[25M] Experiencing throat constriction and difficulty swallowing

Patient Description

A 25-year-old male has been experiencing throat constriction and difficulty swallowing for the past 2 days. The sensation of tightness and the compulsion to swallow are more pronounced at night and improve with rest, although the symptoms return after the rest period. The patient feels as if the neck is swollen during these episodes. There are no accompanying symptoms such as fever, chills, voice changes, or wheezing, and the patient has not been recently ill or exposed to any known allergens. The patient is a smoker but has no known allergies or adverse reactions to medications and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information provided, possible causes for your symptoms include:

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing a tight feeling in the throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.
  • Globus Sensation: This is a persistent sensation of a lump in the throat. People report a 'tightness' or 'constriction'. It is usually not associated with difficulty swallowing or pain. The exact cause is unknown, but it is believed to be related to stress and anxiety.

    • Treatment often involves addressing underlying stress or anxiety issues.
  • Throat Infection: A bacterial or viral infection can cause inflammation of the tissues in the throat, leading to a feeling of tightness or constriction. However, this is usually accompanied by other symptoms such as pain, fever, and swollen lymph nodes.

    • Treatment depends on the cause. Bacterial infections are usually treated with antibiotics, while viral infections are managed with rest, hydration, and over-the-counter remedies.
  • Allergic Reaction: An allergic reaction to food, pollen, dust, or other substances can cause inflammation in the throat, leading to a feeling of tightness. However, this is usually accompanied by other symptoms such as itching, rash, or difficulty breathing.

    • Treatment involves avoiding the allergen and taking antihistamines or corticosteroids to reduce inflammation.

What you can do

  1. Try over-the-counter remedies for acid reflux, such as antacids or H2 blockers, to see if these relieve your symptoms.
  2. Avoid eating large meals or eating late at night. Try to stay upright for at least 3 hours after eating.
  3. Try to identify any potential allergens that could be causing your symptoms and avoid them.
  4. Drink plenty of fluids and try soothing remedies such as warm tea or honey to soothe your throat.
  5. If you smoke, consider quitting or reducing your smoking, as this can irritate the throat and exacerbate symptoms.

What you should look out for

Please seek immediate medical attention if:

  • You have difficulty breathing or swallowing
  • You have severe pain or discomfort
  • Your symptoms persist or worsen over time
  • You develop new symptoms such as fever, weight loss, or voice changes

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 accurate information.

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10 mo ago

People Also Ask


What is Gastroesophageal Reflux Disease (GERD) and how can it cause throat constriction?

Gastroesophageal Reflux Disease (GERD) is a condition where stomach acid frequently flows back into the esophagus, causing irritation. This can lead to a sensation of tightness or constriction in the throat, especially when lying down or after eating.


What is globus sensation and how is it related to stress or anxiety?

Globus sensation is the feeling of having a lump or tightness in the throat without an actual physical obstruction. It is often linked to stress or anxiety, and addressing these underlying issues can help alleviate the sensation.


Can smoking contribute to throat constriction or difficulty swallowing?

Yes, smoking can irritate the throat and exacerbate symptoms like throat constriction and difficulty swallowing. Quitting or reducing smoking can help improve these symptoms.


What are the signs that a throat infection might be causing my symptoms?

A throat infection might be causing your symptoms if you experience additional signs such as pain, fever, swollen lymph nodes, or a sore throat. If these symptoms are present, it is advisable to consult a healthcare provider for appropriate treatment.


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