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Lump in the throat


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

What is throat?

Patients interpret the problem in different ways. Someone complains of a sensation in the throat of a foreign body that makes it difficult to swallow (sometimes even saliva). Others talk about incomprehensible stirring or tickling in the throat, and some mention burning and scarring. Some people who go to a doctor even claim that an unpleasant state prevents them from breathing and causes a constant desire to swallow.

Along with the normal feeling of a lump in the throat, patients often suffer from other symptoms at the same time:

  • Gastrointestinal disorders, as well as nausea or stomach pains;
  • chest and heart pains;
  • 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 as accurately as possible to the doctor. Each of the above complaints will help in establishing an accurate diagnosis.

Lump in throat: possible causes

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

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

  1. Chronic or acute inflammation in the throat or hypopharynx. In particular, a sensation of coma in the throat can be provoked by such diseases as purulent tonsillitis , laryngitis , acute or chronic pharyngitis . Moreover, these diseases are sometimes harbingers of more serious conditions - parapharyngeal abscess, peritonsillitis, abscess of the epiglottis or the root of the tongue, dangerous for its rapid development and fraught with edema, capable of blocking access to air.
  2. Tumors in the larynx, trachea, oropharynx. We are talking about both benign and malignant neoplasms. As they increase, they squeeze the larynx itself, or the lumen of the entrance to it, as a result, there is a feeling of coma. In the later stages, to the throat is added a very difficult breathing. Needless to say, the most favorable prognosis for the treatment of all types of tumors is possible at the earliest stages of the disease. Thus, a lump in the throat can signal the presence of an extremely life-threatening process in the body, in which case the delay is fraught with serious problems.
  3. All sorts of dysfunction of the thyroid gland. They can be associated with iodine deficiency in the body, and with inflammation of the thyroid gland or diseases caused by excessive secretion of thyroid hormones.
  4. Problems from the field of vertebrology. As a rule, the periodic appearance of a coma in the throat is a problem that worries people who are not okay with the cervical spine. The most common disease is osteochondrosis of the cervical spine. The blame for all is the presence of bad habits, metabolic disorders, sedentary lifestyle and similar reasons. When a lump in the throat causes problems of a vertebrological nature, headache is a concomitant symptom, as well as pain in the neck and back.
  5. Gastrointestinal causes. As a rule, if these are the reasons, the person feels a lump in the throat immediately after eating or in the process of eating. In this case, most likely, various diseases of the gastrointestinal tract are the cause of the unpleasant state. Along with the complicating life of a lump in the throat, the patient often suffers from heartburn, discomfort in the stomach, a burning-sour taste in the mouth. Finally, the cause of a gastroenterological nature can be throat damage after swallowing the probe, causing a sensation of coma.

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

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

There are a number of reasons that are quite difficult to attribute to one of the two groups mentioned above:

  • obesity;
  • trauma with displacement of the cervical vertebrae;
  • the presence in the throat of a real foreign body;
  • poor nutrition, causing a violation of the digestive processes;
  • side effect of taking certain medications (antihistamines, drugs for high blood pressure, antidepressants);
  • hernia of esophagus or diaphragm;
  • consequences of a strong cough.

There was a feeling of a coma in the throat: what to do?
The answer may be one - immediately consult a general practitioner. Consultation is not to be avoided - this is the first specialist to whom the patient is sent. If he does not find abnormalities on his part, he will need to visit an endocrinologist, a vertebrologist and a gastroenterologist, depending on the history of the particular patient and his complaints. In the event that the somatic causes of the appearance of coma in the throat are excluded, the patient is sent to a psychotherapist, since the psychogenic causes of various diseases and conditions in the modern world are very common.

Lump in throat: diagnosis

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

  • general inspection and survey;
  • general (and if necessary, narrow) analysis of blood and urine;
  • thorough examination of the oral cavity, palatine tonsils, tongue root (the so-called oropharyngoscopy);
  • a thorough examination of the cervical lymph nodes and the 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 gland hormones.

How is the treatment of coma in the throat

Of course, it is not the lump in the throat that is being treated, but the disease that causes this sensation. A specific set of measures, quite logical, depends on what exactly causes a lump in the throat.

So, if, as a result of studies, violations in the work of the thyroid gland were identified, the treatment depends on the very nature of these “problems”. When the source of problems is hypothyroidism, the condition of the body is stabilized with iodine preparations (iodomarin, iodine balance). But autoimmune thyroiditis requires a longer and more complex treatment, including the administration of hormones in a specific pattern.

When a lump in the throat is a manifestation of various kinds of back problems, manual and vacuum therapy, as well as laser and acupuncture, may be required. Well, and, in most cases, it is necessary to regularly carry out complexes of special physical exercises and recommendations for the revision of lifestyle - change it to a more mobile one.

Throat cancer is the most dangerous reason for causing anxious and life-complicating sensation. Treatment may include chemotherapy and surgery. Often, a combination of these two methods is required - it all depends on the specific situation.

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

Treatment of problems of the gastroenterological plan is unthinkable without adherence to a specially developed for each specific case of the diet and taking the appropriate drugs.

When there is an inflammatory process in the throat, the nature of its origin is first detected - 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 with a powerful anti-inflammatory and healing effect are often required. Sometimes the doctor also prescribes warm warming compresses.

Often the cause of coma in the throat is stress, causing vasoconstriction and subsequent circulatory disorders. 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 sensation of a coma in the throat usually passes by itself.

A lump in the throat: it is easier to prevent than to look for causes and treat

Any problem is easier to prevent than to deal with its consequences. So in the case of a lump in the throat - it is enough to comply with simple preventive measures, and an unpleasant feeling will pass you by.

So, here's what to do in order to prevent the occurrence of a coma in the throat:

  • promptly and competently treat all diseases of the ears, nose and throat (of course, this is possible only if you consult a specialist);
  • protect yourself from inhalation of smoke, corrosive fumes and harmful substances through personal protective equipment of the upper respiratory tract (respirators, gauze bandages, maxi);
  • comply with voice mode: avoid unnecessary stress, do not talk in the cold, rarely raise your voice, etc .;
  • periodically humidify the air in the room;
  • rinse nose with saline;
  • timely treat diseases of the thyroid gland, the gastrointestinal tract, as well as fight against diseases accompanied by difficulty in nasal breathing;
  • It’s common to follow the principles of a healthy lifestyle: giving up bad habits, observing work and rest schedules (especially attention should be paid to full-fledged sleep, the duration of which should not be less than 8 hours), regular moderate physical exertion, fresh air walks, a rational balanced diet, suggesting eating large amounts of foods rich in fiber, as well as the rejection of fatty, fried, canned and salty foods;
  • timely medical examination in the amount required for each specific age group, and access to a doctor at the first signs of any disease.

| October 19, 2014 | | 28,146 | Symptom Handbook