I think there is no need to explain what the “lump in the throat” feeling is. Let's immediately figure out what to do with this feeling. But let's not confuse it with a swallowing disorder.
First of all, it would be good to contact an ENT specialist. We must first look into this throat and see what is inside. Perhaps this sensation is associated with an inflammatory process of the mucous membrane of the oropharynx or enlargement/inflammation of the palatine tonsils. In this case, after treatment and the inflammatory process subsides, the feeling of a lump in the throat will pass.
Feeling of a lump in the throat
Thyroid diseases can also cause a feeling of a lump in the throat. When the thyroid gland becomes significantly enlarged, it can press on surrounding tissues and cause a similar sensation. Therefore, you should conduct an ultrasound of the thyroid gland (it would also be a good idea to look for enlarged lymph nodes in the neck during an ultrasound) and consult an endocrinologist.
Another very common cause of a lump in the throat is GERD (gastroesophageal reflux disease) . If we explain it schematically, then normally in the esophagus there is a wave-like peristaltic muscular movement from the mouth to the stomach, due to which what we have eaten does not stand still, but moves down the esophageal tract. And with GERD, an antiperistaltic wave occurs - in the opposite direction, from the stomach to the oropharynx. And it is these waves that give the sensation of a lump in the throat during their movements. And this may be the first symptom of this disease, or it may be combined with heartburn. To exclude or confirm gastroesophageal reflux disease, fibroesophagogastroduodenoscopy (FEGDS) is performed and further treatment is carried out by a gastroenterologist. Gastroenterological causes of sore throat include hiatal hernia and other diseases of the esophagus.
Throat neurosis, dysphagia (spasms, VSD)
Anastasia, Moscow
8263 views
May 26, 2020
Good afternoon, dear specialists! I will briefly describe my problem: over the course of 4 years, due to stress and family disasters, all the symptoms of VSD and laryngeal neurosis appeared in all their glory (I know that it is not a disease, but a number of neurological disorders). Now the slightest stress, tears or anxiety with worry: immediately there is nervous dysphagia! It has reached such a point: I can’t eat or drink for periods; I have a strong spasm in my throat and I CAN’T SWALLOW anything. I’m exhausted, I can endure anything! But here there is a complete shutdown of the swallowing function, a spasm of the throat (a choking sensation and the throat is all constrained with the nasopharynx) and after a while saliva is swallowed with difficulty, then saliva disappears, insomnia torments, cramps and numbness in the arms and legs, face, tremors. Coldness of the extremities and numbness (everything inside has been examined - there are no pathologies, only gastritis, esophagitis and reflux, a lump in the throat is bothering me. The thyroid gland is also normal, all hormones are normal (nodules now and no pathologies there) except androgens - dihydrotestosterone: increased, struggle with I've been around for a long time) I have to control the swallowing process, it gets to the point of fright and it becomes even worse. There is osteochondrosis of the cervical spine (and this is asthenic weakness, almost constant headaches and severe pain in the back of the head, difficulty breathing and low blood pressure: 90/60, rarely rises higher than that). Plus, 7 years of sinus tachycardia (when walking and after eating, the pulse can be 120-150 at once, and out of the blue, ultrasound of the heart was done more than once and recently a Holter was installed, a small number of systoles: mitral valve prolapse of 1-2 degrees, periods of extrasystole). How can you combat such disorders, in particular swallowing problems. Thank you very much! (There were 2 thrombosis of the legs of the lower extremities after injuries). AND THE MOST IMPORTANT THING: WHAT TO REMOVE STRONG LARRYNAL SPASMS so that the water doesn’t get stuck (this week I was in an ambulance 3 times and couldn’t relieve the spasms). The next appointment at the neurosis clinic is in a week or two. I would be very glad for any tip or specialist (because this is already a complete nightmare). Abdominal ultrasound done, MRI 3 years ago: nothing to complain about, 3 years in a row: gastroscopy, superficial gastritis, and in 2021 they diagnosed cardiac insufficiency of the esophagus, they said it’s no big deal). In turn, I will list the main drugs that were prescribed by specialists: Cipralex was in 2016 for 7 months (nothing else from the blood pressure is suitable, the last one was prescribed 2 weeks ago amitriptyline: it was wildly bad and I tried to take it for a week, I just lay there and didn’t eat) , from tranquilizers: phenazepam and clonazepam are known to everyone (I took a clone for almost 1.5 years, 1/4 or 0.5, rarely of Polish origin), our Russia does not help, (now there was a break of 7 months in taking it), then we tried: phenibut, Atarax, Stresam, Grandaxin, Trittico, Velaxin, Fevarin, Taraligen, Prosulpin, Alprozalam (I took it for 3 weeks: there was a zombie effect, it did not help with dysphagia). I understand that the issue is complex and, unfortunately, I can’t overcome the problem. Thanks a lot!
The question is closed
tremor
Dysphagia
throat neurosis
the spasm is strong
Psycho-emotional disorders and lump in throat
But most often a lump in the throat is caused by psycho-emotional disorders. Occurs after acute or chronic stressful situations, unresolved problems and protracted grievances. Here, as a rule, there is a feeling of anxiety, restlessness, possible sensations of lack of air and panic attacks, sleep disturbances, and mood swings . Then a lump in the throat can be regarded as the first symptom of an anxious or depressive state. In such cases, treatment should be carried out comprehensively by a neurologist and psychiatrist.
But in order to be sure that the lump in the throat is exclusively psychogenic in nature, it is necessary to exclude diseases of all other organs that can give the same sensations. In addition, a combination of several diseases is possible. For example, we may have GERD and chronic pharyngitis along with an anxiety disorder, so we need to treat all three diseases in parallel.
There is a lump in the throat: reasons
Many people feel a lump in their throat after eating, the reasons for this may lie in:
- formation of an abscess in the pharynx,
- formation of neoplasms,
- pathologies of the thyroid gland,
- dysfunction of the cervical spine.
If you feel a lump in your throat with nausea, the reasons for this most often lie in diseases of the gastrointestinal tract.
Signs such as pain when swallowing, a feeling that a foreign object is stuck, suffocating and causing other types of discomfort are observed:
- with gastritis;
- with reflux esophagitis;
- when a hernia forms in the esophagus.
In addition to the fact that there is a lump in the throat, patients are often annoyed by:
- pain in the chest in the center or right, particularly in the esophagus, with difficulty swallowing and breathing;
- belching after eating;
- severe heartburn;
- heaviness in the stomach;
- nausea;
- feeling that there is air in the stomach;
- an unpleasant sour taste in the mouth and a sore throat provoked by it.
Sign up for the First Family Clinic of St. Petersburg to find out how to get rid of a lump in your throat. We offer you a full range of diagnostic measures and consultations with high-level gastroenterologists, thanks to which we can accurately determine the reasons why there is a lump in the throat. We are waiting for you at the multidisciplinary clinics of the Primorsky and Petrograd districts.
"Vertebrogenic lump in the throat"
Osteochondrosis of the cervical spine is not the cause of a lump in the throat, especially if the lump in the throat is an isolated complaint. With osteochondrosis, there is a feeling of stiffness in the cervical spine, but not a lump in the throat. “A vertebrogenic lump in the throat” is possible with the development of spondylosis - when huge spondylophytes (those bone growths in the form of spines) grow, which put pressure on the pharynx. But this is a rare occurrence. With significant displacement of the vertebrae (spondylolisthesis), there may be a feeling of a lump in the throat , but then there will be many other very unpleasant and painful sensations that will push the feeling of a lump in the throat to the back burner.
Of course, more complex processes are possible, such as tumors of the pharynx, esophagus, or tumors in the thoracic cavity/mediastinum or abscesses (retropharyngeal, paratonsillar, epiglottis, etc.), but then there will be more symptoms and they will be more varied, and such diseases require emergency treatment.
You should not neglect any changes in your health, since all changes have their own reason. Remember that almost all diseases can be treated well if they are “caught” in the initial stages. Be careful with yourself!
Throat neurosis: symptoms
There are general symptoms and manifestations of the disease depending on the type of neurosis:
- migraine;
- increased sweating;
- irritability;
- problems with memory and attention;
- decreased appetite;
- sleep problems, in particular insomnia.
Anesthesia is characterized by the absence of the pharyngeal reflex or its partial impairment. Hyperesthesia makes itself felt through symptoms such as itching and soreness, a lump in the throat during neurosis, attempts to cough, causing nausea or vomiting. Patients with paresthesia often describe feelings of numbness, pressure, itching, tingling, and the presence of a foreign body in the larynx. Throughout the day, the severity of these symptoms can vary from mild to severe and annoying.
Feeling of a lump in the throat with VSD
Very often you can find in people suffering from VSD the sensation of a lump in the throat. It's one thing when there is a logical, although there may be an unpleasant and frightening explanation, for example, a tumor or severe inflammation that causes a narrowing of the larynx. But what to do in cases where there is a lump, but there are no reasons for it, and turning to a variety of specialists gives the same result: the person who contacts them has no reason to feel a lump.
What are the symptoms of a lump in the throat?
This symptom of VSD, like a lump in the throat, appears completely suddenly. One fine morning there is a feeling that something is interfering, preventing you from swallowing and breathing deeply as usual. At the same time, five minutes ago everything was in order, but any ordinary or everyday situation, accompanied by a little excitement, an increase in blood pressure and an increase in heart rate - and now, the feeling that someone is squeezing the neck. All you have to do is drink a sedative, come to your senses a little, and your condition will return to normal. But in any other stressful situation, the feeling of a lump in the throat appears again.
Unpleasant sensations can be either constant or periodic. At the same time, the sensations may differ from person to person; it may be a tickling sensation, a tingling sensation, a feeling of squeezing, or the inability to swallow, whether it is saliva or solid food.
Sometimes the feeling of a lump can develop into a state in which a person may realize that he has forgotten how to swallow and cannot do it. Then it comes to a panic attack. So, over time, a fear of swallowing in general and eating solid food may develop.
Causes of a lump in the throat with VSD
Vegetative-vascular dystonia in itself is a nervous disorder; suffering from VSD, a person is constantly in panic and fear of something. This, in turn, is triggered by the release of large doses of adrenaline into the blood.
Which part of the body the adrenaline will choose to express itself is not clear. For some, this manifests itself in pain in the chest area, for others, the gastrointestinal tract suffers, and for others, they experience spasms of the laryngeal muscles, which is the very sensation of a lump in the throat.
It is worth remembering that no other disease, for example, an enlarged thyroid gland, osteochondrosis or aneurysm, gives symptoms similar to a coma, no matter what anyone says.
What could be bothering your throat?
People who first feel a lump in their throat first think of the worst, of course, cancer. What else could create such sensations of interference if not a tumor? And the more panic moods grow in a person, the stronger the lump is felt.
You need to know that the most important difference between a lump in the throat during VSD and any serious disease of the larynx, esophagus or other respiratory organs is that during sleep the lump is not felt at all. When I wake up, everything is fine too. But as soon as you get up and feel more energetic, the sensations return. The whole point here is that until the brain woke up, the body felt good, but as soon as the brain returned to working condition, it remembered that there should be a lump, and the patient felt it again.
It is the normal state of the throat in the first five minutes after waking up that should assure a person that the issue here is not some mythical disease, but the state of the nervous system.
How to treat a lump in the throat?
In fact, it is very difficult for any person suffering from VSD to admit to himself that the problem is not a disease at all, but a disorder of the nervous system. Treatment for coma is the same as for VSD therapy.
- Taking psychotropic medications that reduce panic attacks to a minimum and have a calming effect in a dosage that is relevant for a particular patient.
- An attempt to come to terms with the fear of death and liberation from oppressive terrible thoughts. You can seek advice on this issue from a psychotherapist, but you will have to work on yourself on your own.
The feeling of a lump in the throat will not go away on its own and will poison your life.
He needs to be treated. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr