for the over a month now i have been experiencing localized pain/spasms in the left/center of my throat just below my adam's apple. it literally appeared out of nowhere while sitting at the computer and hasn't completely gone away since (some days it's less noticable than others). the best way to describe it is that it feels like a combination of something stuck in my throat (like a pill) with the sensation of my throat collapsing/closing up. it's very uncomfortable...
i have seen several doctors (incl. one ENT). none seem too concerned, but i'm not too convinced of their "diagnosis" since they suspect "allergies"...i'm not allergic to anything...and i've never heard of allergies behaving like this. i have an esophagram scheduled in a couple of days.
some things that preceeded this that i can possibly connect to it are...i am learning to sing and often improperly sing from my throat instead of my diaphragm...my throat gets tired quickly. also, i've been under a lot of stress lately and there were moments when i held back tears and the tension was all in this area of my throat. i just hope i haven't done permanent damage to my throat because of it...
the reason i posted in this section is because i've also had what seems to be acid reflux on occasion...when drinking things like carbonated sodas, i get an immediate hiccup while swallowing.
if anyone can shed some light on the possibilities of what i'm dealing with, i'd appreciate it...
if anything my throat feels a little better after i eat (depending on what i eat)...for the most part it is better in the morning and gets worse as the day progresses, by night it's in pretty bad shape. although it's very inconsistent and will come on out of the blue during the afternoon. i've noticed moving my head/neck in certain positions affects/triggers it.
yeah, the docs are a joke to put it lightly...needless to say i ixnayed the allergy meds after one day since they did squat to help. i was also prescribed nasonex, but i'll be damned if i'm squirting some steroidal crap in my nostril to treat my throat. oye-vay...and they get paid how much?!?
i'm intrigued by what i'm reading on globus hystericus. i have been under a lot of stress lately, and hope all of this is stress-related and will go away under better circumstances.
i go in for an esophagram tomorrow morning...hopefully all will be well.
so the esophagram came out negative...meaning they didn't see anything unusual. however, since then the pain in my throat has morphed into more of a muscle-type ache along the left side of my throat and under the left side of my jaw. it is most prominent when i tilt my head/neck to the right (essentially stretching my neck slightly). the pain is obvious and localized and doesn't happen on the other side.
i'm a bit perplexed as to what my next option is. i'm considering another ENT to get a different opinion since the first one was very rushed in his diagnosis. i just want to make i'm not overlooking something...this is without a doubt the strangest thing i've ever been through...and one of the most uncomfortable.
I have the same symptoms as you and I've been dianosed (by two different ENTs) with LPR (Silent Reflux). I do not have any heartburn. Like you, my throat gets worse as the day progresses. It is extremely uncomfortable, and diminishes my quality of life. I started taking Nexium on 4/1, so it's been three weeks that I've been on meds.
Some days are better than others, but unfortunately, more bad days than good days. I'm also keeping an eye on my diet, but that does not seem to be helping.
I believe stress and anxiety triggered mine, without a doubt. However, I don't think it's as simple as: being less stressed and less anxious = no more Silent Reflux. My doctor tells me that it can take up to 4 to 6 weeks to start feeling a difference on the meds. All I can say is I hope he's right because I can't stand this anymore.
Like you, mine symptoms came right out of the blue - one day I woke up with what felt like something stuck in my throat. It progressed over the last 4 months to feeling like a lump. Singing irritates it so much that I can't even sing anymore (I lead a worship team at my church).
I also have a very similar throat problem which I've battled with for 18months with no relief. It's a very stressful not knowing whether the pain and discomfort will ever subside. I have been to a ENT 3 times, including Barium swallow, Ultrasounds, Optical camera up my nose to check my throat out.....all to no avail. My ENT is telling me that the problem is in my head! Hence I've finally decided to see another ENT for a 2nd opinion.
Similarly to your story, my pain is worse in evening, worse after exercise, worse when leaning my head back, and worse when drinking alcohol strangely enough. When I wake in the morning it's a slight relief, but there is still something wrong physically. It feels like a permanent lump in the throat. The symptoms came on very quickly back in 2004 and my GP felt it was an acid problem.....but I didn't buy that one. Any ideas from anyone??
I have the same symptoms as you do. I've been to 2 ENTS, with the same diagnosis - Silent Reflux. I've now been on Nexium for a little over 1 month. I have much better days now, but always have a vague feeling of the lump. Some days are worse than others, but it has been progressively getting better since I started taking the Nexium. I am waiting until I don't feel any lump at all, continuously for at least a month, and then will try to come of the meds. I do not like taking any meds for a long period of time.
It sounds to me like you also have silent reflux - I'm not a doctor, but our symptoms sure sound alike. I did not really start to feel the effects of the Nexium until the 1 month mark. Like I said before, the lump is not totally gone but has greatly diminished.
It is important that you get a diagnosis, because if you do have silent reflux (which you do not feel heartburn - that's why it's called "silent" reflux), the esophagus becomes eroded and can lead to more serious problems.
There is something called Globus Hystericus (you can do a google search on this term), where there truly is the feeling of a lump in the throat, which they believe is due to stress and anxiety - there really is nothing in the throat, but the brain (from stress and anxiety) acts as if there is. My ENT told me that I have Silent Reflux in addition to anxiety. Anxiety can do a few things, including tightening of the throat and causing more acid to be produced in the stomach. My throat was so bad that I thought it was closing and almost went to the emergency room. That is when my GP prescribed Xanax - and now, when my throat gets bad, I take one and within 1/2 hour my throat is fine. The down side is that you can become very dependent on the Xanax, because for me, I actually feel normal again (no throat symptoms) for the rest of the day after taking one. My doctor said she wouldn't prescribe it again, and that I should only take it in emergency situations!!! Well, so many days feel like an emergency so it's kind of hard to do. Right now I am really only taking them when needed, because I don't want to run out before my throat is healed!!
I really hope your problem is resolved soon because I know what it's like to have this feeling of the lump in my throat - and it is absolutely horrible.
Thankyou for the quick response. I was so surprised to find so many people suffer from the very same symptoms, it's actually quite a relief, eventhough I still have the problem.
I went to a 2nd ENT today for another opinion. He was much better, but still stuck that damn camera up my nose.....that thing freaks me out, but this time it was less intrusive. He feels all my symptons point to Globus Hystericus that you mentioned, which is causing the permanent muscle spasm in the throat. He has given me a light dose of Ducene 2 (2mg of Diazepam) in an effort to relax the muscle spasm. Like you mentioned, he has not ruled out silent acid either.......which has caught my interest in reading a few threads. What makes me think it could be acid is that my symptons become much more intense when I drink alcohol...it's an immediate reaction, where as drinking water, coke etc. does not have the same effect. I've read that Alcohol and Reflux aren't a good mix! I was interested to read about Silent acid, I didn't know it existed and that's why I had ruled this out 18months ago! Curious, what is Xanax? Anxiety suppression?
I did try Nexium for about a week when I was first struck down with the LUMP, but it did not seem to do anything, but perhaps I did not give it a fair go....hmmm...interesting to hear another viewpoint.
Sounds like you are getting on top of it.....might consider Nexium next.
Hope it all goes well for you......please post any further developments on this site.
Your welcome!! Today I actually felt no lump at all, all day, until I had an extremely stressful/anxiety sitution come up. I tend to think that my lump is also partly due to globus hystericus.
Xanax is an anti-anxiety medication (alprazolam). I only take it when my throat is really bad.
I'm glad that you saw another ENT. Looks like you are finally getting to a diagnosis. I hope that your diagnosis is the globus hystericus because in my opinion, I'd rather treat that then silent reflux. From what I've read here, it seems you need to be on medication a lot longer, and may always have to take it.
Let me know how you make out with the Ducene (is that an anti-anxiety med??). You are right about alcohol and acid reflux - they don't go together - but if I just have one or two drinks, it doesn't bother me. Coke (or any caffeinated drink) is not supposed to agree with acid reflux either, so I'm surprised that Coke doesn't bother you.
I read your email and hope you feel better now. I started to have severe indigestion after coming back from Hong Kong and trouble swallowing. Doctors prescribed PPI and I cannot tolerate any of those. They made my symptoms even worst. Indigestion symptoms subsided after 1 month but then still have trouble swallowing and lately became painful on the right side of neck.I went through 2 endoscope, barium swallow, larygndoscope where ENT look at my throat and even brava test. Every thing show normal but might be only mild reflux. So I am on nexium again. This week is my 3rd week now. The trouble swallowing symptom seems to decrease some (slightly only) but the right side throat pain (kind of like an inside muscle spasm pain) still does not go away. Sympton completly go away when sleep but come back immediately after waking up. Does my symptom sound like any of you? I did a CT neck scan and waiting on the results. But my ENT suggest a manometry done/ Should I do it? Very annoying, all these just came one day (was very stressful) and last for about 6 months now.
My throat symptoms (feeling of lump in throat) started all of a sudden, also, after an extremely stressful week in December, 2005, and have not totally gone away either. I believe my LPR reflux is anxiety induced.
I'm taking Nexium 40 mg 2x per day. The first month I felt no different. I felt "back to normal" during the first 2 weeks of May, and now I'm back to square one (I'm sure as a result of starting smoking again, and not eating right). I am trying to quit smoking now and have gotten my diet back on track. I hear that these meds can take a while to kick in, and then many months to heal the esophagus.
Does anyone feel a burning pain in the throat similar to a sore throat. It feels better when I eat and in the morning then as the day progresses it gets worse. please let me know if any of you have experienced this type of pain.