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click when swallowing

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Hi All, For the past 5 weeks I have developed a problem wiyh my throat and I cannot understand it. At the last stage of the swallow process there is like a thud or click. Also some stages it feels like my throat is strained. I have suffered from anxiety disorder for many years now and never experienced this before. My problem is that when I do go to the doctor they do no investigation whatsoever and just dismiss it as being anxiety related so I am getting rather frustrated. My concerns are heightened because I have been a smoker for some time and also a regular drinker. Has anybody else experienced this and if so, any positive outcomes? I do suffer from Haitus hernia but have so for years and not had this problem. I also tend to concentrate on my problems and that makes me much more aware of them but have completely relaxed myself and it still occurs. Any help or suggestions would be much appreciated.
Regards, brimay
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replied June 16th, 2008
Doctor
You can consult some ENT-specialist to see if you really have something in your throat or the problem is your anxiety again.
If the ENT-specialist says that everything is OK you should accept that and try to stop searching for throat disorders any more.
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replied June 17th, 2008
I've had the exact same thing for a few months. It started immediately after a very bad coughing spell when I was sick.

Dr. Nikola's reply wasn't very helpful...seems like he couldn't be bothered to find any real information. I certainly wasn't searching for any throat disorder; it's the first one I've ever had and I haven't been having any anxiety!
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replied November 25th, 2009
Experienced User
Have you looked at Eagle's syndrome?

This is an often overlooked syndrome that often gives the sensation of something in your throat, problems swallowing, and a variety of pains in the face, throat and neck. It is not easy to diagnose and often overlooked because it often doesn't show up on x-rays or MRI, and also many doctors have not heard of it and thus don't know what to look for.

A 3D-CT scan and an experienced ENT or maxillofacial surgeon are the best way to get it diagnosed. If well diagnosed it is usually treatable. Look for "Eagle's syndrome" on this forum and you'll find more information.

Hope this may help you. Best of luck.
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replied November 25th, 2009
The eustachian tube opens when you swallow, yawn, eat, cough etc ... and it can make a click / pop. Like, when you are driving up in to the mountains or in a plane and your ears pop! Thats your eustachian tube.

If you have had a cold, it might be a bit 'dysfunctional' leading to Eustachian tube dysfunction.

My clicks / pops randomly. That is what I believe mine to be personally, although I am currently under investigations for a larger problem for which this is just a side effect. Not that this is probably the case with you.

if you have had a bit of a cold, or flu - mention this to you Dr and they may prescribe some nasal steriods if they believe it be Eustachian tube dysfunction.

Just my thoughts, from my experience. Dont let it worry you though. I have anxiety too, and understand how Dr's will lump you in to that group every time you present with something new.
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replied January 28th, 2010
clicking and pain in back of throat
Hello,
I have experienced similar symptoms which you are describing. The Doctors I saw were baffled. One Dr (ear/nose/throat) wanted to put me on anti-anxiety medications. I was offended by this because I developed the impression that he thought I was "crazy". I was currenlty in school for PT and have graduated now. Since then I took it in my own hands to correct the problem myself. I read many blogs and determined this is a common problem which many people are very concerned about. I have had an upper GI, and a swallow study and everything was OK. This was great, but I still had clicking when I swallowed. During my self evaluation, I discovered that different positions of my head would elicit a greater clicking nose with swallowing. I also evaluated my posture and the surrounding neck musculature. Posturally, I had a forward head, increased cervical extension, forward shoulders, increased lumbar lordosis, and tight hip flexors. I also had decreased muscle length in my anterior neck muscles as well as tenderness in my upper traps, and sternocleidomastoids. All of these findings were affecting the way my neck moved, the mechanics of my TMJ, and the ability to swallow correctly. I treated my self with neck and hip flexor stretches, soft tissue message on my SCMs and upper traps, chin tucks, abdominal strengthening, and postural correction throughout the day. I have succesfully eliminated the clicking in my throat as well as the referred pain I was experiencing in the back of my throat (from TMJ dysfunction). I would suggest seeing a physical therapist regarding your symptoms to evaluate your posture, strength, and muscle length. I would suggest a therapist who performs myofascial therapy. I hope this information helps. There are many other serious potential causes which you should have ruled out. I strongly suggest you not treat yourself and let a qualified professional help you.
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