[24F] Experiencing throat constriction and breathing difficulties

Patient Description

A 24-year-old female reports a sensation of a lump in her throat that has been present for about a week. The sensation is described as a non-painful tightness, making swallowing feel difficult, which becomes more pronounced under stress. The symptom is somewhat alleviated by eating, drinking, and using cough drops. Additionally, she experiences excessive yawning and gasping for breath, which has been ongoing for about two weeks, without feeling tired. There is a mild amount of wheezing and coughing, but no severe respiratory distress or difficulty swallowing liquids. The patient has a history of ADHD and Hidradenitis Suppurativa (HS), for which she takes Ritalin and doxycycline. She also mentioned a recent abdominal sprain that is still healing. No known drug allergies except for an adverse reaction to T3.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Globus Sensation: This is a persistent sensation of a lump in the throat that you feel even when there is nothing stuck there. It is often caused by reflux (backflow of stomach acid up into the throat), stress, or muscle spasms. It's not typically associated with difficulty breathing, however.

  • Anxiety or Panic Disorder: Excessive yawning, gasping for breath, and a sensation of a lump in the throat can be symptoms of anxiety or panic disorder. Stress can exacerbate these symptoms.

  • Side effect of medication: Some medications can cause dry mouth or throat irritation, which might feel like a lump in your throat. Ritalin, which you're taking for ADHD, can sometimes cause these symptoms.

What you can do

Here are some suggestions:

  1. Globus Sensation: Try over-the-counter antacids to see if they help. If they do, acid reflux might be the cause. Avoiding spicy foods, alcohol, and large meals before bed can also help.

  2. Anxiety or Panic Disorder: Try relaxation techniques like deep breathing exercises, yoga, or meditation. If these symptoms persist or interfere with your life, consider seeking help from a mental health professional.

  3. Side effect of medication: If you suspect your medication might be causing these symptoms, do not stop taking it without consulting your doctor. They can help you weigh the benefits and risks and decide what to do.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as difficulty swallowing, weight loss, or persistent cough, you should seek medical attention. Also, if your symptoms are causing you distress or interfering with your daily life, it would be a good idea to see a doctor.

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, testing, and care recommendations.

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11 mo ago

People Also Ask


What is globus sensation and what causes it?

Globus sensation is the feeling of having a lump in the throat when there is no actual obstruction. It can be caused by stress, muscle tension, or acid reflux.


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

Yes, anxiety can cause physical symptoms such as a sensation of a lump in the throat, difficulty breathing, excessive yawning, and gasping for breath.


What are common side effects of Ritalin that might affect the throat?

Common side effects of Ritalin include dry mouth and throat irritation, which might feel like a lump in the throat.


When should I seek medical attention for a sensation of a lump in the throat?

You should seek medical attention if the sensation worsens, if you experience difficulty swallowing, weight loss, or a persistent cough, or if the symptoms interfere with your daily life.


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