[33M] With persistent throat tickle and chest sensation

Patient Description

A 33-year-old male has been experiencing a slight tickle in his throat for over 2 months. The tickle is not painful but is noticeable and seems to worsen with anxiety. Drinking hot tea with lemon provides some relief, but the tickle persists. Additionally, he has felt a slight, non-painful sensation in his right chest for about 1.5 months, which started with a cough and a hoarse voice. He has been a chronic marijuana smoker for the past 10 years but has recently slowed down and then quit. He is a basketball coach and yells more than the average person, which might contribute to his hoarse voice. The patient has not experienced shortness of breath, difficulty breathing, regurgitation, a sour taste in his mouth, nausea, vomiting, difficulty swallowing, or a feeling of food getting stuck. He is unsure about experiencing acid reflux or heartburn. There have been no injuries to his throat or neck area, nor exposure to irritants or allergens in his environment. He does not have any pre-existing conditions or chronic illnesses and is not taking any medications regularly. He sometimes takes a whole food multi-vitamin and puts 4-5 drops of oregano oil in the back of his mouth about 3 times per week.

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Arora's Assessment

What might be happening

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

  • Chronic Laryngitis: This condition can be caused by overuse of your voice, such as yelling frequently as a basketball coach, or by irritants like smoking. Symptoms include a persistent tickle in the throat, hoarseness, and the need to clear your throat.

    • Treatment: Resting your voice, staying hydrated, and avoiding irritants like smoke can help. A doctor may also recommend medications or voice therapy.
  • Postnasal Drip: This occurs when excess mucus from the nose drips down the back of the throat, causing a tickle and the need to clear your throat. It can be triggered by allergies, infections, or irritants.

    • Treatment: Over-the-counter antihistamines or decongestants can help. Staying hydrated and using a humidifier may also provide relief.
  • Gastroesophageal Reflux Disease (GERD): Even if you're unsure about experiencing acid reflux, GERD can cause a tickle in the throat, hoarseness, and a sensation in the chest. It occurs when stomach acid flows back into the esophagus.

    • Treatment: Lifestyle changes such as avoiding spicy foods, eating smaller meals, and not lying down after eating can help. Over-the-counter antacids or prescription medications may also be necessary.
  • Vocal Cord Nodules or Polyps: These are growths on the vocal cords that can result from chronic voice strain. Symptoms include hoarseness, a tickle in the throat, and a sensation in the chest.

    • Treatment: Voice rest, speech therapy, and in some cases, surgical removal of the nodules or polyps.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Voice Rest: Try to rest your voice as much as possible. Avoid yelling or speaking loudly.
  2. Stay Hydrated: Drink plenty of water to keep your throat moist.
  3. Avoid Irritants: Stay away from smoke and other irritants. Since you have recently quit smoking marijuana, continue to avoid it.
  4. Humidify the Air: Use a humidifier to keep the air in your home moist, which can help soothe your throat.
  5. Dietary Changes: If you suspect GERD, avoid spicy, fatty, or acidic foods. Eat smaller meals and avoid lying down immediately after eating.
  6. Over-the-Counter Remedies: Consider using throat lozenges, antihistamines, or decongestants if you suspect postnasal drip or allergies.
  7. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If your symptoms worsen or do not improve with self-care measures.
  • Difficulty Breathing: If you develop shortness of breath or difficulty breathing.
  • Severe Pain: If you experience severe pain in your throat or chest.
  • Unexplained Weight Loss: If you notice significant weight loss without trying.
  • Persistent Hoarseness: If your hoarseness persists for more than a few weeks.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common causes of a persistent tickle in the throat?

A persistent tickle in the throat can be caused by chronic laryngitis, postnasal drip, gastroesophageal reflux disease (GERD), or vocal cord nodules or polyps. It can also be exacerbated by factors like smoking, voice overuse, or exposure to irritants.


How can chronic laryngitis be managed or treated?

Chronic laryngitis can be managed by resting the voice, staying hydrated, avoiding irritants like smoke, and possibly using medications or voice therapy as recommended by a doctor. It's important to address any underlying causes, such as smoking or voice strain.


What lifestyle changes can help alleviate symptoms of GERD?

To alleviate symptoms of GERD, consider avoiding spicy, fatty, or acidic foods, eating smaller meals, and not lying down immediately after eating. Maintaining a healthy weight, avoiding alcohol and smoking, and elevating the head of the bed can also help.


When should I seek medical attention for throat or chest symptoms?

You should seek medical attention if your symptoms worsen, do not improve with self-care, or if you experience difficulty breathing, severe pain, unexplained weight loss, or persistent hoarseness lasting more than a few weeks.


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