[40F] With chronic lower head and upper back pain, throat discomfort, and hoarseness

What might be happening

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

• Chronic Sinusitis or Postnasal Drip: This condition can cause a feeling of something being stuck in your throat, hoarseness, and the presence of phlegm or pus. It can also lead to headaches and upper back pain due to referred pain.

  • Treatment: Typically involves nasal corticosteroids, saline nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected.

• Gastroesophageal Reflux Disease (GERD): GERD can cause a sensation of something stuck in the throat, hoarseness, and sore throat. Stress can exacerbate GERD symptoms.

  • Treatment: Lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Medications like antacids, H2 blockers, or proton pump inhibitors may also be recommended.

• Muscle Tension Dysphonia: This condition involves excessive muscle tension in and around the voice box, often exacerbated by stress, leading to hoarseness and voice gaps.

  • Treatment: Voice therapy with a speech-language pathologist can help alleviate symptoms.

• Cervical Spine Issues: Problems with the cervical spine (neck) can cause referred pain to the head and upper back. Stress can exacerbate these symptoms.

  • Treatment: Physical therapy, pain management strategies, and sometimes imaging studies to assess the spine.

• Chronic Pharyngitis: This can cause a persistent sore throat and the sensation of something being stuck in the throat.

  • Treatment: Depends on the underlying cause, which could be bacterial, viral, or due to irritants like smoking or pollution.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of water to help thin mucus and soothe your throat.
2. Use a Humidifier: Adding moisture to the air can help relieve throat irritation.
3. Practice Good Oral Hygiene: Continue brushing your teeth and gargling, but consider using a saline gargle to help clear mucus.
4. Manage Stress: Practice stress-reducing techniques such as deep breathing, meditation, or yoga.
5. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can worsen your symptoms.
6. Monitor Your Diet: Avoid foods and drinks that can trigger GERD, such as spicy foods, caffeine, and alcohol.
7. Use MDandMe: Journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your pain or other symptoms become more severe or do not improve with self-care.
• Difficulty Breathing or Swallowing: These could be signs of a more serious condition.
• Unexplained Weight Loss: This could indicate an underlying health issue that needs to be addressed.
• Persistent Fever: A fever that does not go away could indicate an infection.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.