home Audience 1 What to drink if you have a coma in your throat. Feeling of a lump in the throat. Examinations and therapy

What to drink if you have a coma in your throat. Feeling of a lump in the throat. Examinations and therapy

The sensations experienced by patients correspond to their name: something resembling a lump or clot of mucus is felt in the throat. This phenomenon is accompanied by other symptoms, including:

sensation of a foreign object;
heaviness in the throat and sternum;
burning and scratching in the esophagus;
difficulty breathing;
sore throat, pain when swallowing and other discomfort in the throat;
general malaise.

In addition to problems with the throat, the patient may experience other types of ailments, for example, pain in the sternum, stomach, and muscles. Sometimes fever and chills, headache and dizziness, aching in the lower back and heaviness in the legs occur. Unpleasant sensations in the throat force a person to cough frequently in an attempt to get rid of the notorious “lump.” Against the backdrop of all this, fatigue and a feeling of emptiness develop. Experts identify various causes of a lump in the throat, which can be somatic, psychogenic, or related to the functioning of various organs and systems.

Somatic causes of the disease

Most often, negative sensations occur against the background of acute or chronic inflammatory processes in the throat. These may be the following diseases:

pharyngitis;
laryngitis;
follicular tonsillitis;
paratonsillitis;
abscesses of the epiglottis or root of the tongue;
parapharyngeal abscess.

A feature of all these ailments is the formation of mucus clots in the larynx, preventing the access of oxygen to the airways. Swelling of the throat is also possible, accompanied by fever, dry or wet cough. In such situations, only treatment of the underlying disease can bring the patient relief and relief from all associated symptoms.

Throat problems also often arise due to a lack of iodine in the body and the development of thyroid dysfunction. The latter increases in size and begins to squeeze the throat. A disease such as goiter occurs. It can be recognized by decreased appetite and weight loss, constant malaise, difficulty breathing and protruding eyeballs. In addition, when the thyroid gland becomes inflamed, the secretion of thyroid hormones increases. This phenomenon is also accompanied by the sensation of a foreign object in the throat.

Another somatic cause of the disease is osteochondrosis. In this case, various problems in the cervical spine lead to characteristic sensations in the throat. The disease develops against the background of poor posture or is completely hereditary. In addition, overeating, physical inactivity and other bad habits can lead to it. Osteochondrosis of the cervical spine is accompanied by pain in the head, neck and back. Nausea, vomiting, and changes in blood pressure may occur.

The most dangerous somatic cause of throat compression is the growth of a benign or malignant tumor. The feeling of a lump in the throat can be observed in the early stages of the disease, so it is important to seek oncological help in a timely manner. In later stages and as the cancer tumor grows, breathing becomes significantly more difficult, severe pain occurs in the trachea and chest, and general signs of cancer are observed (rapid weight loss, severe malaise, disruption of the functioning of various organs, etc.).

Problems with the gastrointestinal tract

Diseases of the gastrointestinal tract are the next most common causes of a feeling of a lump in the throat. Their characteristic feature is that unpleasant sensations are observed during or after eating. The following characteristic symptoms of most gastrointestinal diseases are distinguished:

heartburn;
belching;
sour or putrid taste in the mouth;
pain in the stomach or esophagus.

The sensation of a lump in the throat often occurs with reflux or gastroesophageal disease. It consists in the fact that the contents of the stomach, during or after eating, are thrown back into the esophagus. The problem is especially aggravated by the consumption of chocolate, citrus fruits, carbonated drinks and other harmful foods. Overeating or prolonged abstinence from food also lead to unpleasant symptoms.

A lump in the throat may be caused by a hiatal hernia - a violation of the relief of the muscular structure of the organ. In this case, the patient experiences pain throughout the gastrointestinal tract, which intensifies while eating, coughing, and even just talking. The development of the disease is caused by various injuries to the larynx and esophagus, and significant physical activity with lifting weights. The disease requires immediate diagnosis and treatment, since deterioration of the patency of the esophagus disrupts the functioning of the entire body and often leads to the development of a cancerous tumor.

Psychogenic causes

In some cases, the sensation of a lump in the throat occurs due to nervousness and is not associated with any organ diseases. For example, constant stress can strengthen the swallowing reflex, but due to an insufficiently abundant amount of saliva in the oral cavity, swallowing gradually becomes more difficult, and this sensation can be perceived as a kind of lump that seems to be clogging the throat.

In addition, a “false” lump in the throat is often observed in cases of previous illness. During the treatment of reflux and other ailments associated with disruption of the gastrointestinal tract, a person develops the habit of paying attention to their characteristic symptoms. Even if the disease is no longer present, discomfort in the throat may still be felt for some time. To get rid of unpleasant sensations, you should try to pay less attention to the processes of breathing and swallowing, and also do not stop performing preventive procedures prescribed by your doctor (gargling, lubricating the throat, using sprays and other medications). Gradually, your health is completely normalized, and negative symptoms disappear.

The feeling that a foreign body is stuck in the throat, which makes it difficult to swallow even saliva, and after swallowing returns to its place again, is called a “lump in the throat.” The causes of this symptom can be different: from Quincke's edema, which occurs when eating unusual foods (the introduction of a new drug, an insect bite) to diseases of the esophagus and thyroid gland, which actually block the lumen of the throat. In all cases, only medical diagnosis will help.

The main thing is, don’t worry that you won’t be able to breathe: dangerous diseases, in which the throat can actually be blocked, develop gradually, not in 1 day (except for Quincke’s edema, but you will see it in the mirror). In addition, by “turning on” panic, you can only harm yourself by increasing the feeling of lack of air. Therefore, if you have a feeling of a lump, carefully examine your neck, look into your throat. If there is no sharp increase in the volume of the neck, and the tonsils have not closed together, calmly contact a therapist. And below we will tell you what reasons could cause the sensation of a lump.

Causes

The causes of a lump in the throat are varied - from “nervous soil”, when no narrowing of the respiratory or digestive tract actually occurs, to throat abscesses, which can cause asphyxia. Most often, such a symptom occurs in pathological processes localized in the nasopharynx, oropharynx, and the initial parts of the esophagus.

The main pathologies that cause the feeling of a lump in the throat are as follows:

chronic inflammation of the tonsils, mucous membrane of the throat or vocal cords;
flow of mucus from the inflamed sinuses or nasal cavity into the throat;
inflammation of the mucous membrane of the throat;
diseases of the pharyngeal muscles or disruption of the signal going to them along the nerves (with a stroke, spinal injury, multiple sclerosis);
esophageal tumors (benign or malignant);
diseases of the thyroid gland, accompanied by its enlargement;
reflux of stomach contents into the esophagus and higher (gastro-esophageal reflux);
scleroderma with damage to the esophagus;
dermatomyositis with damage to the esophagus;
esophageal diverticulum;
throat abscesses: accumulation of pus above the epiglottis, in the tissue near the tonsils or in the tissue between the pharyngeal muscles;
esophageal spasm;
neuroses, panic attacks, hysteria;

Can a “lump” cause suffocation?

Sometimes it can, and it depends on the area in which the pathological process is located. To do this, let's look at how the human throat and underlying organs work - those structures whose disease can cause the feeling of a lump.

The oral and nasal cavities are “tubes” of not quite regular shape. They flow into one large “pipe” - the pharynx. The latter is quite long (11-12 cm) and ends in a kind of “fork”:

on one side it passes into the larynx - the initial section of the respiratory tract, the place where the vocal cords that form sounds are located;
on the other hand, behind the larynx, the pharynx ends in the esophagus - a muscular tube that leads directly to the stomach.

Before the nasal cavity passes into the pharynx, at the mouth of the auditory tube - the formation that communicates the ear and pharynx, in the area of the root of the tongue and on both sides of it there are tonsils - large accumulations of lymphoid tissue. The same tissue is scattered in the form of small “peas” in different places of the back wall of the pharynx.

The task of lymphoid tissue is to “inspect” the air flow and bolus of food for microbes and agents potentially dangerous to the body. If any are found, the tonsils and separate areas to fight germs increase in size. They may then feel like a lump in the throat.

If a person inhales air that contains a certain number of microorganisms, usually both the palatine tonsils (which are what we see in the mirror when we open our mouth) and the pharyngeal tonsil, which lies on the border of the nose and pharynx, immediately enlarge. If they increase significantly (due to the simultaneous exposure of a large number of microbes to the air or the constant inhalation of small volumes of dust or microorganisms), not only a lump in the throat will be felt. This can cause difficulty breathing, but rarely to the point of suffocation.

A condition called peritonsillitis or peritonsillar abscess can cause suffocation. In this case, which is a complication of purulent tonsillitis, pus permeates the fatty tissue around the tonsils (one or two). With a large amount of pus, the enlarged tonsil blocks the path of air.

Impaired air passage and suffocation can develop as a result of edema or abscess of the epiglottis. This condition develops as a complication of allergies (most often food) or acute respiratory viral infections.

In the cases listed above, what comes to the fore is not the feeling of a lump in the throat, but severe pain in the throat, inability to swallow, fever and symptoms of intoxication (headache, weakness, nausea).

Another significant part of the “lumps” is caused by the so-called postnasal drip. This is the name of the condition when, as a result of inflammation of the upper respiratory tract (nose, paranasal sinuses, nasopharynx), mucus is formed and flows down the back wall of the pharynx.

However, the main reasons for the sensation of a lump in the throat are localized in the esophagus - a tube that is designed to move food to those parts of the digestive system where it can be processed and digested. Pathological processes in the esophagus that can cause suffocation are those that either grow from its anterior wall, which is adjacent directly to the trachea (the trachea is in front) or have great hardness to try to close the tracheal cartilage. Before the feeling of lack of air appears, a “lump” and swallowing disturbances will be felt for a long time: first of solid food, then of liquid food.

Now let’s look at what could be the reasons for the appearance of a foreign body in the throat - depending on the symptoms that accompany the “lump”.

Diseases accompanied by a sensation of a foreign body when swallowing

A lump in the throat when swallowing develops with any of the following diseases.

Cardiospasm (cardia achalasia)

This is a disease in which spasm occurs in the orbicularis muscle located between the esophagus and stomach.

Characterized by sudden difficulty swallowing, when warm liquid food or, in rare cases, solid food passes better. A person feels that food will pass better if he walks after eating or eats while standing, or puts pressure on the chest while eating. There may be pain in the upper part of the sternum, which is similar to pain in the heart.

Reflux esophagitis

This is the name of the condition when the contents of the stomach are constantly thrown into the esophagus and inflame its mucous membrane.

Symptoms of the disease: heartburn and sour belching that occur after eating (especially if you lie down immediately), when bending the body forward, if a person has eaten less than 1.5 hours before bedtime. With this disease, there is also pain in the chest (very reminiscent of pain in the heart), which radiates to the lower jaw, the area between the shoulder blades, and the left half of the chest. There may be a cough that develops only when lying down, dry throat, bloating, nausea, and vomiting.

Hiatal hernia

In this case, the stomach and, in some cases, the intestines, which should be in the abdominal cavity, due to the expansion of the hole in the diaphragm through which the esophagus should pass, find themselves (periodically or permanently) in the chest cavity.

The disease is very similar to reflux esophagitis: in addition to a “lump” in the throat, it is also characterized by heartburn after eating, pain in the pit of the stomach when a person has been standing in a bent position for a long time, and abdominal pain. If organs penetrating into the chest cavity compress the heart or lungs, shortness of breath, pain behind the sternum, and blueness around the mouth, worsening after eating, will be observed.

Thyroid pathologies

The feeling of a lump when swallowing occurs when the thyroid gland enlarges and begins to put pressure on the underlying thyroid cartilage of the larynx. This may look like:

production of an increased amount of hormones (hyperthyroidism), which is manifested by weight loss with increased appetite, increased heart rate, sweating, irritability, periodic attacks of abdominal pain and vomiting;
the production of a reduced amount of hormones (hypothyroidism), in which a person gains weight despite a decreased appetite. Such a patient exhibits slowness and fatigue, his memory is reduced, his skin becomes dry, and his hair becomes brittle and tends to fall out;
normal gland function. In this case, apart from a lump and an increase in the volume of the neck, there are no other noticeable symptoms.

Thyroid disease does not lead to swallowing problems.

Chronic pharyngitis

This is an inflammation of the mucous membrane of the pharynx, which occurs either as a result of insufficient treatment of acute pharyngitis, or during prolonged inhalation of dusty, dry or polluted air.

Symptoms of chronic pharyngitis are: a feeling of dryness, a sore throat, frequent attacks of a dry, painful cough. As the disease worsens, a sore throat is noted and the body temperature may rise.

Chronic laryngitis

This is the name for chronic inflammation of the mucous membrane of the larynx. Cause of the disease: frequent acute laryngitis due to professional activity (teachers, singers, speakers), smoking or alcohol abuse.

The disease manifests itself as a feeling of dryness in the throat, sore throat. The voice becomes hoarse until it is completely lost. There is also a dry, debilitating cough that develops in paroxysms. There may be a feeling of lack of air, pain when swallowing.

Mental disorders

This feeling is observed in 60% of people suffering from depression. The main symptoms: constant bad mood, inability to rejoice, constant pessimistic attitude, loss of interest in life or what used to make you happy.

The same complaint can be heard from people suffering from neuroses. These conditions arise after some kind of traumatic factor and can be manifested by various symptoms: irritability, frequent phobias, panic attacks, anxiety, mood instability, sleep disorders, pain of various locations (in the heart, in the stomach, in the head), imbalance, dizziness . The diagnosis is made after excluding cardiac, neurological and other somatic diseases.

Complaints about this feeling are also made by people in whom psychiatrists, upon examination, discover hysterical personality disorder. This disease is more often found in women, when, against the background of a constantly observed unstable mood and a tendency to fantasize, attacks of transient blindness, deafness, and paralysis may appear. At the same time, a brain examination does not reveal any strokes or micro-strokes. "Lump", unlike attacks of blindness/deafness, can be observed constantly.

Osteochondrosis of the cervical spine

It is manifested not only by a feeling of a lump in the throat, but also, most often, by dizziness, pain or crunching when turning the neck, and headache when the weather changes.

Foreign object in the esophagus

The feeling of a lump can be caused by an object stuck in the esophagus: a fish bone, a tablet, an inedible particle that gets in with food.

Esophageal trauma

The esophagus can be injured by a probe (during fibrogastroscopy or placement of a feeding tube or evacuation of contents). The injury can be caused by a swallowed bone or a tablet: damage to the mucous membrane can be distinguished from the appearance of a foreign object there only after consulting a doctor: an ENT doctor or an endoscopist, who will have to perform fibrogastroscopy.

Oncological diseases

Throat cancer may cause this sensation. accompanied by other symptoms: cough, difficulty swallowing first solid food, then liquid food, sudden weight loss.

Esophageal cancer, in addition to these symptoms, pain and a feeling of fullness behind the sternum, regurgitation of food, and the production of a large amount of saliva are added to it. The feeling of a foreign body in the throat at first simply prevents you from eating food, then forces you to drink it, then only take liquid meals. If at this stage a person does not consult a doctor, he completely loses the ability to take food and water.

Sjögren's syndrome

This is a condition when your own immunity affects the connective tissue and external secretion glands (tear, salivary). It develops most often in women during menopause. It begins with a feeling of dry eyes, dry skin, mouth and genitals. Seizures appear in the corners of the mouth, causing pain at first only when yawning, and then when talking. As a result of dry mucous membranes, crusts form in the nose, and sinusitis, bronchitis, and gastritis are often observed. With this syndrome, a lump when swallowing is not one of the first symptoms.

Multiple sclerosis

This is a disease in which one’s own immunity attacks the nerve fibers in the brain and spinal cord. Such a lesion is observed in a mosaic pattern: some people have some pathological foci (for example, in the frontal lobe and cerebellum), while others have others (more in the spinal cord than in the brain). Therefore, there are no specific symptoms for this disease. When the nerve pathways leading to the esophagus are damaged, swallowing is impaired and a foreign body is felt in the throat. This symptom is rarely observed on its own, accompanied by other changes: tremor, paralysis of one or more limbs, strabismus, blurred vision, decreased sensitivity.

Previous stroke

The sensation of a foreign object in the throat when swallowing can be as a result of a stroke in those parts of the brain that are responsible for the act of swallowing. In this case, the process of food entering the stomach will be disrupted (difficult), but will not depend on whether the food is solid or liquid.

Scleroderma of the esophagus

Scleroderma is a systemic disease in which normal connective tissue becomes dense and the arterioles that feed it cease to function.

The disease does not affect the esophagus alone. It begins with damage to the feet and hands, which begin to freeze paroxysmally (at first only in the cold, after excitement or smoking, and then without any visible provoking factor), while they first become alabaster-white, then turn red. Such attacks are accompanied by pain in the fingers, a feeling of fullness, and burning.

Simultaneously with Raynaud's syndrome, which has now been described, the esophagus is also affected. This is manifested by worsening swallowing problems and heartburn. It becomes increasingly difficult for food to pass through the esophagus, which creates the sensation of a lump.

Myasthenia gravis

This disease is characterized by progressive weakness of the muscles, including those that carry out the swallowing process, those that “put a block” to prevent food from entering the respiratory tract, and those whose duty is to “expel” particles that have entered the trachea or bronchi by coughing. food.

Most often, myasthenia gravis begins with a violation of swallowing and coma, then difficulty in raising the eyelids (so a person has to raise his chin to look at something), and the voice changes.

Damage to the nerves involved in the act of swallowing

This can happen with jugular vein thrombosis, a fracture of the base of the skull or a glomus tumor. This is accompanied by disturbances in swallowing, tongue movement, and a lump in the throat.

Fazio-Londe syndrome

This is a rare inherited disease that develops in children, adolescents and young adults. The first manifestations of the disease are breathing problems, wheezing, then the face becomes distorted, speech is impaired (becomes blurred, slurred), a feeling of a foreign body appears in the throat, and swallowing is impaired.

Pseudobulbar palsy

In this case, swallowing is impaired, speech is slurred, and a person may cry or laugh for any reason, especially when conducting neurological tests (by baring his teeth or holding some object across his lips).

Guillain-Barre syndrome

This is a disease that develops as a complication of intestinal infection, colds, herpes infection, when the activated immune system begins to attack the cells of the nerve trunks. The disease begins with deterioration of movements of the feet or both feet and hands. If this immune reaction is not stopped, the nerves that carry commands to the parts of the limbs that are closer to the body (hips, shoulders) are affected. In severe cases, swallowing is impaired, the voice appears nasal, and breathing may “switch off,” which is why such patients are treated in intensive care units.

Dystrophic myotonia

This is a hereditary disease, the symptoms of which often appear between the ages of 10 and 20 years. Less commonly, symptoms occur immediately after birth.

It is characterized by the appearance of spasmodic tension in the masticatory muscles and those muscles that flex the hand. Swallowing and facial expressions are impaired, the timbre of the voice changes, and sleep apnea may occur.

Other reasons

For diseases that force a person to breathe through the mouth (adenoiditis, chronic sinusitis)
For dehydration (for example, food poisoning or intestinal infection: salmonellosis, dysentery).
Enlarged lymph nodes under the lower jaw, near the angle of the lower jaw, on the front of the neck, or near the hyoid bone.

Diseases that also cause an unpleasant odor

A lump in the throat with an unpleasant odor is a symptom characteristic of ENT diseases. Basically, it appears in chronic sinusitis and chronic tonsillitis.

Chronic sinusitis

It is manifested by prolonged mucous or mucopurulent discharge (“snot”) on one or both sides, the flow of which down the back wall of the pharynx and causes a sensation of “coma” with an unpleasant odor. Difficulty breathing through the nose - on one or both sides.

In addition, a person periodically feels a headache - it is on this side that sometimes a feeling of heaviness is felt directly in the area of the inflamed sinus. The sense of smell decreases until it is completely lost. Due to constant mouth breathing, dry mouth occurs, the ear on the affected side periodically feels stuffy, and hearing deteriorates.

Chronic tonsillitis

This is a long-term and indolent inflammation of the tonsils. The tonsil is a formation of soft tissue, with depressions and passages on the surface, and voids inside. If the tonsil becomes inflamed under the influence of a microbe and cannot cleanse itself, the inflammatory process in it becomes chronic. Food debris enters this amygdala, which also supports this process.

As a result, white lumps of dead leukocytes, microbes, food debris and cells exfoliated from the surface of the organ are formed in the tonsil. These are caseous plugs, which are the source of an extremely unpleasant odor.

When the inflammatory process worsens, the tonsils also secrete pus. Over the course of a day, up to half a glass can form, and all of it will be swallowed. This pus, on the one hand, is the “lump” in the throat. On the other hand, it leads to inflammation of the mucous membrane of the pharynx and stomach, where it enters, which increases bad breath.

Zenker's diverticula

This is the name for protrusions of the wall of the esophagus, which are facing outward, at the level of the transition of the pharynx to the esophagus. The disease manifests itself as a sensation of a foreign body in the throat, difficulty swallowing both solid and liquid food. Since a diverticulum is a kind of “pocket” where food can (and does) enter, an unpleasant odor is often felt from the mouth.

Such patients also complain of regurgitation of undigested food (especially in a lying position), dry cough, nausea, and change in voice timbre. There may be attacks of the “blockade phenomenon”: after eating, a person feels that he is suffocating, he begins to feel dizzy, and he may even faint. If you induce vomiting against this background, the attack goes away.

Diseases in which a lump is combined with belching

A lump in the throat and belching are characteristic of the following diseases of the gastrointestinal tract:

Gastroesophageal reflux

This is the reflux of food from the stomach into the esophagus. It is described in the section “Diseases accompanied by a sensation of a foreign body when swallowing.”

Esophagitis

This is the name for inflammation of the mucous membrane of the esophagus, which can be caused by various microbes, physical (consequences of a burn from hot food) or chemical (consequences of ingested acid or alkali). The cause may also be esophageal tuberculosis (only in the presence of pulmonary tuberculosis) or candidiasis (as a complication of oral thrush).

It is characterized by the development of the following symptoms:

burning behind the sternum after eating;
pain behind the sternum, which is present constantly or periodically, can radiate to the shoulders and the area between the shoulder blades;
the sensation of a lump in the throat and belching is present during and immediately after eating, which is associated with additional trauma to the inflamed mucous membrane from the food bolus;
periodically, a small amount of food from the esophagus may return back into the mouth.

Neuroses

These are conditions in which the functioning of individual parts of the central nervous system is disrupted, but their structure is not disrupted.

Taking certain medications

Treatment with those medications that have a damaging effect on the mucous membrane causes belching, and the reflux of stomach contents into the esophagus, which is often accompanied by this condition - a lump in the throat.

The main drugs that lead to the appearance of these two symptoms are painkillers (Nimesil, Diclofenac, Analgin, Ibuprofen, Aspirin) and hormonal anti-inflammatory drugs (Prednisolone, Dexamethasone).

If you really need to take one of these drugs, and you notice the appearance of belching and a lump in the throat, consult a gastroenterologist on how to protect your stomach (usually drugs like Omeprazole or Rabeprazole are used for this). Take anti-inflammatory drugs only after meals.

Pregnancy

The combination of belching and a lump in the throat can be caused by pregnancy. This is explained by the fact that in this case women change, which leads to relaxation of the muscles located between different parts of the gastrointestinal tract, including between the esophagus and stomach. As a result, food is often thrown into the esophagus, inflaming it, which causes belching and a sensation of a foreign body in the throat.

Combination of several diseases

It may happen that two unrelated diseases develop at the same time: for example, an increase in the volume of the thyroid gland, which causes a sensation of a lump in the throat, and inflammation of the stomach (gastritis), which causes belching. The same combination can be observed when consuming a large amount of gas-forming foods and drinks and acute respiratory infections with inflammation of the mucous membrane of the throat.

Hiatal hernia

The symptoms of this pathology are discussed in the section “Diseases accompanied by the sensation of a foreign body when swallowing.”

Esophageal trauma

Swallowing too hot, aggressive contents, inserting a feeding tube before anesthesia, or conducting a study such as fibrogastroduodenoscopy (FEGDS) can cause belching and coma.

Diseases in which both a foreign body and dryness are felt in the throat

Diseases in which both a lump and dry throat are noted are described above. This:

laryngitis: acute and chronic;
pharyngitis: acute and chronic;
chronic sinusitis;
allergic swelling of the epiglottis. This condition appears after eating some new food, walking in a blooming garden, using new medications, or working with household chemicals. It manifests itself as a lump in the throat, which quickly grows and interferes with breathing. It is necessary to urgently seek medical help.
Sjögren's syndrome;
adenoiditis;
diseases leading to dehydration;
smoking.

When you feel a lump in your throat as if made of mucus

A lump in the throat and mucus will be observed with:

postnasal drip, when mucus from an inflamed nose or its paranasal sinuses flows down the back wall of the pharynx;
exposure to the mucous membrane of the throat from tobacco, spicy foods, alcohol, and vasoconstrictor nasal drops. In this case, your health does not suffer, and a “lump of mucus” is observed only in the morning;
chronic pharyngitis;
runny nose;
inflammation of the tonsils and pharynx;
allergic rhinitis, nasopharyngitis;
reflux of gastric contents into the throat (laryngopharyngeal reflux), which is manifested by a mucous lump and attacks of dry cough.

When a foreign body sensation is combined with a sore throat

The appearance of a sore throat and lump is characteristic of the following pathologies:

What to do if you have a lump in your throat

Treatment for a lump in the throat depends on its cause. So, if it is a tumor formation, surgery is needed, followed by the administration of chemotherapy or radiation therapy. Diverticula are also removed surgically. With the development of a paratonsillar or parapharyngeal abscess, an operation to open and drain the abscess is also necessary. But myasthenia gravis, multiple sclerosis, Guillain-Barre syndrome and some other diseases can only be treated conservatively.

Therefore, to determine the cause of the “lump,” contact an otolaryngologist (ENT). He will examine the pharynx and larynx, examine the epiglottis and palpate the neck to rule out a parapharyngeal abscess, and take a culture from the tonsils and posterior pharyngeal wall. If no pathological process is detected, you need to be examined further:

perform an ultrasound of the thyroid gland and test those hormones that the endocrinologist says;
perform an MRI of the brain, cervical spine and neck organs and undergo those examinations recommended by a neurologist;
visit a gastroenterologist, perform FEGDS (fibrogastroscopy).

If at least 1 symptom from the following occurs, consult a doctor immediately:

it became difficult to breathe;
temperature increased above 37.5°C;
swelling of the neck along with a sore throat;
coughing up sputum in which pus or blood is visible;
a lump in the throat appeared either against the background of impaired sensitivity and movements in the legs or arms, or one can say that it becomes more and more difficult to swallow each time;
if, in addition to a lump in the throat, there is a nasal voice, blurred speech, choking when swallowing.

While you are being examined, take the following measures:

Rinse your nose and gargle in the morning with salt water, for which you can dissolve 1 tsp in 1 liter of boiled water. sea or regular salt, or buy one of the saline solutions at the pharmacy.
Stop smoking and drinking alcohol.
Eliminate seafood, spicy foods, and high-fat dairy products from your diet.
If swallowing is impaired, introduce more liquid and high-calorie foods into the diet: broths with chicken meat passed through a blender, fermented milk products, enteral nutrition mixtures.
If mucus in the throat bothers you, include chicken broth, fresh apple puree, and warm soups in your diet. Just don't eat before bed.
If, along with a lump in your throat, your temperature has risen while you are waiting for the day for which you are scheduled to see an ENT specialist, gargle with antiseptic solutions: Miramistin, Chlorhexidine.
If you notice that a lump in your throat has appeared after contact with an animal, eating new food, working in dusty conditions, and so on, take an antihistamine, optimally 1st generation (although they cause drowsiness, they act quite quickly): “Diazolin” , "Suprastin", "Tavegil". If such a “lump” interferes with breathing, call an ambulance.

Hello dear readers. Probably every person has at least once experienced the feeling as if something was stuck in the throat. For some, this discomfort goes away quickly, while others suffer for years. This problem is quite widespread and has various explanations. So, lump in throat - what it could be, causes and treatment. All these points will be discussed below. And now, more about the problem. The feeling of a lump in the throat can cause serious discomfort. There is such an unpleasant feeling associated with it, as if something is blocking the throat and it cannot be swallowed. With this condition, the process of swallowing food, water, and saliva can be difficult. The feeling of constriction in the throat also causes soreness, coughing, burning, and dryness.

Sometimes it feels like something is moving in the throat. The person may experience dizziness, pain, and difficulty breathing. In this condition, appetite often worsens and sleep is disturbed.

It should be understood that a lump in the throat is not a specific disease. This is a definite symptom, the appearance of which should be treated with due attention. Especially if the discomfort does not leave you for a long time

Lump in throat - what it could be, causes and treatment

There are quite a few reasons for the development of this condition. They can be somatic, psycho-neurological or pathological in nature. Here is a list of the main root causes.

Causes of the condition

Cold-type sore throat, chronic diseases. This could be a sore throat, pharyngitis, laryngitis, tonsillitis, tracheitis.

Complications after surgery (throat surgery).

Problems with the thyroid or parathyroid glands.

Tumor growths.

Disorders in the thoracic or cervical spine.

Allergic manifestations.

Disorder in the functioning of the digestive organs.

Psycho-emotional reactions.

Injury to the internal surfaces of the esophagus.

Exchange disorders.

Discomfort occurs only after eating or generally, as it may seem, for no reason. It is necessary to promptly identify the true causes of a lump in the throat and begin treatment.

Sometimes medication is required, and sometimes surgery is required. But in most cases, to get rid of this problem you have to work with a psychologist or psychotherapist. In 80% of cases, the pathology is neurotic in nature.

Exposure to stress, overwork, emotional breakdowns, lack of sleep - all these common factors can cause a feeling of a coma. The patient may assume the presence of a somatic disease, but the examination does not confirm this guess.

And it also happens that the psychogenic effect resonates with a pathological condition in the body. Then to solve the problem you will need to work in both directions.

Often a lump in the throat appears against the background of chronic diseases. These can include ENT diseases, hypertension, and neurocirculatory dystonia.

In addition to these reasons, there are also a number of factors

Factors that contribute to the feeling of a lump in the throat:

Overweight, obesity.

Injuries, displacements.

Smoking, alcohol abuse.

Pregnancy.

Hurting cough.

Foreign particle stuck in the throat.

Taking certain medications.

Associated symptoms

Often a lump in the throat is combined with symptoms such as:

✔ Feeling of pressure.

✔ Constriction of breathing.

✔ Soreness.

✔ Suffocation.

✔ Pain during swallowing or after eating.

✔ Nausea.

✔ Digestive disorder.

✔ Dizziness, weakness.

✔ Migraine.

✔ Pain in the chest and chest area.

✔ Attacks of hypertension and arrhythmia.

✔ Chills or fever.

✔ Muscle pain, heaviness in the limbs.

✔ Decreased appetite.

✔ Mood swings, increased anxiety, nervousness.

✔ Depressive symptoms.

✔ Loss of self-control, nervous breakdowns.

In the case when the feeling of constriction in the throat is caused by psychological factors, the situation is aggravated by the fact that the person overwhelms himself. He comes up with terrible diagnoses for himself, but does not dare to go to the doctor. This makes the symptoms appear with increasing intensity, which makes the patient worry even more.

The severity of symptoms varies. They may appear immediately or develop gradually.

These accompanying symptoms may help in diagnosing

If there is discomfort after eating. Impaired swallowing prevents food from passing freely through the esophagus. This is what causes discomfort. This happens during inflammatory processes, colds, damage to the mucous membrane of the mouth and pharynx, tumors, and spasms of the esophageal muscles. The condition is accompanied by cough, pain, and difficulty swallowing saliva.

If you feel sick. This is due to a violation of the movement of the food coma through the food tubes, as a result of which food from the stomach returns to the esophagus. This reversal is called reflux. It is accompanied by belching, heartburn, drying of the surface of the mucous membrane, and pain. The process can start after eating or if a person decides to lie down. The reasons for this phenomenon can be different: weakened gastric sphincter, excess weight, high acidity, pregnancy, pathological changes in the cellular structure of the digestive organs, drug side effects.

If you have a cough. Just as the lump itself can cause a sore throat and a desire to cough, so too can throat discomfort develop due to coughing. In the first case, the cause may be stress, overwork, decreased immunity, autoimmune diseases, or the use of immunomodulators. But it happens that poor coughing causes stagnation of mucus, which, accumulating in the throat, causes discomfort, difficulty swallowing, breathing problems, and pain. Or a prolonged cough leads to muscle fatigue and a feeling of the presence of something extra in the throat.

When smoking. Smokers often face a similar problem. Coma can be caused by pathologies associated with smoking - these are disorders of the thyroid gland, malignant neoplasms, and an experienced smoker's cough. In addition, a stressful condition can also cause discomfort in the throat, which forces a person to reach for another cigarette.

During pregnancy. Here, most often a lump in the throat appears due to the experiences associated with bearing a baby. Although this symptom can appear at any stage, this problem is typical for long periods, when the fetus puts pressure on the stomach, causing displacement and compression of other abdominal organs. As a result, reflux may occur and an esophageal or diaphragmatic hernia may develop. As a rule, everything returns to normal after the birth of the child.

If there is something bothering your throat. This sensation may be caused by an aortic aneurysm in the neck. This pathological dilation of the vessel is caused by a decrease in the tone of the vascular walls and their loss of elasticity. This pathology is characteristic of diabetes mellitus, atherosclerosis, inflammatory processes in the thyroid gland, and is also observed in infectious lesions. The condition is accompanied by discomfort when swallowing solid food and liquids, the presence of a dry cough, hoarseness, breathing problems, and attacks of suffocation.

Allergic reactions and lump in throat

Nowadays, people are extremely susceptible to allergies. An alarming trend is visible among allergy sufferers: over time, allergic manifestations become more intense and varied.

It is known that allergies can cause swelling of the airways. It is not always possible to quickly correct the situation. The condition can last for months, when avoiding contact with allergens is not possible.

If you have an allergy, you may experience a feeling of a coma in the esophagus, rawness, burning, and coughing. Due to swelling, breathing movements become difficult - breathing is compressed, especially when the body is in a horizontal position.

Unfortunately, taking antihistamines does not always help to completely eliminate discomfort in the throat.

Which doctor should I contact - diagnosis

If the problem has been bothering you for a long time, you should make an appointment with a therapist. If necessary, he will redirect you to a more specialized specialist.

You may need to consult a neurologist, psychotherapist, otolaryngologist, vertebrologist, endocrinologist or gastroenterologist. If a woman is expecting a baby, she will need to visit a gynecologist.

The doctor will examine your throat, palpate the lymph nodes and neck to detect tumor lumps, and prescribe laboratory tests. To clarify the diagnosis, additional examinations may be necessary.

It could be:

✔ X-ray of the cervicothoracic spine.

✔ CT scan.

✔ MRI.

✔ Ultrasound examination of the thyroid and parathyroid glands.

✔ Gastroscopy.

After making a diagnosis, the specialist will decide on the most effective treatment regimen.

How to treat a lump in the throat at home

Therapeutic measures depend on the cause of the pathological condition.

The psychogenic factor requires the intervention of a psychologist or psychotherapist. The specialist will help the patient calm down, introduce him to effective methods of relaxation, suggest how to increase self-control, give individual recommendations, and, if necessary, prescribe medications. It is rarely possible to do without sedatives. To overcome the condition and prevent relapses, you need to get enough rest and take seriously the creation of a rational daily routine.

Colds require appropriate treatment. Rinsing (with healing decoctions, salted water, soda solution), sucking lozenges or tablets for sore throat, using special sprays, inhalations are necessary. If discomfort in the throat is associated with a dry cough, you will need to take mucolytic and expectorant medications. They will make sputum less viscous, make it easier to separate and speed up elimination. When the cough becomes wet, you will need to stop taking them in consultation with your doctor.

Endocrine diseases that cause discomfort in the throat require specific treatment. If the thyroid gland malfunctions, iodine-containing drugs are prescribed. If the condition was caused by a hormonal imbalance, then appropriate hormones may be prescribed.

Gastrointestinal problems require the use of pharmacological drugs and sometimes surgical intervention. You also need to adhere to a special diet. Products that have E-additives, as well as those that irritate the mucous surface of the stomach, stimulate the excessive release of digestive juices, and have a choleretic effect, should be removed from the diet.

It should be borne in mind that gastrointestinal diseases (as well as their exacerbation) are often associated with a stress factor. Therefore, work will need to be carried out in this direction too. It is recommended to get enough sleep, take measures to prevent overwork, and seek help from a psychologist.

In rare cases, a lump in the throat may be associated with the appearance of a tumor in the throat area. If a tumor is detected, it will be necessary to find out whether it is malignant. For this purpose, histological studies of tissues are carried out. If the answer is positive, radiotherapy, chemical exposure, and surgery are prescribed.

If the cause is vertebral disorders in the cervical spine due to osteochondrosis, intervertebral hernia in the upper part of the spine, kyphosis, it will be necessary to attend exercise therapy classes, various physiotherapeutic procedures (laser therapy, magnetic therapy, electrophoresis, ultrasound, etc.), massage, and undergo acupuncture.

Preventive measures

To prevent the development of unwanted sensations in the throat, it is recommended:

- avoid stressful situations and the development of chronic fatigue;

- adhere to a rational daily routine;

- do not refuse vaccination;

- treat a cold in a timely manner, carry out therapeutic measures in full, and not stop halfway as soon as the annoying symptoms disappear;

- to refuse from bad habits;

— take measures to strengthen protective mechanisms (natural immunostimulation);

- increase mobility;

- harmonize the diet;

- normalize body weight;

- monitor your posture, avoid physical overload;

- undergo regular preventive medical examinations;

— monitor changes in the size of the lymph nodes and thyroid gland;

- avoid exposure to potential allergens;

— make a habit of daily (evening) exercise;

- do not abuse medications and do not self-medicate.

To get rid of discomfort, many try to push through the “blockage,” perhaps even an imaginary one, using rough food, or get rid of it with the help of an artificial, hysterical cough.

These methods can only be effective when something is actually stuck in the throat. And that’s not a fact. In some pathologies, such actions will only worsen the situation. If a lump in your throat does not go away spontaneously within a few days, then you should not delay visiting a doctor.

Detection of any disease, even cancer, at the initial stage of development gives a high chance of its complete cure.

general doctor.

In later years, namely in 1968, the name globus pharyngeus (literally - ball of the pharynx) was proposed due to the fact that, according to statistics, the majority of patients with this symptom do not have a hysterical personality type.

Symptoms of a lump in the throat

Patients may describe unpleasant symptoms as follows:

a feeling of “something extra” in the throat;
difficulty breathing and swallowing;
fear for one’s life (fear of choking or suffocation, particularly in sleep);
throat discomfort, soreness, soreness;
hoarseness of voice;
dry throat, thirst;
the desire to “swallow” a lump, to cough;
“pressing” sensation, feeling of suffocation.

Discomfort can occur under certain circumstances (severe distress, anxiety and fear, after eating, along with the appearance of heaviness in the stomach and belching, in a lying position or when tilting the head incorrectly).

The sensation of a lump in the throat can be periodic, temporary, and also an annoying reminder of itself, which can seriously disturb a person’s well-being and complicate life.

Possible reasons for the appearance

There are several causes of a lump in the throat. The phenomenon of the so-called “hysterical lump” is quite common - a false sensation of a foreign body in the throat, intensifying in anxious and conflict situations, at the beginning of a hysterical attack. Nervous overload and stress can provoke the development of psychosomatic diseases; a feeling of coma can be a manifestation of some kind of neurosis.

Other objective reasons for the sensation of a lump in the throat may be:

inflammatory diseases of the throat and larynx (pharyngitis, laryngitis, tonsillitis, as well as granuloma and cyst);
pathologies of the thyroid gland (for example, nodular goiter);
pathologies of the esophagus (impaired functions, motility);
hypofunction of the salivary glands;
diseases of the nasopharynx, accompanied by mucus flowing down the back wall of the pharynx (adenoiditis, chronic rhinitis, rhinosinusitis);
consequences of a hysterical cough;
inflammation of the cervical or submandibular lymph nodes;
osteochondrosis, neck injuries;
tumor formations;
neurological pathologies (myasthenia gravis, post-stroke conditions, vagus nerve injury);
atypical manifestation of an allergic reaction;
adverse reactions due to long-term use of certain medications.

Diagnosis of coma in the throat

Without torturing yourself with guesses about where the lump in your throat came from, make an appointment with a doctor to determine the causes of this disorder. First of all, MirSovetov recommends seeing a therapist.

To clarify the diagnosis, various diagnostic studies may be needed:

general urine and blood analysis, as well as biochemical blood test;
ultrasound examination of the thyroid gland, if large nodes are detected - fine-needle biopsy;
fibrogastroduodenoscopy;
computed resonance and magnetic resonance imaging, x-ray of the cervical spine.

After examining a therapist, you may need to consult the following specialists:

Otolaryngologist (ENT): quite often the feeling of a lump in the throat is caused by chronic inflammatory diseases of the throat and nasopharynx. In the presence of an infectious pathogen on the mucous membrane of the nasopharynx, tonsils, the spread of pathological microflora to the back wall of the pharynx - in addition to traditional patient complaints of irritation, sore throat, sore throat, complaints arise about the sensation of a so-called lump. Otolaryngologists in their practice resort to physiotherapeutic treatment to eliminate this symptom, in particular, mineral irrigation of the throat mucosa followed by restorative therapy is effective.
Sometimes a feeling of a lump in the throat, provoked by inflammatory processes in the throat and larynx, can indicate serious illness. For example, an abscess of the epiglottis is a dangerous condition that can block breathing when allergic or inflammatory edema develops. Therefore, when diagnosing it, urgent measures are necessary. The pathology of “curved epiglottis” is also known - due to its contact with the base of the tongue or the back wall of the pharynx, a sensation of “lump in the throat” may occur.
Endocrinologist: will examine for pathological changes in the thyroid gland, accompanied by growth or changes in its structure with squeezing in the throat. It is important to know that with a coma in the throat associated with pathological changes in the thyroid gland, swallowing disorders are usually not observed.

Gastroenterologist: if the appearance of a lump in the throat can be correlated with food intake, then it is possible that the cause lies in problems with the digestive system, impaired motility of the esophagus. For example, with a disease such as gastroesophageal reflux, intestinal contents reflux into the esophagus, a feeling of discomfort in the stomach appears, a sour taste in the mouth, and an unpleasant lump rolls up in the throat. Irritation of the esophagus (spicy foods, alcohol, swallowing a probe during endoscopic examination), as well as hiatal hernia, can also manifest themselves in a similar way.

Vertebrologist: if the feeling of a lump in the throat is accompanied by painful sensations when turning, moving the neck and back, or headaches, there is a need to visit this specialist. A spine specialist specializes in the treatment of diseases of the spine and will examine for disorders in the cervical region.

Neurologist: if a lump in the throat is combined with dizziness, nausea and apathy, a painful reaction to weather changes, then we may be talking about disturbances in the functioning of the nervous system. Perhaps these are manifestations of autonomic dysfunction.

Oncologist: the cause of the sensation of a lump in the throat in rare cases may be neoplasms of the pharynx, larynx, or cervical esophagus. In the early stages of detection of the disease, the prognosis is favorable.

Psychotherapist: if a symptom suddenly appears during mood swings, disappears after taking sedatives, or when getting rid of a traumatic situation, then the nature of the disorder is of an emotional nature. Sedatives and antidepressants are prescribed, and short-term therapy for neuroses and panic attacks is carried out. Relaxation methods will be effective, including sets of exercises for the neck and shoulder girdle, phonopedic exercises to relieve vocal discomfort and relieve tension. The doctor will prescribe complex treatment with medications and (or) psychotherapeutic methods.

Thus, a lump in the throat may be due to the presence of diseases and serious pathologies in the body, as well as disorders of the psycho-emotional state.

To prevent a lump in the throat, MirSovetov recommends maintaining a healthy lifestyle, timely consultation with a doctor in the presence of painful symptoms, regular health examinations and treatment of chronic diseases.

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Lump in the throat

A lump in the throat is an uncomfortable sensation in which a person feels pressure in the neck and difficulty passing air through the airways. It is not an independent disease, but it becomes a signal that there are some disorders in the body. Most often it occurs in cases of dysfunction of the thyroid gland or in the case of removal of one of its parts, as well as in pathologies of the larynx and neurological problems.

A person with such a symptom should not understand the causes of its occurrence without consulting a doctor, much less try to get rid of it himself. Because the factors of occurrence are so diverse that only a qualified specialist can make a correct diagnosis and prescribe treatment.

Doctors note that patients themselves describe a lump in the throat with the most characteristic symptoms, such as the feeling of a foreign body in the throat, the inability to swallow, as if something were moving, burning and severe pain in the throat during and after eating.

Depending on the causes of its occurrence, there are several ways to treat this disorder - medications are mainly used, and consultation with a psychotherapist is required.

Etiology

In medicine, it is customary to divide all the factors that provoke the sensation of a lump in the throat into two large groups. The first includes:

inflammation of a chronic or acute nature in diseases such as tonsillitis, pharyngitis or laryngitis. Such ailments can be complicated by an abscess or edema, which can completely block the access of oxygen to the body;
malignant, less often benign, neoplasms in organs such as the larynx, trachea or nasopharynx. They lead to a feeling of a lump in the throat and difficulty breathing. It is best to get rid of such neoplasms in the early stages, because they can be complicated by the spread of metastases;
disorders of the thyroid gland, as well as cases of its complete or partial removal;
problems with the cervical spine are the most common cause of a lump in the throat;
reflux of stomach contents into the esophagus;
sedentary and sedentary work or lifestyle;
addiction to alcohol and smoking;
metabolic disease;
vegetative-vascular dystonia;
complications after medical intervention.

Very often, people feel a lump in their throat when swallowing or after eating - in such cases, the cause of such an unpleasant feeling is problems with the gastrointestinal tract.

The second group of reasons are:

stressful situations;
emotional swings;
neuroses;
an irrational daily routine in which a person does not have enough time to rest.

In addition, there are a number of factors that have a beneficial effect on the appearance of a lump in the throat:

excessively high body weight;
various injuries that caused displacement of the vertebrae;
presence of a foreign body in the throat;
taking certain medications;
consequences of a strong and prolonged cough;
pregnancy;
hernia in the esophagus or diaphragm.

Oddly enough, the most common causes of a lump in the throat are nervous disorders. But this can only be said in cases where no problems were found with the gastrointestinal tract, thyroid gland and respiratory organs.

The appearance of a lump in the throat during pregnancy should not cause fear in a woman, since this does not pose a threat either to the fetus or to the course of pregnancy as a whole.

Symptoms

In addition to the pronounced signs of a lump in the throat, in which it is difficult to breathe and it is painful to swallow not only food, but also saliva, there are other symptoms, such as:

tightness;
soreness;
sore throat after eating;
difficulty eating solid foods;
constant anxiety;
change of mood;
increased blood pressure;
increase in heart rate;
oxygen deficiency and, as a result, attacks of suffocation;
nausea;
stomach upsets;
pain in the chest and heart, often moving to the lower back and back;
muscle weakness;
fever and increased sweating, and in some cases, on the contrary, chills;
headaches of varying intensity;
feeling of heaviness in the limbs.

In addition, the person is constantly nervous because he believes that the lump in the throat is an oncological tumor. Thus, it turns out that the person himself worsens the condition, since the nervous state only increases the intensity of the symptoms.

During pregnancy, signs of a lump in the throat can occur at any stage and accompany the woman until childbirth. Most often, it is those representatives of the fairer sex who turn to doctors who are carrying a child. This is due to the fact that during pregnancy all a woman’s senses are heightened, and what she would not pay attention to in everyday life causes anxiety at such a time. Therefore, she tries to identify the cause of this feeling and get rid of it.

Diagnostics

To determine the causes of a lump in the throat, it is necessary to conduct a comprehensive diagnosis, which consists of:

collecting detailed information about daily routine, nutrition, and working conditions. Familiarization of the attending physician with the clinical record of the patient (the presence of certain diseases is often the cause of the manifestation of this unpleasant sensation);
finding out how pregnancy is progressing;
determining when the first symptoms of a lump in the throat were identified and which of them bother the patient. Finding out whether there were independent attempts to get rid of the coma and the presence of unpleasant sensations after eating;
general examination of the patient, oral cavity and neck palpation;
conducting general and biochemical blood and urine tests;
MRI and CT of the cervical vertebrae;
radiography;
determination of hormone levels;
thorough examination using a laryngeal speculum;
additional consultation with an obstetrician-gynecologist if a lump in the throat bothers a woman during pregnancy.

After obtaining a complete picture of the course of this disorder and establishing the causes of its origin, the doctor prescribes the most effective treatment.

Treatment

In some cases, people try to get rid of a lump in their throat on their own, using unnecessary medications that can only worsen the situation. In addition, they have great hope that the lump will resolve on its own - some specifically eat solid food and a lot of liquid, hoping to push it through. This is why patients turn to doctors, feeling severe pain, lack of oxygen, and some begin to feel as if the lump is moving. Regardless of the reasons, it is best to start treatment when the first symptoms appear, especially if the patient is a woman preparing to become a mother.

Depending on what caused the lump in the throat, different treatments are prescribed, individual for each patient. If the cause is improper functioning of the thyroid gland, drugs with a high iodine content are prescribed. In case of hormonal disorder - appropriate hormones. In cases where the manifestation factor is problems with the cervical vertebrae, special therapeutic exercises, laser and manual therapy are prescribed. Patients are advised to move more and eat a balanced diet.

Based on the results of diagnostic examinations, the patient is prescribed antibiotics and other medications. In cases where nervous disorders are the cause of the manifestation, antidepressants and tranquilizers are prescribed. If the problems lie in disorders of the gastrointestinal tract, a special diet is prepared individually for each patient.

It is extremely rare that an oncological tumor presses on the throat. When it is diagnosed, appropriate treatment methods are immediately prescribed - surgery or chemotherapy.

Treatment for women during pregnancy consists of:

special cold medicines that expectant mothers are allowed to take;
herbal sedatives;
healthy sleep and spending plenty of time outdoors.

If the cause of the coma is a goiter, the woman is prescribed medications that improve health but are not harmful to the fetus. Surgery to remove a goiter can only be performed after the baby is born.

Prevention

The main preventative measure is that you should not try to get rid of a coma on your own, and at the first symptoms it is better to immediately consult a doctor. In addition, prevention consists of:

timely treatment of diseases of the respiratory tract, gastrointestinal tract and thyroid gland;
avoiding overstrain of the vocal cords;
refusal to drink alcoholic beverages and smoke tobacco (especially for women during pregnancy);
rationalization of nutrition - it should be enriched with vitamins and not consist only of fatty and spicy foods;
proper rest - leave time for sleep at least eight hours;
walks in the fresh air;
regular, but not strong physical activity;
rinsing the throat with saline solution at the slightest sore throat;
undergoing a preventive examination at the clinic at least twice a year;
humidifying the air in a living or working area;
regular visits to the obstetrician-gynecologist by expectant mothers.

“Lump in the throat” is observed in diseases:

Autoimmune thyroiditis is an autoimmune disease of the thyroid gland, which is characterized by a chronic course. As it develops, gradual and long-term destruction of thyrocytes occurs. As a result, the hypothyroid state begins to progress. Medical statistics are such that the disease occurs in 3–11% of the total population.

Vertebrogenic thoracalgia is a condition characterized by the appearance of pain of varying severity in the chest, but there is damage to the spine. Such a disorder can be caused by both completely harmless factors and the course of serious diseases. The most common provocateurs are a sedentary lifestyle, intervertebral hernias, osteochondrosis and curvature of the spinal column.

Esophageal diverticula are deformations of the wall of this organ that communicate with its lumen. The occurrence of such a disorder is characterized by an increase in the volume of the layers of the gastrointestinal tract and their reversal towards the mediastinum. Diverticula are single or multiple sac-like appendages.

Kidney dystopia is a congenital disease, which is characterized by a violation of the topography of the organ. May be unilateral or bilateral. Clinicians note that such a congenital pathology is quite rare - in one out of 800-1000 children. Treatment can be either conservative or radical; it is used only when associated complications develop.

Dysphagia is a swallowing disorder that occurs with certain diseases of the pharynx, esophagus, or central nervous system. In most clinical situations, this sign is observed in the presence of pathologies of the esophagus (esophageal dysphagia). The esophagus is a kind of muscular tube, the main function of which is to move incoming food from the back of the oropharynx directly into the stomach cavity.

Hysteria (hysterical neurosis) is a complex neuropsychic disease that belongs to the group of neuroses. Manifests itself in the form of a specific psycho-emotional state. At the same time, there are no visible pathological changes in the nervous system. The disease can strike a person at almost any age. Women are more susceptible to the disease than men.

Laryngotracheitis in children and adults is an inflammatory disease that is often combined with damage to the larynx and trachea. Symptoms of the disease appear as a result of the penetration of various bacteria and viruses into the human body.

Scientists like to repeat the expression that all “diseases arise from the nerves,” and this is true, because the nervous system regulates the functioning of the entire body as a whole. With any disruption of its functioning, a person’s health deteriorates, which can be manifested by an increase in the number of heartbeats, headaches, eating disorders or pharyngeal neurosis - a rare condition, the symptoms of which need to be considered in more detail.

Throat cancer (larynx cancer) is an extremely serious disease characterized by the formation of a malignant tumor formation based on the tissues of the throat. Throat cancer, the symptoms of which are triggered by a number of specific factors, is predominantly a disease that occurs among men in the age group ranging from 40 to 70 years.

Reflux esophagitis is one of the most common diseases affecting the esophagus. It occurs as a result of direct contact of the esophageal mucosa and intestinal contents. Due to the characteristic increased acidity, damage to the lower part of the esophagus occurs, due to which symptoms in the form of heartburn, pain and similar disorders of the digestive system are characteristic of the disease reflux esophagitis.

Subatrophic pharyngitis is a disease in which the growth of connective tissue occurs in the pharynx and nearby lymph nodes. People affected by this disease complain of severe deterioration in health, irritability, discomfort, pain, dry throat, insomnia against the background of these symptoms.

Thyroiditis is a whole group of diseases that differ in their etiology and are united by a single common process, which is inflammation of the tissues in the thyroid gland. Thyroiditis, the symptoms of which are determined depending on the specific form of the disease, can also develop into strumitis, a disease in which the enlarged thyroid gland undergoes uniform inflammation.

Thoracalgia is considered a pathological condition that develops due to compression or inflammatory damage to the nerves in the sternum. The severity of pain and its location will be directly dictated by the provoking factor.

Erosive esophagitis is a gastroenterological disease that is characterized by an acute inflammatory process with damage to the mucous membrane of the esophagus. In most cases, this disease is secondary to acute or chronic inflammation of the esophagus.

Euthyroidism is a condition of the thyroid gland in which the functioning of the organ is disrupted, despite the fact that the level of thyroid and thyroid-stimulating hormones is normal. Clinicians usually use this term to characterize the results of the tests obtained. But, despite the fact that clinical euthyroidism is a physiological condition, serious illnesses, such as endemic goiter or autoimmune thyroiditis, can begin to progress against its background.

With the help of exercise and abstinence, most people can do without medicine.

Symptoms and treatment of human diseases

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Questions and suggestions:

What does the feeling of a lump in the throat indicate?

People often complain in the morning that there is something stuck inside their throat. There are many reasons for such a feeling. To determine the main source of the problem, you need to seek help from a specialized doctor. It will help you understand what a lump in the throat is and what could be the reason for this feeling.

Factors causing the disease

As a rule, such a feeling appears after severe stress or a nervous breakdown. Moreover, this condition can periodically bother you if morally difficult circumstances arise. The sensation of a lump in the throat may occur due to anxiety: a person’s muscles contract spontaneously.

Often people who suffer from psychological disorders or disorders complain of a lump in the throat. Endocrine diseases are also accompanied by this phenomenon. In some cases, it is associated with various disorders in the ears, nose and throat, or with displacement of the cervical vertebrae.

Before starting treatment, it is necessary to undergo a complete examination by all doctors in order to exclude many problems and obtain the correct diagnosis.

Causes of the disease

There are a huge number of ailments. Feelings of a lump in the throat manifest themselves thanks to them.

Psychogenic causes

Depressive disorders are often encountered in medicine; as a rule, these are stressful situations and psycho-emotional stress. The reasons for a person feeling a lump in the throat can be very different:

doesn't get enough rest;
does not get enough sleep;
often encounters emotions, which is why nervous breakdowns occur.

The feeling of a lump in the throat is a pathology that is observed in the brain.

There is a disease called vegetative-vascular dystonia. It is complicated by concomitant ailments, for example, bronchial asthma or ulcers, arterial hypertension or cardiac ischemia. Moreover, a person may choke, feel that his tongue is numb or his mouth becomes dry. Sometimes more mucus is felt. The totality of these symptoms creates the feeling that there is a lump in the throat. As a rule, it is vegetative-vascular dystonia that is the main cause of discomfort in the throat, if we talk about psychogenic factors.

To establish a correct diagnosis, it is necessary to exclude other diseases.

Other causes of discomfort

In addition to somatic and psychogenic factors, there are a number of additional sources. Some causes of a lump in the throat that may seem minor at first glance:

Overweight.
A foreign object may get lodged in the throat. A severe cough and dry throat appear.
Displacements of the cervical vertebrae and injuries associated with this direction.
Poor nutrition, after which the digestive processes are disrupted.
An adverse reaction that may occur as a result of taking medications. As a rule, this happens from antihistamines, hypertension drugs or after antidepressants.
Formation of a hernia in the esophagus or diaphragm.
A feeling of a lump in the throat may appear after a strong cough. At the same time, a lot of mucus collects.

If you feel any discomfort, you should immediately consult a doctor. As a rule, you need to go to your local therapist. He will do a visual examination, conduct a survey and refer the patient to a specialized doctor. It is he who will explain what a lump in the throat is and tell you how to deal with it.

The sensation of a lump in the throat is noted by many people who strain their vocal cords; they are also bothered by coughing and dryness.

In the case of the thyroid gland, the patient notes the fact that it is difficult for him to swallow solid food. Moreover, there is a feeling of heaviness in the neck, back and spine. Symptoms such as suffocation and shortness of breath are rarely observed. But this is only in the case when the size of the goiter is increased so much that it is difficult for a person to breathe, and such situations are extremely rare. At the first sign, you need to run to the doctor as fast as you can so as not to start the disease.

In some cases, the formation of the thyroid gland is abnormal from birth, so even a slightly increased size of the thyroid tissue can cause severe lack of air. This anatomical structure of the neck requires careful treatment of the nodes to prevent discomfort. Serious sensations of a lump in the throat will lead to the need for surgical intervention. But this will not give a complete guarantee that the symptoms will stop bothering the patient. You may be left with a hoarse or hoarse voice, or difficulty swallowing food during meals, a small amount of mucus, or a cough.

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Lump in the throat, reasons for the feeling of a lump in the throat

The feeling of a lump in the throat can significantly complicate a person’s life. An unpleasant condition in itself is not a disease, but it signals that something is wrong in the body. And you should not independently understand the causes of a lump in the throat - they are too diverse, and only a specialist can make an accurate diagnosis based on an examination, survey and research results.

Lump in throat: what is it?

Patients interpret the manifestation of the problem differently. Someone complains of a feeling of a foreign body in the throat that interferes with swallowing (sometimes even saliva). Others report strange movement or a sore throat, and some mention burning and scratching. Some people who have consulted a doctor even claim that the unpleasant condition prevents them from breathing and causes a constant desire to swallow.

Along with the feeling of a lump in the throat that interferes with normal life, patients often simultaneously suffer from other symptoms:

gastrointestinal disorders, as well as nausea or stomach pain;
pain in the chest and heart;
muscle pain;
pain in the lower back and back;
fever and chills;
heaviness in the body and limbs;
feeling of constant fatigue and emptiness;
psychosomatic disorders;
dizziness;
headaches of different types and intensity.

It is necessary to describe your condition to the doctor as accurately as possible. Each of the above complaints will help in establishing an accurate diagnosis.

Lump in throat: possible causes

Most of the reasons that can lead to this unpleasant sensation can be divided into two groups: somatic and psychogenic.

The presence of somatic causes is confirmed or refuted first. These include the following diseases and conditions:

As for the causes of a psychogenic nature, these include, in particular, depressive disorders, neuroses, psycho-emotional overload, lack of rest and especially sleep, and frequent stressful situations. The feeling of a lump in the throat in this case is a manifestation of pathological innervation from the brain.

A condition called vegetative-vascular dystonia, especially complicated by concomitant diseases (bronchial asthma, peptic ulcer disease, arterial hypertension, coronary heart disease), is accompanied by activation of breathing with the danger of choking, numbness of the tongue, dry mouth. All this together creates the sensation of a lump in the throat. Vegetative-vascular dystonia is one of the main causes of psychogenic lump in the throat.

There are a number of other reasons that are quite difficult to classify into any of the two groups mentioned above:

obesity;
trauma with displacement of the cervical vertebrae;
the presence of a real foreign body in the throat;
poor nutrition, causing disruption of digestive processes;
side effect from taking certain medications (antihistamines, high blood pressure medications, antidepressants);
hiatal or diaphragmatic hernia;
consequences of a severe cough.

I have a feeling of a lump in my throat: what should I do?

There can be only one answer - immediately consult a general practitioner. Consultation with an ENT specialist cannot be avoided - this is the first specialist to whom the patient is referred. If he does not find abnormalities in his part, a visit to an endocrinologist, vertebrologist and gastroenterologist will be required - depending on the history of the particular patient and his complaints. If somatic causes of a lump in the throat are excluded, the patient is referred to a psychotherapist, since psychogenic causes of various diseases and conditions are very common in the modern world.

Lump in throat: diagnosis

In order to determine the cause of the sensation of a lump in the throat, the following procedures are used:

general examination and survey;
general (and, if necessary, narrow) blood and urine analysis;
a thorough examination of the oral cavity, tonsils, and root of the tongue (so-called oropharyngoscopy);
thorough examination of the cervical lymph nodes and thyroid gland;
indirect laryngoscopy;
CT and MRI of the cervical spine;
X-ray of the cervical spine;
if necessary, ultrasound of the thyroid gland and analysis to determine the level of thyroid hormones.

How is a lump in the throat treated?

Of course, it is not the lump in the throat itself that is treated, but the disease that is the cause of this sensation. The specific set of measures, quite logically, depends on what exactly causes the lump in the throat.

So, if research has revealed disturbances in the functioning of the thyroid gland, then treatment depends on the very nature of these “problems”. When the source of problems is hypofunction of the thyroid gland, the body’s condition is stabilized with the help of iodine preparations (iodomarin, iodine balance). But autoimmune thyroiditis requires longer and more complex treatment, including taking hormones according to a specific regimen.

When a lump in the throat is a manifestation of various kinds of problems with the spine, manual and vacuum therapy, as well as laser and acupuncture therapy, may be required. Well, in most cases it is necessary to regularly perform sets of special physical exercises and recommendations for revising your lifestyle - changing it to a more active one.

The most dangerous cause, causing an alarming and life-complicating sensation, is throat cancer. Treatment may include chemotherapy and surgery. Often a combination of these two methods is required - it all depends on the specific situation.

If the whole point is vegetative-vascular dystonia and other problems of a psychogenic nature, then the treatment will be comprehensive and as individual as possible. It may include measures to eliminate physical inactivity, recommendations for following the principles of a healthy lifestyle (in particular, regarding proper nutrition), limiting psycho-emotional stress, family psychotherapy, etc.

Treatment of gastroenterological problems is unthinkable without following a diet specially developed for each specific case and taking appropriate medications.

When an inflammatory process occurs in the throat, the nature of its origin is first identified - viral or bacterial, and treatment is prescribed depending on the results of the research. This may be a course of antibiotics or other drugs. In addition, regular gargling with solutions containing iodine derivatives and alkaline solutions, as well as infusions and decoctions of herbs that have a powerful anti-inflammatory and healing effect, is often required. Sometimes the doctor also prescribes warm compresses.

Often the cause of a lump in the throat is stress, causing vasoconstriction and subsequent poor circulation. In this case, the best way to get rid of the problem is rest and relaxation. Slow walks in the fresh air are especially useful, after which the feeling of a lump in the throat usually goes away on its own.

Lump in throat: it’s easier to prevent than to look for causes and treat

It is easier to prevent any problem than to deal with its consequences later. So in the case of a lump in the throat, it is enough to follow simple preventive measures, and the unpleasant sensation will bypass you.

So, here's what you need to do to prevent the sensation of a lump in your throat:

promptly and competently treat all diseases of the ears, nose and throat (of course, this is only possible if you consult a specialist);
protect yourself from inhaling smoke, caustic vapors and harmful substances using personal protective equipment for the upper respiratory tract (respirators, gauze dressings, maxi);
observe voice mode: avoid unnecessary stress, do not talk in the cold, raise your voice less often, etc.;
periodically humidify the air in the room;
rinse your nose with saline solution;
promptly treat diseases of the thyroid gland, gastrointestinal tract, as well as fight diseases accompanied by difficulty in nasal breathing;
It is trivial to follow the principles of a healthy lifestyle: giving up bad habits, observing a work and rest regime (especially it is necessary to pay attention to good sleep, the duration of which should not be less than 8 hours), regular moderate physical activity, walks in the fresh air, a rational balanced diet that includes eating a large amount of foods rich in fiber, as well as avoiding fatty, fried, canned and salty foods;
timely medical examination to the extent necessary for each specific age group, and contacting a doctor at the first signs of any disease.

Many people at least sometimes felt a lump in their throat. If this phenomenon occurs frequently and begins to cause terrible discomfort, then it is necessary to find out its causes. It can occur as a result of certain diseases.

The lump in the larynx itself does not pose a health hazard and can easily go away. However, its appearance causes a lot of inconvenience and discomfort.

And ignorance of the reasons for its occurrence often leads to terrible assumptions about why it appears. Therefore, you should undergo an examination by a specialist to find out the causes of its occurrence and prevent cases of relapse.

In order not to wind yourself up in vain, first you need to determine whether you have symptoms of this problem or not.

Feeling of a lump in the throat after eating food or a stressful situation. However, the lump cannot be physically felt. It is only felt.
If a symptom occurs, there may be a problem with breathing. The lump seems to block access to oxygen, and breathing becomes problematic.
Sore throat.
Sometimes there is a burning sensation in the throat.
A feeling that there is an unpleasant aftertaste in the throat or chest.

If you identify one or more symptoms, you should think about the possible causes of their occurrence.

This problem occurs for two reasons: as a result of nervous tension or in the presence of somatic problems.

Nervous tension is the most common cause of this symptom. It appears as a result of stress, severe fear, excitement, and overexcitement.

However, these are not the only reasons for this problem.

First of all, you need to see a therapist. He will conduct a full examination and ask several leading questions regarding the problem that will help determine the cause of the disease.

take blood and urine tests;
conduct thyroid examinations;
examine the esophagus;
take an x-ray of the spine in the neck area;
undergo a full examination by an ENT doctor.

In this case, the patient is prescribed medication and consultation with a psychologist.

The patient can have an appointment the following medications:

motherwort;
Paleriana;
herbal teas with a relaxing effect;
St. John's wort-P;
Nervo-Vit. This drug includes the herb blue cyanosis, which relaxes and calms the body;
Apitonus-P. This is a complex of vitamins to increase stress resistance.

If it is difficult to breathe while squeezing the throat, then it is recommended to use breathing techniques that lead to relaxation.

It is advised to breathe with your stomach or inhale and exhale into the bag. This type of breathing leads to relaxation and calm.

Depending on the identified causes, measures are prescribed to eliminate the disease. If the cause of heaviness in the trachea is problems with the thyroid gland, then the patient is prescribed medications containing iodine.

If there are problems with the neck, then special gymnastics are prescribed that will develop the neck. They also provide manual, laser and reflexology treatments.

To treat the esophagus, the patient is prescribed a special diet and appropriate medications. However, for a hiatal hernia, surgery is possible.

For inflammation of the respiratory tract, antibiotics or other medications are prescribed, depending on the cause of the inflammation. It is also recommended to use soda, herbal infusions, and preparations containing iodine. In rare cases, warm compresses are prescribed.

For malignant or benign tumors of the throat, radiation or chemotherapy is given, and surgery is also possible. Depending on the situation, the events may be carried out all together, or only one will be selected.

Until you have found out the cause of the unpleasant symptom and it causes you terrible discomfort, it is recommended to use folk tips that will help relieve symptoms:

drink soothing tea;
Pay great attention to your sleep. Try to get good sleep;
do relaxing activities. This could be a relaxing bath, massage, breathing technique for relaxation;
add foods high in iodine to your diet.

How to avoid a lump in your throat?

It is always better to take preventative measures than to treat the disease later. To prevent the appearance of a feeling of constriction in the larynx, it is recommended certain events.

Treat the appearance of any ENT diseases in a timely manner.
If there are pathologies with the thyroid gland, then eliminate them in a timely manner.
Treatment of diseases of the gastrointestinal tract.
Rinse the nasopharynx with a salt solution.
Do not inhale toxic substances.
Do not overstrain your vocal cords.
Balance your diet. Add more vegetables and fruits to it.
Regularly humidify the air in the apartment.
Take walks in the fresh air.
From time to time, use herbal remedies with a relaxing effect.
Exercise.
Try to allocate 8 hours a day for your sleep for complete rest and relaxation.
Pay attention to your workplace. Often, an uncomfortable workspace can lead to upper body muscle strain. And this can lead to nervous tension and the appearance of a lump in the throat. Therefore, it is necessary to make your workplace as comfortable as possible.

As you can see, a lump in the throat is not a serious pathology in the body and can go away on its own. However, it can cause a lot of discomfort. Also, this problem can signal hidden diseases in the body. Therefore, you should not ignore it if it occurs regularly.

The main thing is that until you know the real cause of the disease, do not frighten yourself by the fact that heaviness in the throat is a symptom of serious pathological changes in the body. Conditions such as laryngeal tumors cause throat compression in rare cases. Therefore, any other cause of discomfort can be eliminated, and along with it, the feeling of a lump in the throat will go away.