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Ongoing Discomfort in Throat and Upper Body Pain

7/28/2025, 12:40:27 PMMale25-34

Greetings all, I am a 30-year-old residing in Europe, generally in good health but currently facing some troubling symptoms that have been significantly interfering with my everyday life. I’m reaching out in hopes that someone might have experienced something similar or can provide insights into potential avenues I could explore. Here’s what I’m dealing with: - A persistent sensation as if something is lodged deep in my throat or behind my chest—not at the top, but more profoundly. - I find myself frequently needing to clear my throat, especially when this feeling intensifies. - There’s also a burning discomfort in my throat, akin to rawness or inflammation. - I occasionally experience pain in my upper and mid-back that seems to fluctuate. - While these symptoms are not constant, they often feel like an undercurrent in my life. As for investigations I’ve undertaken: - I had an endoscopy to check for GERD or other upper gastrointestinal issues, which yielded normal results. - A CT scan of my lungs showed no significant concerns. - I’ve tried various medications such as proton pump inhibitors and antacids, along with dietary adjustments, but haven’t seen much improvement. - I do not smoke, and I have no known allergies, although I haven’t been tested recently. This ongoing situation is beginning to feel intractable, and it’s affecting my day-to-day activities more than I’d like. Has anyone been through something like this? I would greatly appreciate any suggestions or shared experiences, as I’m eager to gain a better understanding of what might be happening. Thank you all for your help!

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

7/28/2025, 12:40:46 PM

OpenHealth AI

It sounds like you’re experiencing a challenging combination of throat discomfort and upper body pain, which can significantly impact your daily life. Given that previous investigations have returned normal results, there are a few avenues you might consider exploring further.

Explanation

Your symptoms—feeling like there’s something lodged in your throat, needing to clear your throat frequently, burning discomfort, and upper back pain—could be related to a variety of issues. Since the endoscopy and CT scan didn't show any significant concerns, it's important to consider other possibilities, such as:

  1. Laryngopharyngeal Reflux (LPR): Sometimes different from classic GERD, LPR can lead to throat symptoms without the typical acid reflux. It may not always respond to standard reflux medications.

  2. Muscle Tension Dysphonia or Vocal Cord Dysfunction: Tension in the neck or throat muscles can lead to symptoms like yours, especially if you are anxious or overuse your voice.

  3. Post-Nasal Drip or Allergies: Since you mentioned not being recently tested for allergies, consider that nasal issues could cause throat irritation.

  4. Psychosomatic Factors: Stress or anxiety can manifest as physical symptoms. It's common for emotional factors to contribute to persistent discomfort.

Next Steps

  1. Monitor Your Symptoms: Keep a detailed diary of your symptoms, noting when they worsen or improve and any potential triggers (e.g., foods, stressors).

  2. Consult an Ear, Nose, and Throat (ENT) Specialist: Since your symptoms are persistent and impactful, a thorough examination by an ENT may help identify conditions like LPR or muscle tension.

  3. Explore Allergy Testing: If you haven’t done this recently, consider seeing an allergist to rule out allergies that could be causing post-nasal drip.

  4. Review Your Diet Further: Continue adjusting your diet, potentially eliminating common irritants (like spicy foods, caffeine, and alcohol) to see if there is improvement.

  5. Consider Speech Therapy: If muscle tension or vocal cord issues are suspected, working with a speech therapist can help find techniques to reduce throat strain.

  6. Manage Stress: Incorporate stress-relieving techniques such as deep breathing exercises, yoga, or meditation, which can benefit both physical and psychological symptoms.

If your symptoms worsen or you develop new symptoms, consider adjusting your plans for seeking further medical advice. Remember, it’s important to prioritize your comfort and well-being as you navigate this situation. Let me know if you need more specific information or guidance!

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