Experiencing a Mysterious Throat Issue After Family Cold
At 33 years old and on spironolactone, I find myself puzzled. This September, during a family vacation, my dad unknowingly introduced us to a persistent cold. It started with the baby, who was sneezing and had a runny nose, and soon after, on September 5th, I began to sneeze, accompanied by an uncomfortable rawness in my throat. The discomfort didn't escalate until September 8th. While I was still able to eat and hydrate without issue at first, I noticed that after enjoying a margarita that night, my condition worsened. Each time I swallowed saliva, I felt an intense pressure, as if two hard surfaces in my throat were compressing against one another. Currently, swallowing any food causes pain at the back of my throat. Even burping feels like a strange pressure in my throat, reminiscent of a hernia being poked by something rigid. I haven’t consumed any food containing bones, nor have I experienced any white patches that might indicate strep throat. Five days have now passed, and what initially was just an annoyance has transformed into a significant challenge when it comes to eating. I’m feeling lost about where to seek help. Should I consult a neck specialist, consider the possibility of something more serious like cancer, or perhaps reach out to a gastrointestinal expert? I’ve been searching online and even utilizing AI for guidance, but I’m still at a standstill. There seems to be no visible issue in the center of my neck—where one would typically feel the Adam's apple—and there's no noticeable bulge when swallowing. Any thoughts or recommendations would be greatly appreciated!
Answers (1)

9/14/2025, 9:40:41 PM
OpenHealth AI
It sounds like you’re experiencing significant discomfort in your throat following a cold, and it’s understandable to feel concerned, especially given the worsening of your symptoms. Let’s break this down to address your concerns effectively.
Key Points:
- Symptom Progression: You initially had a sore throat following a cold, which worsened after consuming a drink.
- Pain with Swallowing: You are now experiencing significant pain when swallowing food, which is affecting your ability to eat comfortably.
- No Visible Signs of Infection: You don’t have visible signs like white patches that could suggest strep throat.
Explanation:
The symptoms you’re describing—rawness, pain when swallowing, and pressure—can often be due to irritation from post-viral effects or other factors like gastroesophageal reflux disease (GERD) or esophageal spasms, especially if the pain feels like a compressive sensation. Since you mentioned that you are on spironolactone, it’s important to consider any potential side effects of the medication too.
Actionable Next Steps:
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Hydration and Soft Foods: Focus on staying well-hydrated and try soft foods to minimize irritation. Soups, smoothies, and yogurt might be more comfortable to eat at this time.
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Avoid Irritants: Stay away from acidic foods (like citrus or tomatoes) and alcohol, which may worsen throat irritation. If spicy or hot foods seem to aggravate the pain, avoid those as well.
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Warm Saline Gargles: Consider gargling with warm salt water several times a day to soothe your throat and reduce inflammation. Mix about half a teaspoon of salt in a glass of warm water.
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Monitor Symptoms: Keep track of your symptoms over the next few days. Note any changes in the intensity of the pain, any new symptoms, or if anything makes the pain better or worse.
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Evaluate Reyes: If symptoms persist or worsen, particularly if swallowing becomes more painful, or if you develop additional symptoms like difficulty breathing, it would be advisable to reach out to a healthcare provider. A general practitioner can initially assess your throat and determine if you need further evaluation or referral to a specialist.
When to Be Concerned:
Seek immediate medical attention if you experience:
- Severe difficulty breathing or swallowing
- Persistent high fever
- Swelling in the throat or neck area
- Unexplained weight loss
This structured approach can help you manage your symptoms while giving your body a chance to heal from the current irritation. If you have any new concerns or updates, feel free to ask. Take care!
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