[50F] With sensation of lump in throat and shoulder blade pain

What might be happening

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

• Gastroesophageal Reflux Disease (GERD): GERD can cause a sensation of something stuck in your throat, frequent throat clearing, and discomfort. This is due to stomach acid flowing back into the esophagus, which can irritate the throat.

  • Treatment: Lifestyle changes such as avoiding spicy and acidic foods, eating smaller meals, and not lying down immediately after eating can help. Over-the-counter medications like antacids or H2 blockers may also provide relief. In more severe cases, a doctor may prescribe stronger medications or recommend surgery.

• Postnasal Drip: This condition occurs when excess mucus from the nose drips down the back of the throat, causing throat clearing and a sensation of something being stuck.

  • Treatment: Staying hydrated, using saline nasal sprays, and taking over-the-counter decongestants or antihistamines can help manage symptoms. If allergies are the cause, avoiding allergens and using allergy medications may be beneficial.

• Globus Sensation: This is a feeling of having a lump in the throat when there is no actual lump. It can be caused by stress, anxiety, or irritation in the throat.

  • Treatment: Managing stress and anxiety through relaxation techniques, therapy, or medications can help. Drinking plenty of water and avoiding throat irritants like smoking can also be beneficial.

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. Avoid Trigger Foods: If you suspect GERD, try to avoid foods and drinks that can trigger acid reflux, such as spicy foods, caffeine, alcohol, and acidic foods.
2. Stay Hydrated: Drink plenty of water to help thin mucus and keep your throat moist.
3. Elevate Your Head: When sleeping, try elevating the head of your bed to prevent acid reflux.
4. Practice Good Posture: Avoid lying down immediately after eating and maintain good posture to help reduce reflux symptoms.
5. Use a Humidifier: Adding moisture to the air can help soothe an irritated throat and reduce postnasal drip.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Persistent Symptoms: If your symptoms worsen or do not improve with self-care measures, it's important to see a doctor.
• Difficulty Swallowing or Breathing: If you have trouble swallowing or breathing, seek immediate medical attention.
• Unexplained Weight Loss: If you experience significant weight loss without trying, consult a healthcare professional.
• Persistent Hoarseness or Voice Changes: If you notice changes in your voice that do not go away, it could be a sign of an underlying condition that needs medical evaluation.

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