[23M] Concerns about a long-standing lump and recent cardiac symptoms

Question

I'ma medical marijuana patient and it all started like 2 months ago after smoking one day and never had the issue till now the heart racing has stopped since I started my heart meds but hear and there I'll get chest pains just relaxing or not really doing anything and it scares me as for the lump idk what it is and that scares me to anyone know what it could be

Patient Description

A 23-year-old male has a small, non-bothersome lump above his Adam's apple, present since childhood, with recent concerns about heart racing, body shaking, and chest pain. These cardiac symptoms, occurring sporadically during relaxation or engaging in activities like playing video games, have ceased in the past four days following the resumption of heart medication. The patient has a history of Prolonged QT syndrome diagnosed in early childhood and is currently on 20mg Nadolol. There was one episode of fainting associated with these symptoms. The patient does not have any known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • The lump above your Adam's apple: This could be a normal part of your anatomy, especially if it has been there since you were young and hasn't changed in size or caused any discomfort. However, it could also be a thyroid nodule or goiter, which are growths in the thyroid gland that are usually benign (non-cancerous). These are more common in women and older adults, but they can occur in anyone.

  • Your episodes of heart racing, body shaking, and chest pain: These could be related to your Prolonged QT Syndrome, a condition that can cause fast, chaotic heartbeats. These rapid heartbeats might trigger a sudden fainting spell or seizure. In some cases, the heart can beat erratically for so long that it can cause sudden death. You should seek immediate medical attention if you experience heart palpitations or fainting spells.

What you can do

  • For the lump above your Adam's apple: If it changes in size, causes discomfort, or if you develop new symptoms such as difficulty swallowing or changes in your voice, you should seek medical attention.

  • For your episodes of heart racing, body shaking, and chest pain: It's important to manage your Prolonged QT Syndrome to prevent these episodes. This usually involves medication, such as the Nadolol you're currently taking. Avoiding triggers that might provoke heart arrhythmias is also important. These can include strenuous physical activity and stress. You should also avoid medications that can prolong the QT interval – there are many of these, including some antibiotics and antidepressants, so always check with your doctor or pharmacist.

What you should look out for

  • If your lump changes in size or you develop new symptoms, you should seek medical attention.

  • If you have a sudden, severe chest pain or shortness of breath, call 911 or go to the emergency room right away. These could be signs of a heart attack.

  • If you have an episode of heart racing that doesn't go away on its own, or if you faint, you should also seek immediate medical attention.

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

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10 mo ago

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People Also Ask


What could a lump above the Adam's apple indicate?

A lump above the Adam's apple could be a normal anatomical feature, but it might also be a thyroid nodule or goiter. These are usually benign but should be evaluated by a doctor if they change in size or cause symptoms.


How does Prolonged QT Syndrome affect the heart?

Prolonged QT Syndrome can cause fast, chaotic heartbeats, which may lead to fainting spells, seizures, or even sudden death if not managed properly. It is important to follow medical advice and take prescribed medications.


What should I do if I experience heart racing or chest pain?

If you experience heart racing or chest pain, especially if it is severe or accompanied by fainting, you should seek immediate medical attention. These could be signs of a serious heart condition.


Are there any medications I should avoid with Prolonged QT Syndrome?

With Prolonged QT Syndrome, you should avoid medications that can further prolong the QT interval, such as certain antibiotics and antidepressants. Always consult with your doctor or pharmacist before starting new medications.


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3 Comments


Sachi#4032

10 mo ago

I would try stopping the marijuana for a few days and seeing if things improve, although marijuana is not usually associated with the symptoms you described.

Additionally, you might benefit from blood test for thyroid hormone abnormalities. I know you've had the lump on your throat childhood but hyperthyroidism can cause heart palpitations.

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Madelyn#4031

10 mo ago

If the lump has been around since childhood and isn't getting bigger it's probably not a big issue

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Janice#4034

10 mo ago

Did you have your lump formally diagnosed? Could be a thyroglosal duct cyst: https://www.childrenshospital.org/conditions/thyroglossal-duct-cyst

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