Ear, Nose and Throat Disorders Forum - Throat Tightness-please Help
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Throat Tightness-please Help

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Medical Questions-> Health Forums -> Ear, Nose and Throat Disorders -> Throat Tightness-please Help
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jeanpackard

New User, Becoming EHEALTHy
Joined: 01 May 2004
Posts: 2
Throat Tightness-please Help
Posted: 05-01-04 23:46pm

Hello, has anyone ever had the following symptoms? My throat feels tight like it's going to close up. It basically feels like I have a lump in it. I feel I can't breath properly and that something is lose or rubbing inside my throat Rolling Eyes I can't sleep at night and I find it hard to eat and sometimes i'll panic about it and it'll get worse. I'm sure somethings wrong and it's making me feel really scared. Thanks
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Pmarie

New User, Becoming EHEALTHy
Joined: 11 Apr 2004
Posts: 15
Location: WV

Posted: 05-02-04 04:24am

Hi there! I had your same symptoms after suffering from persistent sore throats for the past 9 months.My doctor told me that I had swollen tonsils and that my lymph nodes in my neck were swollen and that it was being felt in my throat as well.She said not to worry about the lymph node swelling that it was just my body dealing with the throat problems and it would go down in time.She said if my tonsils stayed swollen that I would have to get them out. You can check and see if it is your tonsils by shining a flashlight into your throat. If you can see swollen lumps on each side of your throat that is your tonsils swollen. I have trouble eating and breathing because of it also. It seems if I obsess over it it gets worse. You need to see an ear, nose and throat specialist and have him look at it. You can ask your doctor for a referral to one. Let me know what they say.In the meantime, know that you are not alone.It helps me to know that others out there have my same problem. Wink
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san54

Experienced User , Rather EHEALTHy
Joined: 28 Dec 2003
Posts: 227
Location: Virginia
Throat Tightness
Posted: 05-02-04 08:14am

Have you seen a doctor. I would see an ent or a endocronologist. Maybe your thyroid is enlarged. I would see a doctor asap. Wink
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jeanpackard

New User, Becoming EHEALTHy
Joined: 01 May 2004
Posts: 2
Thanks For Reply -new Problems
Posted: 05-05-04 02:43am

Thanks for replying. I had a blood test for thyroid and that's o.K and i'm going to see a ent specialist. Unfortunately though I have a new problem. This morning I felt short of breath so I coughed fairly hard. I also have a cold so I was sneezing hard too. After I had coughed I noticed a lump feeling in the bottom of my throat and that's when this new hell started. It's sharp pains all the way from my throat to my tummy. It feels like there's a bone in my throat and when ever I swallow anything it's very painful. I cannot breath in either with out a sharp pain. Also I feel like I want to burp but I cannot because if I do the pain is unbeleivable. I can't do anything with this pain in my throat, it hurts so bad I cannot even lie down , anyone have any ideas? Thank you Sad
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vicki d

New User, Becoming EHEALTHy
Joined: 15 Jun 2004
Posts: 12
Location: St. Augustine
Lump In Throat And Pain All the Way to Tummy
Posted: 12-30-04 16:33pm

:?
Hi
just wondering how you are doing with the symptoms you had in may and if you found any help.
I too have suffered with same symptoms for a year and a half now...It get's worse when I think and worry about it.
I have had upper endosc, thyroid check, throat exray, barium swallow and saw an ent several times with no results...
Let me know how you are?
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sweetiepie

New User, Becoming EHEALTHy
Joined: 11 Jan 2005
Posts: 1
Location: Ukraine
Feeling of Being Strangled
Posted: 01-11-05 13:05pm

I've had the feeling of being strangled for 5 days now. It's as though somebody is squeezing my throat. I searched on the internet and found an interesting article. It certainly reassured me. Perhaps it might help you as well.
Http://www.Voi cedoctor.Net/therapy/cps.Html#cause

cricopharyngeal spasm

information for patients with a lump in the throat sensation

causes
this syndrome results from a spasm in the cricopharyngeus muscle. It is a self limiting disorder that will resolve on its own. The symptoms are so characteristic that as soon as a patient tells me they have a lump in the throat, I can usually describe all of their symptoms to them.

Symptoms
lump in the throat sensation
feels like a golf ball, tennis ball ... Is stuck in my throat
feels like my tie is too tight
feel like I am being strangled
my throat feels swollen
the symptoms can be mimicked by pushing on the cartilage in the neck just below the adams apple.
The lump comes and goes depending on the day.
Symptoms are usually best in the am and worse later in the day
stress aggravates the symptoms.
Saliva is difficult to swallow yet food is easy to swallow.
Eating, in fact, often makes the tightness go away for a time.
The symptoms are similar to getting choked up at a wedding or a funeral.

Physiology 101
there are two valves in the esophagus or swallowing tube. The are normally contracted and they relax when you swallow so that food can pass through them going to the stomach. They then squeeze closed again to prevent regurgitation of the stomach contents. If the normal contraction becomes a spasm, like a charlie horse of the calf muscle, these symptoms start. Stress often makes these spasms much worse. Many people have experienced neck tightness when stressed and this is similar. Even if not caused by stress, stress will make the spasm much worse.

A management program
an exam of the neck and throat is extemely important to eliminate serious problems. In fact, it enters most peoples minds that a lump in the throat might be a cancer. In practice, real lumps in the throat, such as a cancer are not felt. It is one of the reasons that a cancer can get so big before it is discovered. It probably is fortunate that we don't have great sensation in the throat as we would then feel every particle of food, with every meal as it travels down the throat. So lacking great sensation in the throat, problems are a little mysterious there.

Unfortunately, many physicians are not familiar with how symptomatic a cricopharyngeal spasm can be and I often see patients who have been extensively tested with barium swallows, esophageal endoscopies, ph testing, ct scans, xrays, mri scans and they all come back normal or possibly with some finding that is completely unrelated to the lump in the throat sensation. Really, just a good exam of the throat, voice box and neck is all that is necessary and it is sufficient as well. You should know the following:

just knowing the tightness is not a sign of cancer frequently helps relieve the discomfort.
You will get better. Often improvement is over several weeks or even a few months, but occurs once one knows what the problem is.
Warm fluids should comfort the throat. Consider a cup of warm tea when the lump is bothersome.
If stress lets up, the symptoms improve. Think about what stress might be making this lump worse.
Muscle relaxants, such as valium, would be a good treatment, except for their addictive properties.
Medication
i sometimes dispense several valium (perhaps 4) as a test to prove the symptoms are from muscle spasms. I recommend taking one of the valium on a weekend, when being alert is not important. When the lump occurs, one takes the valium. Within an hour, there should be significant improvement in the lump sensation. If the symptoms improve after taking the muscle relaxant, then the symptoms are reasonably from a muscle spasm. Again, the knowledge that a muscle relaxant makes a lump disappear can help confirm that the cause of the lump is from a muscle and not an actual lump.
I have also tried injections with a local anesthetic, often with good, but temporary results. It does help to confirm in the patients mind, there is the possibility of relief.
If a local anesthetic injections helps, I have with inconsistent results injected botulinum toxin into the cricopharyngeus muscle, sometimes with prolonged relief.

Benefits
the symptoms go away.
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vicki d

New User, Becoming EHEALTHy
Joined: 15 Jun 2004
Posts: 12
Location: St. Augustine
Sweetie Pie Lump In Throat
Posted: 01-11-05 16:16pm

Thank you so much for the good info you sent me. It is such a scarey thing. I do hope yours goes away quickly and doesn't hang on for a long time like mine has.
Again, thanks so much...It is nice to know others care and understand.
Vickid
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Neck Spasms And Lump In Throat
Posted: 06-03-05 23:06pm

Hi--i'm going through the same thing with feeling like something in my throat. I've had endoscopy, barium swallow this week (showed normal) been on acifphex for acid reflux (no help). Never a burning, just a thickness-like that doesn't loosen up. It hurts when I swallow almost like it's sore just below where an adam's apple would be. I read where a gal had gone to a chiropractor for some adjustments and she has been lump free for 3 mohths. I can't believe this is acid reflux as everyone has said. I'm starting this week on getting massages and get off this medicine that's not helping anyway. Mine started after a severe cough. Does anyone that has this have upper back or shoulder tightness? I'm just trying to see if there's a connection. Keep in touch--we'll figure this out. Donna
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Throat Tightness
Posted: 06-03-05 23:46pm

Jean--one more thing that may ease your mind since i've been dealing with this for 3 months now. Don't panic--your throat will not close up. Try doing some neck stretches and get a sore throat lozenge. That helped me. I had panic attacks at first thinking this was the end of me. It is amazing reading about so many people with the same thing (through google and yahoo).
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vicki d

New User, Becoming EHEALTHy
Joined: 15 Jun 2004
Posts: 12
Location: St. Augustine
Throat Tightness
Posted: 06-07-05 12:39pm

Hello donnako
i have been struggling with throat problems for two years now....I too had upper endos./barium swallow and also saw a chiropractor for one year....Tests were normal and chirop. Didn't help much.
Yes, I too have problems with tension and tightness in my neck.
I also have suffered with chronic tonisilitus and pus nodules in my tonisils since I was a small girl. In may I had my tonsils removed. Worst surgery I ever had. I am older and it is true what they say...It is a very hard operation on older people. I was not prepared for the pain afterward. I ended up loosing 15 lbs in 7 days and ended up back in hospital. I am doing better now, still have a sore throat and discomfort from all the cauteriztion, but glad its over and to be rid of the tonisls....I cannot tell yet about the tightness as I have been in so much pain and weakness.
Anyway, how are you doing with your problem, and how long has it been a problem?
Regard
vikidi
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Throat Tightness
Posted: 06-08-05 19:31pm

Hi vicki--i hope I am responding right, i'm still tryng to figure out some of these forums and how they work!!. I have felt really bad the last few days. When I lay down at night, I feel like my esophagus is closing up on me. My throat hurts way down by the adams apple, all day every day, almost like it's been strained. Tightness still there, should have went for another massage. Was your throat problems due to your tonsils or did you have them removed just to see. I have been dealing with this for over 3 months. It use to be loose in my throat and now it's tight and nothing comesup. This all came on after a bad cough. Have you had the ct scan in the neck yet? I think that's what i'm doing next but really feel like my gi doc is no help at all, been dealing mostly with the allergist. Good luck, keep in touch were your upper shoulders tight?
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vicki d

New User, Becoming EHEALTHy
Joined: 15 Jun 2004
Posts: 12
Location: St. Augustine
Throat
Posted: 06-09-05 17:33pm

:( hi donnako
so sorry to hear you haven't felt good. I do know how that is....I suffered with the same thing for two years...I too went to a gastro doc who did an endoscopy.....Which was ok....Then I had a barium swallow and xray of throat and thyroid...All normal. I finally went to an ent...Ear/nose/throat doc and he found nothing unusual....After a year with him and lifetime infections in my tonsils, I had them removed.....What a difficult operation!!
I would suggest that you see an ent....My gastro doc did little for me either...
If you would like to email me rather than post for all to see let me know. I would be glad to correspond with you.
Also, you might try relaxation tapes....My family doc did say that some people get spasms of the esophagus due to stress.
Hope you feel better today.
Sincerely
viki
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Throat Tightness
Posted: 06-09-05 21:01pm

Vicki I am at dokayko@aol. Com
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Throat Tightness
Posted: 06-10-05 20:56pm

Lsomeone told me tonight that every health problem they had was due to bad eating habits. After losing 40 pounds on atkins, his hearburn went away and a pain in his leg that no doctor was able to find a cure for. I'm ready to get off all the sugars i'm eating and give it a few weeks and see if it helps. I keep reading about everyone (including me) trying more and more medicine and not changing the diet. I guess it's worth a try.
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dazz

New User, Becoming EHEALTHy
Joined: 19 Jun 2005
Posts: 16
Location: cheshire
Tight Throat
Posted: 06-19-05 16:02pm

I have got the same problem it feels like your throat is closing in, I got told from a doctor that its acid reflux, but i've found it hard not to think that it could be something more seriouse, but at the end of the day you have to tell youeself that your thraot will not close up, although this is extremely hard to believe, its nice to know that im not the only one with the problem, I hope I have helped, please reply
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mop4me

New User, Becoming EHEALTHy
Joined: 19 Jun 2005
Posts: 4
Tightness In Throat
Posted: 06-19-05 17:55pm

I am so thankful that I found this site. I have had an ache in my throat for a few days. I read the post about it being a spasm. Those symptoms described exactly how I feel. Like I am getting choked up at a wedding or happy or sad occasion. When I tell myself to relax, it goes away. It has to be that spasm. I was so scared I had something serious. Hopefully I will be able to relax and it will go away.
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Tight Throat
Posted: 06-19-05 18:24pm

Mop4me and dazz--your lucky if your's goes away. I have had every test under the sun, I now have hooked up with an aggressive ent and he's a plastic surgeon (someone recommended him) and he has tested me for fungus in the throat. Will find out next tuesday, in the meantime he put me on nyastatin, nose sprays, acid reflux medicine (even though he sees no signs of it) and a muscle relaxer in case it's a pharyngeal spasm. He wants me to come back in two weeks and do a full sinus ct scan. Why he didn't do it at first, I do not know. I've only been on the meds a few days, not a whole lot of diff yet. But my throat constantly feels like I have something I can't swallow in it, I feel it get tight around my neck and almost (lately) like my neck is twitching. Just wanted to know, have either of you had any upper back pain around the shoulder/neck area? I'm sure I feel like it's related to this. Mine came on after a bad cough. Donna
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mop4me

New User, Becoming EHEALTHy
Joined: 19 Jun 2005
Posts: 4
Throat Tightness
Posted: 06-19-05 18:39pm

Donna
mine started right after I had walking pneumonia. It started with a dry, hot feeling in my throat. Then this tightness started. I think the tightness started because I was so worried about the hot feeling. I suffer a lot from anxiety, so I am prone to think it is related to my mind. I do also have pain in my neck alot. Why do you think it is related to the neck. Sounds interesting.
Janet
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donnako

New User, Becoming EHEALTHy
Joined: 27 Apr 2005
Posts: 23
Location: Missouri
Throat Tightness
Posted: 06-19-05 19:27pm

Janet--i think if the muscles are tight around the neck it can give you a choking sensation. My chiro looked at some x-rays I brought him last week and said I had some definite rotation in my upper vertabraes. He has already helped me with a mid-back spasm a few months ago. Doesn't it seem weird this comes on after something else? My 4 months ordeal and doctors and tests is too long to go into on the forum but i'm really anxious to see about the fungus test results. I had a live blood cell analysis done and it showed I was high on fungus and parasites. My 3-mail dokayko@aol. Com. If you have aol we can im each other. If not feel free to e-mail me. I'll be back on-line after while. Donna
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ambi

New User, Becoming EHEALTHy
Joined: 30 Jun 2005
Posts: 17
Throat Tightness
Posted: 06-30-05 01:49am

I know this thread is a little old but am still hoping maybe someone can help me.Im desperate.

I have been having this really awful same tightness in my throat-but it feels from the outside.No pain on the inside of my throat...It feels as if a muscle has been pulled crazy tight from my jaw to my collarbone straight down the centre and im being strangled.

Its hard to breathe and doctors really cant shed any light on it.Im going in for a upper endo in a month and seeing a ent specialist.Its starting to drive me crazy.

Im not sure if this is at all relavent but ive also been having a really heavy swollen feeling in my head and bad blocked feeling in my ears(as if I just got off a plane)-it seems to make me a little bit vague...Ive had a ct scan which has ruled out anything serious in my brain.

Im so hoping someone can shed some light on this.I have alot of responsiblities in my life right now and being so sick every day is starting to have a major affect on everything and everyone in my life...
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