lie down after a meal. Wait at least three hours.
  5. If you smoke, quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

You should seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Difficulty swallowing or pain when swallowing
  • Unexplained weight loss
  • Persistent vomiting or vomiting blood
  • Chest pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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10 mo ago

People Also Ask


What is globus sensation and how is it treated?

Globus sensation is the feeling of having a lump or something stuck in the throat without an actual obstruction. It is often not painful but can be uncomfortable. Treatment involves addressing underlying causes such as GERD or anxiety, and may include speech or physical therapy.


How can GERD cause a sensation of something stuck in the throat?

GERD, or gastroesophageal reflux disease, can cause a sensation of something stuck in the throat due to acid reflux irritating the esophagus. Treatment typically involves lifestyle changes, over-the-counter medications, and sometimes prescription medications or surgery.


What are the symptoms and treatment options for lymphadenitis?

Lymphadenitis is the infection of the lymph nodes, causing tenderness and discomfort in the neck. Symptoms include swollen, tender lymph nodes. Treatment usually involves antibiotics and pain relievers.


Can anxiety cause physical symptoms like a lump in the throat?

Yes, anxiety can cause physical symptoms such as a feeling of tightness or a lump in the throat, as well as tender lymph nodes. Treatment often includes psychological therapy, medication, and lifestyle changes.


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