Aftereffects of Viral Throat Sensations
Age: 42 years Height: 6 feet Weight: 175 pounds Gender: Male Medications: Multivitamin, Ibuprofen Lifestyle: Non-Smoker Medical History: Dealing with Generalized Anxiety Disorder (GAD) and Post-Traumatic Stress Disorder (PTSD) since 2015; had COVID-19 in 2020 and 2022; currently experiencing a perplexing throat condition for the past 8 months. I truly hope someone can provide a solution! Before falling ill, I had never experienced issues related to Reflux, LPR, or throat discomfort. In August 2024, I encountered an upper respiratory and sinus infection. It might have been COVID-19, though I was never tested and treated myself with over-the-counter medications. I had previously contracted COVID-19 twice in 2020 and 2022, but on this occasion, I dealt with green and yellow nasal discharge along with phlegm. This lasted about a week before the infection subsided, yet I found myself constantly clearing my throat due to lingering mucus sensations. My daily routine proceeded as usual, albeit with an incessant urge to clear my throat from a slight feeling of mucus. I tried using menthol cough drops but eventually discontinued their use. I also experimented with Mucinex, Flonase, and Amoxicillin to combat any residual infection, but none of these seemed effective. Fast forward two months to November 2024; after an intense argument with my ex where I yelled at the top of my lungs, I noticed a new throat sensation two days later. This feeling mimicked having a popcorn kernel lodged in my throat and became increasingly itchy and ticklish, prompting even more throat clearing and bouts of coughing. At times, it felt as if something pinched the base of my throat. I consulted an Ear, Nose, and Throat (ENT) specialist who suspects I may be suffering from Laryngeal Hypersensitivity or an Irritable Larynx. Two laryngoscopies showed no issues, as did a CT scan of my sinus and neck, chest X-ray, blood panel, and urinalysis—though I did notice my urine appeared more bubbly than usual, the doctor reassured me about normal kidney function. I received three laryngeal nerve blocks, but they offered no relief whatsoever. I have eliminated sodas and sweets from my diet and have been sipping more water. Additionally, I've been taking multivitamins to ensure I consume adequate B vitamins and other essential supplements. Skinny late night thoughts: I've been prescribed Gabapentin by one doctor and Lyrica by another, but I'm hesitant to start either medication due to my anxiety and fear of side effects. I have been researching the Vagus Nerve and potential remedies that could alleviate my uncomfortable throat sensitivity and persistent throat clearing. Does anyone have advice, tips, or possible solutions to help with this issue?
Answers (1)
7/1/2025, 3:31:02 AM
OpenHealth AI
It sounds like you’ve been dealing with a complex throat issue for quite some time, and I understand how frustrating it can be, especially with a history of anxiety and PTSD. Based on your description, your symptoms may be related to several factors, including the aftermath of a viral infection and possibly laryngeal hypersensitivity.
Key Points:
- Symptoms Overview: Your persistent throat sensations, especially after an infection and stress, could indicate laryngeal hypersensitivity, which can occur after an upper respiratory infection or stress.
- Previous Evaluations: Negative findings from laryngoscopies and imaging are reassuring, but it indicates that your throat discomfort may not stem from anatomical issues.
Explanation:
Laryngeal hypersensitivity means your throat might overreact to stimuli (like normal mucus or even stress). Stress, anxiety, and previous infections can heighten sensitivity in that area, leading to sensations like a lump in the throat or bouts of coughing. Furthermore, the fact that your symptoms intensified after an emotional episode suggests that stress may be a contributing factor.
Next Steps:
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Hydration & Humidification: Continue to sip water regularly. This can help thin mucus and soothe irritation. Consider using a humidifier, especially in dry environments, as this can help keep your throat moist.
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Dietary Adjustments: Continue to maintain your diet change. Focus on anti-inflammatory foods, such as fruits, vegetables, and omega-3 fatty acids, which can help manage inflammation.
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Gentle Throat Exercises: Some patients find that gentle vocal exercises or throat relaxation techniques can help desensitize the larynx. Try humming gently or low vocalizations to relax your throat.
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Manage Anxiety: Given your history with GAD and PTSD, consider employing coping strategies like mindfulness, deep breathing exercises, or talking with a therapist who can provide additional support. Addressing anxiety can have a positive impact on physical symptoms.
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Gradual Trial of Medications: If you're feeling up to it, consider a gradual trial of Gabapentin or Lyrica at a low dose. Monitoring how you respond may provide clarity. Discuss your concerns with your doctor and consider having a support plan in place during the trial.
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Limits on Throat Clearing: Try to reduce the frequency of throat clearing as it can aggravate irritation. Instead, sip water or take gentle swallows to soothe your throat if you feel the urge to clear it.
Reassurance:
Feeling uncertain about your condition is completely understandable, especially after these experiences. The good news is that many patients see improvement over time with proper management. If symptoms persist or worsen, it’s essential to continue following up with your healthcare provider for further evaluation and support. Your symptoms can improve, and you are taking commendable steps to address them. Let me know if you'd like more information on any specific area!
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