[29M] Experiencing throat tightness and related symptoms

Patient Description

A 29-year-old male presents with a sensation of something stuck in the back of the throat and a clicking sound when swallowing, persisting for 3 weeks. The patient also reports associated symptoms including earache, headache, pressure behind the eyes, inflamed lymph nodes, and tender pain in the trapezius and upper neck. The sensation of tightness does not change with eating or drinking and started gradually. The patient has not found any measures that relieve the throat tightness.

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Arora's Assessment

What might be happening

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

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus. GERD affects people of all ages and often results in laryngitis, throat clearing, or a sensation of a lump in the throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be needed.
  • Laryngopharyngeal Reflux (LPR): This is similar to GERD, but the symptoms often extend beyond the throat and voice box to the nose, sinuses, and lungs. This can cause a sensation of something being stuck in the throat.

    • Treatment is similar to GERD, with lifestyle changes and medications.
  • Globus Sensation: This is a persistent sensation of a lump in the throat. People report a 'lump' that is either seen or felt, usually when swallowing. It's often caused by inflammation in the throat and neck.

    • Treatment often involves managing the underlying cause, such as GERD or anxiety.
  • Tonsillitis or Pharyngitis: These are infections of the tonsils or throat that can cause symptoms such as a sore throat, difficulty swallowing, and swollen lymph nodes.

    • Treatment often involves antibiotics if it's caused by a bacterial infection.

Please note that these are just possible causes, and you should consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Try over-the-counter remedies: Over-the-counter antacids can neutralize stomach acid and provide temporary relief. H2 blockers, which reduce acid production, and Proton pump inhibitors, which reduce acid production even more, can also help.

  2. Lifestyle changes: Avoid foods that trigger reflux, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Try to eat smaller meals and avoid eating 2 to 3 hours before bedtime.

  3. Stay hydrated: Drink plenty of fluids to keep your throat moist and relieve any discomfort.

  4. See a healthcare professional: If your symptoms persist or worsen, it's important to seek medical attention. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Difficulty breathing or swallowing
  • Severe pain
  • Blood in your saliva or phlegm
  • A fever higher than 101°F
  • Unexplained weight loss
  • Throat tightness that worsens or doesn't improve with treatment

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What is the sensation of something stuck in the throat, and what could be causing it?

The sensation of something stuck in the throat is often referred to as globus sensation. It can be caused by conditions like GERD, LPR, or inflammation in the throat and neck. It is important to consult a healthcare professional for an accurate diagnosis.


How can GERD or LPR lead to symptoms like earache and headache?

GERD or LPR can cause symptoms like earache and headache due to the reflux of stomach acids irritating the throat and surrounding areas, potentially affecting the Eustachian tubes and sinuses, leading to referred pain.


What lifestyle changes can help manage symptoms of GERD or LPR?

Lifestyle changes to manage GERD or LPR include avoiding trigger foods (such as fatty foods, caffeine, and alcohol), eating smaller meals, not eating close to bedtime, and maintaining a healthy weight. These changes can help reduce acid reflux and alleviate symptoms.


When should I seek medical attention for throat tightness and related symptoms?

You should seek medical attention if you experience difficulty breathing or swallowing, severe pain, blood in saliva or phlegm, a high fever, unexplained weight loss, or if the throat tightness worsens or does not improve with treatment.


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