FEELING OF A LUM IN THE THROAT

Symptoms that something is wrong with your throat

The feeling of a lump in the throat may be accompanied by a “soreness” in the throat, a feeling of incomplete inhalation, difficulty swallowing, discomfort in the neck and chest, a burning sensation or a sensation of a foreign body, although there are no changes when palpated (nothing is enlarged, not deformed, not inflamed).

A “lump” that appears once should not cause concern, since it is most likely a one-time reaction of the body to stress, overwork, or excitement of the nervous system.

If this phenomenon recurs, you should consult a doctor, as this feeling can become a painful symptom, “overgrown” with other manifestations: a feeling of a foreign body in the oropharynx, sleep disturbances, anxiety, loss of appetite and disruption of normal swallowing, surges in blood pressure and sensations of heart failure , diarrhea or constipation.

As a rule, timely and adequate treatment completely eliminates the unpleasant symptom.

Lump in the throat

Diabetes

61777 December 12

IMPORTANT!

The information in this section cannot be used for self-diagnosis and self-treatment.
In case of pain or other exacerbation of the disease, diagnostic tests should be prescribed only by the attending physician. To make a diagnosis and properly prescribe treatment, you should contact your doctor. The feeling of a lump in the throat is not uncommon. Many have experienced this painless but uncomfortable condition at least once in their lives. In the medical literature it is referred to as the pharyngeal ball. In most cases, this symptom is not associated with serious diseases, but an accurate answer can only be obtained after consultation with a specialist, because there are a number of diseases that may be accompanied by the sensation of a foreign body in the throat.

Varieties

There is no generally accepted classification. It all depends on the reason that caused this condition.

Possible causes of a feeling of a lump in the throat

Patients with a complaint of a lump in the throat can be divided into two groups: in some, this condition occurs as a result of psychoneurological disorders, and in others, the cause lies in somatic, that is, diseases related directly to the internal organs.

Often the feeling of a lump in the throat appears in people who are easily excitable and sensitive to stress and emotional shock. A lump in the throat has long been described by doctors as a symptom of a neurotic disorder, more often occurring in young women. However, the condition now occurs with equal frequency in both sexes.

If the feeling of a lump in the throat is constant and persists for several weeks, then first of all it is necessary to exclude oncopathology. This may be a malignant or benign process in the larynx, esophagus or other organs of the neck, causing compression of surrounding tissues. Particular attention should be paid if the patient has complaints of pain in the neck or when swallowing, increased fatigue, loss of appetite and body weight.

Infectious and inflammatory diseases of the ENT organs can also cause a pharyngeal ball.

Very often, the feeling of a lump in the throat is associated with diseases of the gastrointestinal tract.

It is necessary to find out whether the patient has symptoms such as heartburn, cough, sour belching, stomach pain and a feeling of heaviness after eating.

The sensation of a foreign body in the throat can be caused by a pathology of the thyroid gland. An increase in gland volume is often associated with a lack of iodine in food or with an autoimmune lesion (autoimmune thyroiditis).

Sometimes the cause of the sensation of a lump in the throat is a decrease and even complete cessation of salivation.

This condition can occur in patients with diabetes, women in menopause, and systemic autoimmune diseases.

Enlarged lymph nodes in the neck can also lead to discomfort and a feeling of a lump in the throat.

Difficulty swallowing can sometimes occur due to osteochondrosis of the cervical spine. In this case, a person may experience headache, dizziness, pain in the neck, back, and stiffness of movement.

We should not forget about the possible role of traumatic effects on tissue. Endoscopic examinations and even eating rough food can contribute to the appearance of discomfort in the throat.

The feeling of a lump in the throat is mainly accompanied by:

1. Diseases of the ENT organs (tonsillitis, tonsillitis, epiglottitis, pharyngitis).
2. Diseases of the thyroid gland (endemic goiter, diffuse toxic goiter, autoimmune thyroiditis).
3. Neoplasms in the neck area.
4. Osteochondrosis of the cervical spine.
5. Gastroesophageal reflux disease (GERD).
6. Esophageal dyskinesia.
7. Heterotopia of the gastric mucosa.
8. Diseases of the endocrine system (diabetes mellitus, hormonal disorders).
9. Systemic autoimmune diseases (scleroderma, Sjogren's syndrome).
10. Psychological factors, stress.

Which doctors to contact
If you have complaints about a lump in the throat, it is advisable to contact first, who, after examination, will be able to refer the patient to a specialist, such as:

• ;
• otorhinolaryngologist;
• ;
• oncologist;
• ;
• psychotherapist.

Diagnostics
To clarify the diagnosis, the doctor may prescribe the following types of examination:

1. (esophagogastroduodenoscopy, endoscopy) if gastroesophageal disease and esophageal dyskinesia are suspected.
2. , blood test for thyroid hormones.

Causes of an unpleasant lump in the throat

1. Overwork.
2. Severe or long-term stress. Nervous tension.
3. Neuroses and neurotic reactions.
4. Depression.
5. Anxiety disorder (phobias, panic attacks, generalized anxiety disorder, etc.)
6. Psychosomatic diseases.
7. Schizotypal disorder, schizophrenia.
8. Consequences of organic damage to the nervous system after trauma. infections, strokes, heart attacks, etc.
9. Diseases of internal organs (hyperthyroidism, thyroiditis, tonsillitis, spinal osteochondrosis, hiatal hernia, obesity or cachexia).
10. Allergic reactions.
11. Poisoning.

Who to contact if you have a lump in your throat

The feeling of a lump in the throat is treated by a psychotherapist or psychiatrist. During the consultation, the doctor will assess the condition and determine the amount of assistance needed.

Help can be obtained in any clinic where there is a license to provide assistance in psychotherapy, psychiatry and neurology and where a psychiatrist or psychotherapist conducts an appointment.

ROSA Clinic

is a specialized and licensed clinic that provides assistance for all types of disorders accompanied by a feeling of a lump in the throat.
Our specialists
are ready to come to your home for consultation; you can also see a doctor in our clinic.

Treatment is most often carried out at home. If necessary, it is possible to be hospitalized in our own hospital, equipped with modern diagnostic equipment and where it is possible to carry out active treatment.

Throat neurosis, dysphagia (spasms, VSD)

Anastasia, Moscow

7121 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

How is the feeling of a lump in the throat treated?

Treatment is determined by the causes and mechanism of development of the disease and is selected individually for each patient.

For a recent and non-severe condition

treatment is carried out on an outpatient basis: the doctor conducts a psychotherapeutic session, prescribes medications that the patient takes at home and periodically comes for follow-up consultations.

For moderate severity

- treatment in a day hospital is recommended: daily treatment procedures are carried out (drug infusions, physiotherapy, etc.), which take an hour and a half, but the patient lives at home and goes about his usual business. The average course of a day hospital is about 10 days.

In severe condition

hospitalization in a hospital is recommended. Due to intensive treatment, the condition can be stabilized already in the first hours of stay. The average length of hospital stay is 10 days (from 5 to 30 days depending on the severity of the condition and the body’s recovery abilities).

Main methods of treatment:

• Psychotherapy.
• Drug treatment (pharmacotherapy).
• Physiotherapy.
• Massage and manual therapy.
• Diet therapy.
• Biofeedback therapy.

Diagnosis of coma in the throat

For patients who are bothered by a lump in the throat, the North-Western Endocrinology Center in St. Petersburg uses the following diagnostic algorithm:

1. Expert ultrasound of the thyroid gland and neck (performed by an endocrinologist surgeon who regularly performs operations on the thyroid gland and has excellent knowledge of the anatomy of the neck) with consultation on the tactics of further actions.

2. If large thyroid nodules are detected, a fine-needle biopsy is performed.

3. If compression of the thyroid gland of the trachea or esophagus is suspected, computed tomography of the neck and chest

no contrast.
4. If a tumor of the esophagus is suspected, fibrogastroduodenoscopy
.

5.

Repeated consultation with a surgeon-endocrinologist at the North-Western Endocrinology Center in order to analyze the data obtained during the examination, determine the cause of the lump in the throat and the necessary treatment.

To make an appointment for an expert ultrasound of the thyroid gland and a consultation with an endocrinologist surgeon, you must call the branches of the Endocrinology Center:

— Petrograd branch

– tel. 498-10-30 (Kronverksky pr., 31, 200 meters from the Gorkovskaya metro station, from 7.30 to 20.00, seven days a week);

— Primorsky branch

– tel. 565-11-12 (Savushkina St., 124, building 1, from 7.00 to 21.00 on weekdays, from 7.00 to 19.00 on weekends).