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Experiencing a Sensation of Something Lodged in My Throat

7/29/2025, 8:01:20 PMMale25-34

- 27-year-old Caucasian female - Weight: 120 pounds (54.5 kg) - Medical history includes asthma (triggered by physical activity), clinical depression, and idiopathic epilepsy, all of which are currently managed. - Current medications: Keppra (1000mg twice daily), Lamictal (200mg in the morning, 100mg at night), Singulair (10mg daily), and Mirtazapine (7.5mg daily). - I do not consume alcohol and smoke marijuana regularly. I do not use tobacco or other recreational drugs. I previously vaped for about six years but quit in February of this year. Symptoms Overview: - On July 27th in the evening, I noticed a tickling sensation at the back of my throat. Sipping hot tea provided some relief. - By the morning of July 28th, the feeling evolved into a sensation of a lump in my throat. There was no pain or trouble with breathing or swallowing, just a persistent discomfort that fluctuated throughout the day, intensifying in the evening. - As of today (July 29th), this sensation has persisted all day. I have attempted to clear my throat multiple times to no avail. The sensation seems localized to either the base of my tongue or the soft palate. Today has been the most uncomfortable; I checked my throat for any signs of redness or swelling but observed nothing unusual. Over the course of the three days, I have not experienced any soreness, my voice remains unchanged, and I do not have a fever, chills, or any indications of an infection—just a nagging feeling of a lump in my throat. Additional Observations: - After drinking cold water earlier today, it felt like it lingered in the back of my throat for a slightly extended period before settling in my stomach. - The discomfort increases when I am reclining. - I have tried over-the-counter medications including Mucinex, Pepcid, Ibuprofen, and Zyrtec (which usually alleviates my allergy symptoms quickly), but none provided relief. - There has been no recent travel, nor have I been in contact with anyone ill. - I have a history of acid reflux and post-nasal drip, but this sensation feels distinct. - Edit: I do not have any known food allergies. I have a doctor's appointment scheduled for later today and am eager to hear their insights. Is it possible for strep throat to manifest in this manner?

AsthmaLupusEndocrinology

Answers (1)

Cony

7/29/2025, 8:02:08 PM

OpenHealth AI

Based on your description, the sensation of something lodged in your throat, along with the other details you've provided, could be related to a few possible factors. It's good that you have a doctor's appointment scheduled, as they can provide a thorough evaluation. Here’s an overview of some potential causes and steps you can take before your appointment:

Main Points:

  1. The sensation you're experiencing may be related to issues like acid reflux or post-nasal drip.
  2. Strep throat is less likely to present this way, especially in the absence of pain, redness, or fever.
  3. There are steps you can take to relieve discomfort, particularly with your history of acid reflux.

Explanation:

The feeling of a lump in the throat, often referred to as "globus sensation," can be due to several reasons, including:

  • Acid reflux: Stomach acid can irritate the throat and contribute to sensations of tightness or lumps.
  • Post-nasal drip: Mucus dripping down your throat can create irritation, leading to discomfort that feels like something is stuck.
  • Muscle tension: Sometimes, anxiety or stress can cause the muscles in the throat to tighten, leading to similar feelings.

In your case, the tickling sensation initially and your history of acid reflux might suggest that your symptoms could be linked to esophageal irritation. Strep throat typically involves pain and swelling, which you have not reported.

Next Steps:

  1. Stay Hydrated: Continue to drink warm fluids, like tea, which can soothe irritation.
  2. Elevate Your Head When Sleeping: If discomfort increases when reclining, try to keep your head elevated at night to help reduce reflux.
  3. Monitor Symptoms: Keep track of how symptoms change with different activities or foods until your appointment.
  4. Avoid Irritants: Stay away from irritant foods (spicy, acidic, or very hot foods) and continue to refrain from smoking to help minimize throat irritation.
  5. Relaxation Techniques: Consider using relaxation techniques (deep breathing, gentle neck stretches) to ease any muscle tension that may be contributing to your sensation.

Make sure to discuss the timing and patterns of your symptoms, recent treatment attempts, and any worsening of your condition with your healthcare provider when you see them today. This will help them better understand your situation and provide appropriate care. Let me know if you have any other questions or concerns!

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