[37M] Experiencing throat discomfort and swallowing difficulty

Patient Description

A 37-year-old male reports a sensation of something stuck in his throat and intermittent difficulty swallowing, which slightly improves with water intake. The patient also experiences coldness and tingling in hands and feet, which began three days post-umbilical hernia surgery performed three weeks ago. Additionally, there are occasional deep breaths due to the throat sensation. The patient has a history of ADHD diagnosed four years ago and is allergic to penicillin. Current medications include Concerta, lithium, and fluvoxamine. No recent weight loss, voice changes, severe throat pain, or neck swelling were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • 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 and cause a sensation of a lump 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 lump that doesn't go away, even when they swallow. It's usually not painful, but it can become a nuisance.

    • Treatment often involves speech and language therapy to learn how to relax the throat muscles.
  • Anxiety: Anxiety can cause physical symptoms, including a lump-like feeling in the throat and difficulty swallowing. This is often described as a "globus sensation". The tingling in your hands and feet could also be related to anxiety.

    • Treatment typically involves a combination of psychotherapy (counseling) and medication.
  • Side effects of medication: Certain medications can cause dry mouth, which might make it feel as if there's a lump in your throat.

    • Treatment involves managing the side effects, possibly by adjusting the dosage or switching to a different medication.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Try over-the-counter remedies: Antacids can neutralize stomach acid, and medications such as omeprazole can reduce acid production.
  2. Make lifestyle changes: Avoid foods that trigger your symptoms. Eat smaller meals. Don't lie down after a meal. Elevate the head of your bed.
  3. Stay hydrated: Drink plenty of water throughout the day to help keep your throat moist and reduce the sensation of a lump in the throat.
  4. Seek medical attention: If your symptoms persist or worsen, make an appointment with your healthcare provider. They can evaluate your symptoms and discuss treatment options with you.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Chest pain
  • Sudden weight loss
  • Difficulty swallowing that worsens or doesn't improve
  • Blood in your stool or vomit

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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10 mo ago

People Also Ask


What is the sensation of a lump in the throat, and what causes it?

The sensation of a lump in the throat is often referred to as 'globus sensation.' It can be caused by conditions like GERD, anxiety, or muscle tension in the throat. It is usually not painful but can be bothersome.


Can anxiety cause physical symptoms like tingling in hands and feet?

Yes, anxiety can cause a range of physical symptoms, including tingling in the hands and feet. This is due to the body's stress response, which can affect nerve function and circulation.


What are common side effects of medications like Concerta, lithium, and fluvoxamine?

Common side effects of Concerta include dry mouth, insomnia, and decreased appetite. Lithium can cause increased thirst, hand tremors, and weight gain. Fluvoxamine may lead to nausea, dry mouth, and dizziness.


How can lifestyle changes help manage symptoms of GERD?

Lifestyle changes can help manage GERD symptoms by reducing acid reflux. These include avoiding trigger foods, eating smaller meals, not lying down after eating, and elevating the head of the bed to prevent acid from flowing back into the esophagus.


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