The sensations experienced by the patients correspond to their name: there is something in the throat resembling a lump or clot of mucus. This phenomenon is accompanied by other symptoms, including:
- feeling of a foreign object
- heaviness in the throat and sternum,
- burning and scratching in the esophagus,
- difficulty breathing
- tickling, pain when swallowing and other discomfort in the throat,
- general malaise.
In addition to problems with the throat, the patient may experience other types of ailments, such as pain in the sternum, stomach, or muscles. Sometimes there is fever and chills, headache and dizziness, aches in the lower back and heaviness in the legs. Unpleasant sensations in the throat make a person often cough in attempts to get rid of the notorious "lump". Against this background, fatigue and a feeling of emptiness develop. Experts identify various causes of a lump in the throat, which can be somatic, psychogenic, as well as associated with the work of various organs and systems.
Somatic causes of illness
Most often, negative sensations occur against the background of acute or chronic inflammatory processes in the throat. These may be the following diseases:
- follicular sore throat,
- abscesses of the epiglottis or the root of the tongue,
- parapharyngeal abscess.
A feature of all these ailments is the formation of mucus clots in the larynx, which impede the access of oxygen to the airways. It is also possible swelling of the throat, accompanied by fever, fever, dry or wet cough. In such situations, only the treatment of the underlying disease is able to bring the patient relief and relief from all associated symptoms.
Throat problems also often arise against the background of iodine deficiency in the body and the development of thyroid dysfunction. The latter increases in size and begins to squeeze the throat. There is a disease like goiter. You can recognize it by reducing appetite and weight loss, constant malaise, difficulty breathing and protrusion of the eyeballs. In addition, thyroid hormone secretion increases with inflammation of the thyroid gland. This phenomenon is also accompanied by the sensation of a foreign object in the throat.
Another somatic cause of illness is osteochondrosis. In this case, various problems in the cervical spine lead to the characteristic sensations in the throat. The disease develops on the background of a violation of posture or is hereditary at all. In addition, it can lead to overeating, physical inactivity and other bad habits. Osteochondrosis of the cervical region is accompanied by pains in the head, neck and back. Nausea, vomiting, pressure drops may occur.
The most dangerous somatic cause of squeezing the throat is the growth of a benign or malignant tumor. A feeling of a lump in the throat can be observed in the early stages of the disease, so it is important to promptly seek cancer care. In the later stages and as the cancer grows, breathing becomes more difficult, there is severe pain in the trachea and chest, and there are general signs of cancer (rapid weight loss, severe malaise, disruption of various organs, etc.).
Problems with the digestive tract
Diseases of the gastrointestinal tract are the next most common causes of the feeling of a lump in the throat. Their characteristic feature is that the discomfort is observed during or after a meal. The following characteristic symptoms of most gastrointestinal diseases are distinguished:
- sour or putrid taste in your mouth,
- pain in the stomach or esophagus.
The feeling of a coma in the throat often occurs with reflux or gastroesophageal disease. It lies in the fact that the contents of the stomach in the process of eating or after it is thrown back into the esophagus. Especially exacerbates the problem of eating chocolate, citrus, carbonated drinks and other harmful products. Also, overeating or prolonged abstinence from food lead to unpleasant symptoms.
A lump in the throat can be caused by a hernia of the esophagus - a violation of the relief of the muscular structure of the organ. In this case, the patient experiences pain in all the digestive tract, aggravated during the meal, coughing and even just talking. Various injuries of the larynx and esophagus, significant physical exertion with weight lifting lead to the development of the disease. The disease requires immediate diagnosis and treatment, since the deterioration of the patency of the esophagus disrupts the functioning of the whole organism and often leads to the development of a cancerous tumor.
In some cases, the sensation of a lump in the throat occurs on nerves and is not associated with any diseases of the organs. For example, constant stress can intensify the swallowing reflex, however, due to an insufficient amount of saliva in the oral cavity, swallowing gradually becomes difficult, and this feeling can be perceived as a kind of lump that seems to clog the throat.
In addition, a "false" lump in the throat is often observed in the case of transferring earlier certain diseases. During the treatment of reflux and other ailments associated with a violation of the gastrointestinal tract, a person develops the habit of paying attention to their characteristic symptoms. Even if the disease is no longer present, discomfort in the throat may be felt for some time. To get rid of unpleasant sensations, you should try to pay less attention to the processes of breathing and swallowing, as well as not to stop performing preventive procedures prescribed by a doctor (rinsing, lubrication of the throat, the use of sprays and other medicines). Gradually, well-being is completely normalized, and the negative symptoms disappear.
Other causes of a lump in the throat
In more rare cases, there may be specific causes of the ailment, which include:
- Congenital or acquired features of the structure of the nasopharynx. From birth or after various injuries, the structure of the nasopharynx may change, as a result of which such phenomena as runoff of the nasal mucus to the larynx, suppuration of the tonsils, chronic reflux and others may occur. In this case, the problem is solved exclusively by surgery.
- Infection with parasitic organisms. Despite the fact that most often the habitat of parasites (for example, helminths) becomes the intestine, their accumulations can occur in the larynx, esophagus or stomach. They can cause a characteristic sensation of coma in the throat.
- Diseases of the cardiovascular system. If there is pain in the left side of the chest, difficulty breathing with frequent shortness of breath, pressure drops and other negative symptoms, this may indicate a malfunction of the vessels and the heart, which in rare cases is accompanied by a foreign body sensation in the throat.
- Increased body weight. In excess, the subcutaneous fat layer puts pressure on the throat, making it difficult for food and saliva to flow out, which is why the characteristic symptom of a blocked larynx occurs.
- Foreign object. In very rare cases, the sensation of a foreign object in the throat is not at all false. It can really can get stuck bone, a pill or other small object that is detected only during the passage of X-rays.
Lump in the throat: causes of discomfort in the throat
The feeling of a coma in the throat is a very common phenomenon. Rarely, the discomfortable feeling is distinguished by independence, most often it is accompanied by one or another symptomatic complex, depending on the cause. Often, patients in search of an answer to the question of a lump in the throat that this can be sent to the doctor’s office. And this is absolutely true. It is almost impossible to independently determine what can be the cause of a coma in the throat: their number is so great that even a doctor can be stumped.
Lump in throat: psychosomatic factor
If you believe medical statistics (and the facts, as they say, a stubborn thing), the vast majority of cases of coma in the throat are due to psychosomatic causes. This is the so-called "neurotic lump" or "hysterical lump in the throat." Not always the development of coma in the throat associated with psychosomatic factors can be called "neurotic." Even in absolutely healthy and mentally stable people this symptom can manifest. Usually the discomfort is preceded by:
• Severely distressing situation.
For example, before passing an important exam, before visiting the dentist’s office, many, if not all, experienced this. These causes account for up to 97-98% of all clinical cases of a coma in the throat. Especially often the symptom is detected in persons prone to neurosis. Thus, a certain proportion of all patients are often diagnosed with neurotic disorders, accompanied by regular panic attacks.
For more than a year, psychotherapists and psychologists have been “developing” the topic of the psychosomatic mechanism of the development of coma in the throat. In the course of the research, an exemplary portrait of a person prone to the frequent formation of the discomfort under consideration was compiled. As a rule, we are talking about a woman, from 18 to 35 years old, a hysteroid accentuation of character (according to Leonhard), who is in a state of prolonged psycho-emotional stress (studying at an institution of higher education, work associated with an increased mental load, etc.). Of course, this is not an axiom and not a dogma. Neurotic disorders also affect men. Often in the history of persons who complain of discomfort, the IRR (vegetative-vascular dystonia) is found.
Despite the fact that not all scientists and medical practitioners recognize the IRR as an independent diagnosis (and yet it has long been proven that the IRR is a special case of such a complex endocrine pathology as the hypothalamic syndrome), this disease can become an independent cause of the development of frequent panic attacks, and, as a result, the formation of a sensation of coma in the throat.
A lump in the throat, having a psychic nature, develops according to a relatively simple mechanism. As a result of stress, severe nervous tension, the release of the hormones adrenaline and norepinephrine occurs. These hormones lead the nervous system to an over-excited state. Active substances affect the muscles, causing them to come to a state of increased tone, and the nervous system sends a large number of chaotic electrical signals to the muscles. As a result, a muscle spasm of the pharynx is formed, which feels like a lump.
In patients with VSD, the developmental mechanism is about the same, with the only difference that the hypothalamus produces a “command” for hormone production not as a result of stress, but during the next attack of the disease (an attack can be triggered by various factors, be it the change in weather and atmospheric pressure , the wrong diet, the same stresses as the secondary cause, etc.).
In a healthy person, the sensation passes by itself after the removal of the irritant (the exam is passed, the patient has already left the dentist’s office, life is beautiful again), within 3-5 minutes. If it did not pass, there is a reason to think about the state of one’s health.
Lump in throat: ENT pathology
If a lump in the throat - the reasons for which lie in mental factors can be called a natural phenomenon, then in this case we can talk about serious diseases.
• Acute or chronic pharyngitis. Pharyngitis is an acute inflammation of the tissues of the pharynx. The disease in the acute phase and in the subacute period is characterized by the development of discomfort (including coma) in the throat.
• Acute and chronic laryngitis. It is an inflammation of the mucous membrane of the larynx. Since the larynx is anatomically located deeper, the feeling of discomfort (fullness) is manifested much more pronounced.
• Sore throat (primarily purulent). Catarrhal angina causes atrophy of pharyngeal tissues. The inflammatory process itself entails a lot of discomfort, and the transformation of normal tissues into practically amorphous granular mass (in the most severe cases) can contribute to the fact that the feeling of coma in the throat becomes a constant companion of the person.
• Tonsillitis. Inflammation of the tonsils can be felt as a lump in the throat.
In addition, the feeling of a foreign object in the structures of the respiratory tract can be a "harbinger" of more serious pathologies (abscesses, etc.). Do not disregard treat their own health. If you suspect - it is better to consult a doctor.
Allergic pathologies and lump in the throat
Everyone probably knows about the existence of such conditions as angioedema or anaphylactic shock. In both cases, inflammation of the walls of the larynx and trachea occurs, followed by edema. The process does not always develop rapidly, we can talk about dozens of minutes and even hours. If there is a tendency to allergies, before the development of a coma sensation there was contact with the suspected allergen, in no case should one pull. It is necessary to take urgent measures (calling an ambulance, taking antihistamines and absorbents, etc.).
The feeling of a coma in the throat can be a specific symptom of a malignant tumor of the larynx, trachea, pharynx. In this case, the discomfort is associated with squeezing the tumor of the larynx or its lumen. In the late stages of the disease, it is possible to suffocate, this should not be brought up. In the early stages, oncology of the respiratory tract is cured relatively easily and has a favorable prognosis.
Often, diseases of the thyroid gland make themselves felt by the sensation of a coma in the throat. In this case, there is reason to suspect thyroiditis (inflammation of the tissues of the gland) or, more likely, diffuse toxic goiter of the thyroid gland.
Neurological and vertebral pathologies
In persons suffering from hernia of the cervical spine or osteochondrosis, as a result of the inflammatory process, compression of the nerve endings occurs. Squeezing can lead to the development of an uncomfortable sensation in the throat.
Diseases of the gastrointestinal tract (gastroenterological pathology)
As a rule, people who suffer from diseases of the stomach feel a lump. In this case, dyspeptic symptoms are observed (for example, the patient may complain about a throat and belching, etc.). Therefore, if there is besides a coma in the throat, belching, heartburn, pain or discomfort in the abdomen, there is reason to suspect a gastrointestinal illness.
Lump in throat: other reasons
The sensation of coma may be present as a result of mechanical (for example, after ingestion of the probe on FGDS), chemical (use of products, for example, raw onion), thermal (for example, use of hot water) damage.
Thus, the answer to the question of someone in the throat is that this can be multifaceted, and only a doctor can find it.
Lump in throat - diagnostic methods
The first thing that a patient needs to do if he feels a lump in his throat for a long time is to contact a specialist. There may be a lot of specialized specialists here, as, probably, it is already clear from the variety of causes causing this symptom.
First of all, the most reasonable thing to visit otolaryngologist (ENT doctor).
During the internal examination and survey, the doctor will collect anamnesis. Usually, when collecting anamnesis, the specialist assesses the general condition of the patient, previous diseases, the duration of discomfort and their intensity, as well as other factors at their discretion.
If the ENT doctor suspects the presence of a particular pathology, most likely he will give directions to laboratory and instrumental studies.
The most informative, in terms of otolaryngology, are: complete blood count, throat swab, from instrumental methods: laryngoscopy and pharyngoscopy.
Blood test and throat swab will determine the presence of inflammation and its nature. It is not always possible to identify the inflammatory process during the initial internal examination, it can occur in a latent form. The clinical picture is appropriate: leukocytosis, increased ESR, red blood cells, etc.
Unlike the primary inspection tools, laryngoscopy and pharyngoscopy allow you to carefully and in detail assess the condition of the deeper structures of the respiratory tract. These are unpleasant endoscopic methods of examination, but still much more informative. In addition, the results of laryngo-and pharyngoscopy can be judged on the presence or absence of cancer tumors. If suspicious areas or formations are detected in the structures, biological materials for biopsy will be taken at the same time as endoscopy in order to exclude oncology.
If from the point of view of otolaryngology, and from the point of view of oncology no changes are detected, it is worth referring to gastroenterologist.
Since, in gastroenterological practice, most often a lump in the throat is associated with diseases of the stomach, the most informative examination is FGDS (endoscopic examination of the stomach).
The next expert who will help "open the veil of secrecy" and determine the cause of the sensation of coma - neurologist.
The cause of the discomfort is determined by functional tests, x-ray examination cervical spine and MRI.
If from the point of view of neuroscience “everything is clear,” one should turn to endocrinologist. To determine the pathology of the thyroid gland, you can use Ultrasound diagnostics and conducting laboratory studies (hormone analyzes are required with information on the following indicators: T3 free, T4 free, TSH).
If by the method of elimination nothing remains but to recognize the psychosomatic nature of the coma in the throat. In this case, the only profile specialist is a psychotherapist. However, it is important to keep in mind that Russian medicine has a pronounced orientation not to treat, but to stigmatize. Therefore, you should not contact the neuropsychiatric dispensaries. It is better to entrust your problem to a private psychotherapist.
Lump in the throat - methods of treatment
As is already clear, the sensation itself should not be treated. It is necessary to eliminate the source of the disease. However, self-medication should not be involved, prescribe treatment - the lot of specialists. From open sources, the patient can only gather information for review. None of the sources, no matter how authoritative, they can not be taken as a guide to action.
If the sensation has a purely mental nature (neurosis, panic attacks, not caused by attacks of the IRR) the most effective treatment is to change the internal settings of the patient (which is achieved mainly by working with a competent psychotherapist). In addition to this, the patient is prescribed a course of light sedatives (safe sedatives, such as Novo-Passit, valerian root, etc.).
Therapy for ENT pathologieswhen there is a lump in the throat and pain, it is prescribed only by an otolaryngologist. Its purpose is to eliminate the source of damage (antibacterial agents), pain (analgesics) and the removal of inflammation (anti-inflammatory drugs).
Eliminate neurological diseases (such as osteochondrosis of the cervical spine) is not so simple. Chondroprotectors, anti-inflammatory drugs of local exposure, physiotherapy activities (electrophoresis, etc.), massage, exercise therapy are used. This eliminates the compression of the nerve roots.
If the discomfort has an endocrine nature, there is a lump in the throat and pain, as well as discomfort in the area of the thyroid cartilage, it becomes difficult to swallow and the specialist has every reason to suspect goiter - drugs aimed at reducing the functional activity of the thyroid are used, and a specialized diet with low iodine is prescribed.
Specific names of drugs, as well as treatment in general, can be prescribed only by a specialist. Pursuing self-treatment, the patient runs the risk of saying goodbye to his health, and possibly life.
Lump in the throat - prevention
There are no special preventive measures against a coma in the throat: there are too many reasons for this symptom. However, if we proceed from the frequency of development and the most common reasons, some recommendations can still be given.
• It is necessary to strengthen the nervous system. The weaker the nervous system and the higher the intensity and frequency of psycho-emotional stress, the more important this recommendation becomes. It is necessary to resort to breathing practices, training, etc. The less stress, the less will be the discomfort.
• Monitor the condition of the throat and upper respiratory tract. If the common cold develops, it is impossible to let things take their course. It should be treated carefully and responsibly.
• Pass preventive examinations. Regular examinations allow you to identify quite serious diseases that can cause a feeling of coma in the throat.
Thus, a lump in the throat is not an independent disease, but a symptom. Do not assume that this symptom is so harmless.
In some cases, it may indicate the presence of formidable pathologies. Therefore, if only he manifested and did not disappear at the end of a stressful situation - you need to consult a doctor.
Symptoms and causes of coma in the throat
In order not to cheat yourself in vain, first you need to determine whether you are presentsymptoms of this problem or not.
- Sensation of a coma in the throat after eating a meal or a stressful situation. However, physically lump can not grope. He only felt.
- If a symptom occurs, a breathing problem is possible. A lump seems to block access to oxygen, and breathing becomes problematic.
- Sore throat.
- Sometimes there is a burning sensation in the throat.
- The feeling that there is an unpleasant sediment in the throat or chest.
If you identify one or more symptoms in yourself, you should think about the possible causes of their appearance.
This problem occurs for two reasons: as a result of a nervous overstrain or in the presence of somatic problems.
Nervous stress is the most common cause of this symptom. It appears as a result of stress, strong fear, excitement, over-excitement.
However, these are not the only causes of this problem.
Somatic violations causing a lump in the throat:
- inflammations in the throat (tonsillitis, tonsillitis, laryngitis, etc.), as well as adenoids. When inflammation of the larynx swells and it is squeezed,
- thyroid pathology. Enlarged thyroid nodes squeeze the throat and prevent normal breathing and swallowing,
- pathology in the spine in the neck,
- diseases of the gastrointestinal tract. Often, in pathologies with the esophagus, a heaviness in the throat appears after eating. An ulcer or gastritis often provokes unpleasant sensations in the larynx,
- the presence of a hernia of the esophagus,
- neoplasms in the larynx: benign and malignant,
- negative reaction to some drugs
- various damage to the larynx or esophagus,
- parasites. Rarely, but sometimes parasites can lay eggs in the throat, which are perceived as an alien object,
- the presence of a foreign object in the throat,
- problems with the heart or vessels are rare, but can also contribute to the formation of a coma in the throat.
What to do if you experience gravity in the trachea?
First of all, you need to turn to the therapist. He will conduct a full inspection and ask some leading questions about the problem, which will help determine the cause of the disease.
Next to you will offer:
- blood and urine tests
- conduct thyroid examinations,
- examine the esophagus,
- make an x-ray of the spine around the neck,
- undergo a full examination by an ENT doctor.
How to treat a lump in the throat with a nervous breakdown?
In this case, the patient is prescribed the use of medications and counseling by a psychologist.
The patient may be given an appointment. The following medications:
- herbs with a relaxing effect,
- St. John's wort,
- Nervo-Vit. This drug includes blueblown grass, which relaxes and soothes the body,
- Apitonus-P. This is a complex of vitamins to increase stress.
If during squeezing the throat it is difficult to breathe, then it is recommended to do breathing techniques that lead to relaxation.
How to treat a lump in the throat with somatic pathologies?
Depending on the causes identified, appoint measures to eliminate the disease. If the reason for the appearance of gravity in the trachea are problems with the thyroid, then the patient is prescribed drugs containing iodine.
If there are problems with the neck, then a special gymnastics is appointed, which will work out the neck. Also conduct manual, laser treatment and reflexology.
For the treatment of the esophagus, the patient is prescribed special dietary meals and appropriate medications. However, when a hernia of the esophagus is possible to conduct surgery.
For airway inflammation, antibiotics or other medicines are prescribed, depending on the cause of the inflammation. It is also recommended to do gargling with soda, herbal infusions, preparations with iodine content. In rare cases, warming compresses are prescribed.
For malignant or benign tumors of the throat, radiation or chemotherapy is performed, and surgery is also possible. Depending on the situation, events can be held all in a complex, or only one will be chosen.
Until you find out the causes of the unpleasant symptom and it causes you terrible discomfort, it is recommended to use popular advice to help relieve symptoms:
- use soothing tea
- pay much attention to your sleep. Try to sleep well,
- spend relaxing activities. It can be a relaxing bath, massage, breathing techniques for relaxation,
- Add foods high in iodine to your diet.
How to avoid the appearance of coma in the throat?
It is always better to carry out preventive measures than to treat a disease. To prevent a feeling of constriction in the larynx, they recommend certain activities.
- Time to treat the appearance of any ENT diseases.
- If there are pathologies with the thyroid gland, then eliminate them in time.
- Treatment of diseases of the digestive tract.
- Perform washing of the nasopharynx with a solution of salt.
- Do not inhale toxic substances.
- Do not overstrain the vocal cords.
- Balance nutrition. Add more vegetables and fruits to it.
- Regularly humidify the air in the apartment.
- Do walks in the fresh air.
- From time to time, use herbal preparations with a relaxing effect.
- Do sport.
- Try to set aside 8 hours a day for your sleep for complete rest and relaxation.
- Pay attention to your workplace. Often, an uncomfortable workplace can lead to muscle tension in the upper body. And this can lead to nervous tension and the appearance of a coma in the throat. Therefore, it is necessary to make your workplace as comfortable as possible.
The main thing, until you know the real cause of the disease, do not frighten yourself that a heavy throat is a symptom of serious pathological changes in the body. Diseases such as tumors of the larynx cause squeezing of the throat in rare cases. Therefore, any other cause of malaise may be eliminated, and with it the sensation of a coma in the throat will go away.
What are the symptoms of people complaining of a throat?
- Lump in the throat. It is often impossible to feel it outside, but the person clearly and sometimes constantly feels it. Such sensations can occur after a meal or after stress.
- Some have trouble breathing. It as if closes the access of oxygen, which makes breathing difficult.
- There may be difficulties with swallowing. A person may try to swallow a lump standing in his throat, but nothing comes of it.Sometimes when eating, a lump can also interfere with swallowing.
- There may be sore throat, discomfort.
- Sometimes there is a burning sensation in the throat or in the upper part of the esophagus.
- There may be a feeling of heaviness in the throat and sternum.
- In rare cases, the general condition of a person worsens.
Why does it appear?
We list the reasons for which may appear lump in the throat:
- Digestive problems and diseases of the digestive tract. For example, in gastroesophageal reflux disease, gastric juice is periodically thrown into the esophagus. And if this juice falls into the upper esophagus (this happens when overeating), then its walls will be irritated, which can cause a lump in the throat. Often this happens after eating. In addition, in this case, there are other symptoms: pain and burning in the retrosternal space, belching, nausea, heaviness and pain in the abdomen.
- Inflammatory processes in the larynx or upper respiratory tract. With frequent diseases of the upper respiratory tract, such as tonsillitis, pharyngitis and others, the swelling of tissues can be observed almost constantly, so that in this case a lump in the throat can also be felt. When inflammation of the larynx such sensations are also quite possible.
- Thyroid problems. With some of these problems, so-called goiter occurs. The thyroid gland is so enlarged that it begins to squeeze the throat. But usually the sensation of coma occurs with a significant increase. And in this case there will be other problems: changes in weight and appetite, weakness, fatigue, and so on. Conditions associated with the formation of goiter may be associated with changes in the amount of iodine in the body or with certain diseases of the autoimmune nature.
- Allergic reaction. It can manifest itself in the form of angioedema. In this case, a lump in the throat occurs in the first minutes of the development of edema, and then the edema increases, which provokes respiratory disturbances up to asphyxiation. In this case, the measures should be taken immediately!
- Foreign body. This happens infrequently and still happens. It could be a bone, a slice of coarse food, or something else.
- Stress. After suffering stress, there is significant muscle tension, including the muscles of the throat. Because of this, a so-called “hysterical lump” arises, which usually disappears on its own after a few hours.
- Hernia of the esophagus or diaphragm. In this condition, part of the diaphragm or esophagus, as it were, protrudes and can squeeze adjacent tissues and organs. If the hernia is located near the throat, then in some cases there may be a feeling of coma, which usually does not depend on external factors and accompanies the person constantly.
- Tumors. If the tumor has an impressive size, it can squeeze the throat, interfere with breathing and swallowing. By the way, in some cases, tumors develop completely asymptomatic, so that no other manifestations may occur.
- Inflammation of the lymph nodes. In the throat are lymph nodes, which in some cases may be inflamed. Such inflammation leads to an increase, and it is sometimes very significant. Nodes can squeeze the throat and provoke a sensation of coma. But often the enlarged nodes are palpable and painful. Such symptoms may occur due to infectious diseases or inflammatory processes.
- Parasites. Surprisingly, parasites can live in different tissues, organs and systems of the body, and not only in the intestine. And the notorious helminth can lay its eggs in the throat. There may be a sensation of a foreign body or coma.
- Back problems. In particular, if there are changes in the cervical region, the vertebrae can move and affect nearby tissues. Inflammation can spread. But in such cases, a lump in the throat will not be the only symptom, there will be other more serious and obvious signs: pain in the neck, impaired mobility.
- Damage and injury to the larynx, esophagus or upper respiratory tract may also be accompanied by a foreign body sensation in the throat. For example, the walls of the esophagus could be damaged when swallowing large pieces or coarse food. Often in such cases, there are pain and discomfort.
- In rare cases, a lump in the throat may occur in diseases of the cardiovascular or central nervous systems, for example, in ischemia or vascular dystonia.
- Overweight. In some cases, the subcutaneous fatty tissue in the throat can act as a kind of goiter and squeeze the throat.
Remember that finding the cause yourself is stupid and wrong! Find out everything should be an expert.
What to do?
What to do if there is a lump in the throat that prevents you from eating, breathing and just living normally? The first step is to seek help from a specialist. The therapist will examine you and conduct a survey.
You will need to remember what could have preceded the appearance of such sensations. Did you hurt your throat, were you nervous? It will also be necessary to describe other symptoms accompanying the sensation of a foreign body. Tell everything in detail to facilitate the task of a specialist.
You may be assigned the following diagnostic procedures:
- Urine and blood tests. In some cases, they can help identify inflammatory processes, as well as, for example, determine the level of thyroid hormones.
- Ultrasound examination of the thyroid gland.
- Study of the esophagus. This may be an ultrasound, endoscopy or radiography.
- X-ray examination of the spine.
- Computed tomography or magnetic resonance therapy. More often, such methods are appropriate in the study of the cervical spine.
- A thorough examination of the oral cavity, lymph nodes, larynx and so on will be required.
Only after a thorough examination and an accurate diagnosis can a doctor be able to prescribe an effective treatment.
Can a "lump" lead to choking
Sometimes it can, and it depends on which area the pathological process is located. To do this, consider how the throat of a person and the underlying organs are arranged - those structures whose disease can cause a sensation of a lump.
The oral cavity and the nose are “tubes” of not quite regular shape. They fall into one big "tube" - the pharynx. The latter has a rather large length (11-12 cm) and ends with a kind of "fork":
- on the one hand it passes into the larynx - the initial part of the respiratory tract, the place where the vocal cords are located, which form sounds,
- on the other hand, behind the larynx, the pharynx ends in the esophagus, the muscular tube that leads directly to the stomach.
Before the nasal cavity passes into the pharynx, at the mouth of the auditory tube there is a formation that communicates the ear and pharynx, in the root of the tongue and on both sides of it are the amygdala - large accumulations of lymphoid tissue. The same fabric is scattered in the form of small “peas” in different places of the posterior pharyngeal wall.
The task of the lymphoid tissue is to “inspect” the air flow and food lump for microbes and potentially dangerous agents for the body. If they are found, the tonsils and separately lying areas for the fight against microbes increase in size. Then they can feel like a lump in the throat.
If a person inhales the air, which contained a certain number of microorganisms, the palatine tonsils also increase immediately (we see them in the mirror when we open our mouth) and the pharyngeal tonsil, which lies on the border of the nose and pharynx. If they increase dramatically (when a large amount of germs is injected with air at a time or small amounts of dust or microorganisms are constantly inhaled), there will be more than a lump in the throat. This can cause breathing difficulties, but rarely one that can lead to suffocation.
A condition called paratonzillitis or paratonsillar abscess can cause asphyxiation. In this case, which is a complication of purulent tonsillitis, the pus permeates the fatty tissue around the tonsils (one or two). When there is a large amount of pus, the enlarged tonsil blocks the air path.
Disturbance of air passage and asphyxiation may develop as a result of swelling or abscess of the epiglottis. This condition develops as a complication of allergy (most often, food) or ARI
In the cases listed above, not a sensation in the throat of the lump, but severe sore throat, inability to swallow, fever and symptoms of intoxication (headache, weakness, nausea) come to the fore.
Another significant part of the "lumps" is the so-called post-nasal syndrome. This is the name of the condition when, as a result of inflammation of the upper respiratory tract (nose, paranasal sinuses, nasopharynx), mucus is formed, and it flows down the back of the throat.
Nevertheless, the main causes of the sensation of coma in the throat are localized in the esophagus - a tube that is designed to move food to those parts of the digestive system where it can be processed and digested. Pathological processes in the esophagus that can cause asphyxiation are those that either grow from the front wall of the esophagus, directly adjacent to the trachea (the trachea is in front) or have greater hardness to try to close the cartilage of the trachea. Until the feeling of lack of air appears, there will be a long lasting “lump” and a violation of swallowing: first solid food, then liquid.
Now consider what could be the causes of the appearance of a foreign body in the throat - depending on the symptoms, which is accompanied by.
Cardiospasm (achalasia of the cardia)
This is a disease in which there is a spasm of the circular muscle located between the esophagus and the stomach.
It is characterized by a sudden difficulty in swallowing, when warm liquid food passes better or, in rare cases, solid food. A person feels that food will pass better if you walk after eating or eat while standing or crush your chest when eating. There may be pains in the upper part of the sternum, which are like pains in the heart.
This is the state when the contents of the stomach are constantly thrown into the esophagus and inflames its mucous membrane.
Symptoms of the disease: heartburn and sour belching, which occur after eating (especially if you immediately go to bed), with the body tilted forward, if the person ate less than 1.5 hours before bedtime. In this disease, pain behind the sternum is also noted (very much like pain in the heart), which is given to the lower jaw, the area between the shoulder blades, the left half of the breast. There may be a cough that develops only in the prone position, dry throat, bloating, nausea, vomiting.
In this case, the stomach and, in some cases, the intestine, which must be in the abdominal cavity, due to the expansion of the opening in the diaphragm, through which the esophagus must pass, are (periodically or permanently) in the chest cavity.
The disease is very similar to reflux esophagitis: in addition to the "lump" in the throat, it is also characterized by heartburn after eating, pain "under the spoon" when a person stood for a long time in a bent position, pain in the abdomen. If the organs penetrating into the chest cavity squeeze the heart or lungs, shortness of breath, chest pain, blue eyes around the mouth, aggravated after eating, will be observed.
The sensation of a lump when swallowing occurs when the thyroid gland enlarges and begins to put pressure on the thyroid cartilage of the larynx lying below it. It can be observed as:
- production of an increased amount of hormones (hyperthyroidism), which manifests itself in weight loss with increased appetite, increased heart rate, sweating, irritability, periodic bouts of abdominal pain and vomiting,
- production of a reduced amount of hormones (hypothyroidism), in which a person gains weight, despite a reduced appetite. Slowness and fatigue are noticeable in such a patient, his memory is reduced, the skin becomes dry, and the hair becomes brittle, tending to fall out,
- normal gland function. In this case, besides the lump and increase in the volume of the neck, there are no other noticeable symptoms.
Thyroid disease does not lead to a violation of swallowing.
This is an inflammation of the mucous membrane of the pharynx, arising either as a result of insufficient treatment of acute pharyngitis, or with prolonged inhalation of dusty, dry or polluted air.
The symptoms of chronic pharyngitis are: a feeling of dryness, sore throat, frequent bouts of dry, painful cough. With exacerbation of the disease there is a pain in the throat, the body temperature may rise.
This is the name of chronic inflammation of the laryngeal mucosa. The cause of the disease: frequent acute laryngitis on the background of professional activity (among teachers, singers, speakers), smoking or alcohol abuse.
The disease manifests itself a sensation of dry throat, tickling. The voice becomes hoarse until its complete loss. There is also a dry, debilitating cough that develops paroxysmally. There may be a feeling of lack of air, pain when swallowing.
This feeling is observed in 60% of people suffering from depression. The main symptoms are: constant bad mood, inability to rejoice, constant pessimism, loss of interest in life or something that used to please.
The same complaint can be heard from people suffering from neurosis. These conditions occur after some psycho-traumatic factor and can manifest various symptoms: irritability, frequent phobias, panic attacks, anxiety, mood instability, sleep disorders, pain of different localization (in the heart, in the stomach, in the head), balance disorders, dizziness . The diagnosis is made after exclusion of heart, neurological and other somatic diseases.
Complaints against this feeling are also made by people whose psychiatrists, during examination, find hysterical personality disorder. Such a disease is more often found in women, when, against the background of constantly observed unstable mood and a tendency to fantasize, episodes of transient blindness, deafness and paralysis may appear. At the same time, the examination of the brain reveals neither strokes nor microstrokes. "Lump", unlike attacks of blindness / deafness, can be observed constantly.
Trauma to the esophagus
The esophagus may be injured by the probe (when performing fibrobastroscopy or setting the probe for feeding or evacuating the contents). Trauma can be produced by swallowed bone or a tablet: the mucosal damage can be distinguished from the appearance of a foreign object there only after a visit to a doctor: an ENT specialist or an endoscopist, who will have to perform fibrogastroscopy.
Throat cancer can cause this sensation. Oncology is accompanied by other symptoms: coughing, difficulty in swallowing solid foods at the beginning, then liquid, sharp weight loss.
Cancer of the esophagus, in addition to the symptoms, pain and a feeling of fullness behind the sternum, food regurgitation, production of large amounts of saliva are added to it. The feeling of a foreign body in the throat at the beginning simply interferes with eating, then forcing to wash it down, then - to take only liquid meals. If at this stage a person does not go to a doctor, he completely loses the ability to eat food and water.
This is a condition where your own immunity affects the connective tissue and glands of the external secretion (lacrimal, salivary). It develops most often in women during menopause. It begins with the appearance of dry eyes, dry skin, mouth and genitals. In the corners of the mouth there are bunches that cause soreness at the beginning only when yawning, then when talking. As a result of dryness of the mucous membranes in the nose, crusts are formed, sinusitis, bronchitis, gastritis are often observed. In this syndrome, the syndrome when swallowing does not appear among the first symptoms.
This is a disease in which self-immunity affects the nerve fibers in the brain and spinal cord. Such a lesion is observed in a mosaic: in some people some pathological foci appear (for example, in the frontal lobe and cerebellum), in others - others (more in the spinal cord than in the brain). Therefore, there is no definite symptom for this disease. With the defeat of the nervous paths leading to the esophagus, swallowing is disturbed, a foreign body is felt in the throat. This symptom is rarely observed on its own, accompanied by other changes: tremor, paralysis of one or several limbs, strabismus, visual impairment, and decreased sensitivity.
Suffered a stroke
The sensation of a foreign object in the throat when swallowing can be as a result of stroke of those parts of the brain that were responsible for the act of swallowing. In this case, the process of food getting into the stomach will be broken (difficult), but will not depend on whether it is solid or liquid food.
If, after a stroke, only a lump in the throat is felt, and swallowing is not disturbed, most likely, this is a consequence of the feeding probe in the stomach, which passed through the pharynx and esophagus. In this case, the feeling of a foreign body through time must pass.
Scleroderma is a systemic disease in which normal connective tissue becomes dense and the arterioles that feed it cease to function.
The disease does not affect the esophagus alone. It begins with the defeat of the feet and hands, which begin paroxysmally (initially only in the cold, after excitement or smoking, and then without any apparent provocative factor) to freeze, at the same time they become alabaster-white first, then turn red. Such attacks are accompanied by pain in the fingers, a feeling of bursting, burning.
Simultaneously with Raynaud's syndrome, which has now been described, the esophagus is also affected. This is manifested by a worsening swallowing disorder, heartburn. Food becomes more difficult to pass through the esophagus, which creates a feeling of lump.
This disease is characterized by progressive muscle weakness, including those that carry out the swallowing process, those that “block”, so that food does not get into the respiratory tract and those whose duty is to cough out the trachea or bronchi food.
Most often, myasthenia gravis begins with a violation of swallowing and coma, then the difficulty in raising the eyelids joins (therefore, the person has to raise his chin in order to consider something), his voice changes.
This is a rare hereditary disease that develops in children, adolescents and young people. The first manifestations of the disease are breathing disorder, wheezing, then the face warps, speech is disturbed (becomes blurred, slurred), a foreign body feeling appears in the throat, swallowing is disturbed.
This disease, which develops as a complication of intestinal infection, colds, herpes infection, when the activated immune system begins to attack the cells of the nerve trunks. The disease begins with a deterioration in the movements of the feet or with both the feet and the hands. If you do not stop this immune response, the nerves that carry commands to parts of the limbs that are closer to the body (hips, shoulders) are affected. In severe cases, swallowing is impaired, a nasal voice appears, breathing can "turn off", so such patients are treated in the intensive care unit.
This is a hereditary disease, the symptoms of which often appear between the ages of 10 and 20 years. Less often, symptoms occur immediately after birth.
Characterized by the appearance of spasmodic tension in the masticatory muscles and those muscles that flex the hand. Swallowing and mimicry are disturbed, the timbre of the voice changes, there may be sleep apnea.
- For diseases that force a person to breathe through his mouth (adenoiditis, chronic sinusitis)
- With dehydration (for example, food poisoning or intestinal infection: salmonellosis, dysentery).
- Enlarged lymph nodes under the lower jaw, near the corner of the lower jaw, on the anterior surface of the neck or near the hyoid bone.
It is manifested by long-lasting mucous or muco-purulent discharges (“snot”) on one or two sides, the flow of which along the back wall of the pharynx causes the sensation of “coma” with an unpleasant smell. Difficult breathing nose - on one or two sides.
In addition, a person periodically feels a headache - it is from this side that sometimes there is a feeling of heaviness directly in the area of the inflamed sinus. Smell is reduced down to its complete loss. Due to constant mouth breathing, dry mouth occurs, the ear on the affected side is periodically felt, and hearing deteriorates.
It is a long and sluggish current inflammation of the tonsils. The amygdala is a soft tissue formation that has indentations and strokes on the surface, and voids inside. If the amygdala is inflamed under the action of a microbe and cannot cleanse itself, the inflammatory process in it becomes chronic. Food debris that also supports this process gets into this amygdala.
As a result, white lumps of dead leukocytes, microbes, food debris and cells that are exfoliated from the surface of the organ form in the amygdala. These are caseous jams, which are the source of the extremely unpleasant smell.
When exacerbation of the inflammatory process of the tonsils also emit pus. During the day it can form up to half a glass, and all of it will be swallowed. This pus, on the one hand, is the very “lump” in the throat. On the other hand, it leads to inflammation of the mucous membrane of the pharynx and stomach, where it gets, which increases the unpleasant smell from the mouth.
So called protrusions of the esophagus wall, which are turned to the outside, at the level of the transition of the pharynx to the esophagus. Manifests a sensation of a foreign body in the throat, difficulty in swallowing both solid and liquid food. Since the diverticulum is a kind of “pocket” where food can get (and gets), an unpleasant smell is often felt from the mouth.
Such patients also complain of regurgitation of undigested food (especially in the supine position), dry cough, nausea, and a change in the tone of voice. There may be bouts of the "blockade phenomenon": after eating a person feels that he is choking, his head is spinning, and he may even faint. If against this background cause vomiting, the attack passes.
This is the transfer of food from the stomach into the esophagus. It is described in the section "Diseases accompanied by a sensation of a foreign body when swallowing."
So called inflammation of the mucous membrane of the esophagus, which can be caused by various microbes, physical (the effects of burns from hot food) or chemicals (the effects of ingested acid or alkali). The cause may also be esophageal tuberculosis (only in the presence of pulmonary tuberculosis) or candidiasis (as a complication of oral thrush).
It is characterized by the development of the following symptoms:
- burning behind the sternum after eating,
- pain behind the sternum, which is constantly or periodically present, can give to the shoulders and the area between the shoulder blades,
- the feeling of a lump in the throat and belching is present during and immediately after eating, which is associated with an additional trauma to the inflamed mucosa by the food lump,
- occasionally a small amount of food from the esophagus may return to the mouth.
These are states in which the work of individual parts of the central nervous system is disturbed, but their structure is not disturbed.
Taking certain medications
Treatment with those drugs that have a damaging effect on the mucous membrane causes belching, and the discharge of the stomach contents into the esophagus, which is often accompanied by a lump in the throat.
The main drugs that cause these two symptoms are painkillers (Nimesil, Diclofenac, Analgin, Ibuprofen, Aspirin) and hormonal anti-inflammatory drugs (Prednisolone, Dexamethasone).
If you really need to take any of these drugs, and you notice the appearance of belching and coma in the throat, consult your gastroenterologist how to protect the stomach (usually use drugs like Omeprazole or Rabeprazole for this). Anti-inflammatory drugs take only after meals.
A combination of belching and coma in the throat can be caused by pregnancy. This is explained by the fact that in this case the hormonal background of the woman changes, which leads to the relaxation of muscles located between different sections of the gastrointestinal tract, including the esophagus and the stomach. As a result, food is often thrown into the esophagus, inflaming it, which causes the appearance of a belching and sensation in the throat of a foreign body.
The combination of several diseases
It may happen that at the same time, 2 unrelated diseases developed: for example, an increase in the volume of the thyroid gland, which caused a sensation of coma in the throat, and inflammation of the stomach (gastritis), which caused the belching. The same combination can be observed with a combination of consuming large amounts of gas-forming foods and drinks and acute respiratory infections with inflammation of the mucous membrane of the throat.
Diseases in which a foreign body and dryness are felt in the throat
Diseases in which there is both a lump and dry throat are described above. It:
- laryngitis: acute and chronic
- pharyngitis: acute and chronic,
- chronic sinusitis,
- allergic swelling of the epiglottis. This state appears after eating some new food, walking in a flowered garden, using new drugs or working with household chemicals. It is manifested by the appearance of a coma in the throat, which quickly increases and makes it difficult to breathe. It is urgent to seek medical attention.
- Sjogren's syndrome
- dehydration diseases
When there is a lump in the throat, as if made of mucus
A lump in the throat and mucus will be observed when:
- post-nasal syndrome, when mucus from the inflamed nose or its sinuses flows down the back of the throat
- effects on the mucous membrane of the throat of tobacco, spicy foods, alcohol, vasoconstrictor nasal drops. In this case, the state of health does not suffer, and "lump of mucus" is observed only in the morning hours,
- chronic pharyngitis,
- runny nose
- inflammation of the tonsils and throat,
- allergic rhinitis, rhinopharyngitis,
- throwing gastric contents into the throat (laryngopharyngeal reflux), which is manifested by a mucous lump and bouts of dry cough.
When foreign body sensation is combined with a sore throat
The appearance of a sore throat and a lump is characteristic of such pathologies:
- Acute tonsillitis, which is manifested by fever, weakness, and sometimes nausea. Sore throat, it hurts to swallow both liquid and solid food.
- Acute pharyngitis, which often occurs with acute respiratory infections (viral, fungal or bacterial origin). It is manifested by a sore throat, a sensation of mucus, tickling and lump in it, dry cough.
- Acute laryngi, which can also be a manifestation of acute respiratory infections or occur during hypothermia and excessive voice work. It is manifested by hoarseness, sore throat, which may increase with swallowing, a feeling of dryness, scratching, scratching in the throat. The cough is dry at first, painful, but soon sputum begins to cough.
- Paratonsillary abscess - soaking pus fiber near the tonsils (most often - one). It develops as a complication of purulent tonsillitis or purulent pharyngitis. Manifested by increasing pain in the throat, fever, difficulty swallowing, unpleasant smell from the mouth.
- Parapharyngeal abscess. In this case, the abscess is localized in the peripharyngeal space. This, like paratonsillar abscess, is a complication of purulent tonsillitis, but it can also develop as a result of pus flowing from the sinuses into the circulatory fiber, and pus ingested from the roots of the teeth. It is characterized by pain on one side of the throat, painful swallowing, difficulty opening the mouth, high fever. It requires urgent surgical intervention, otherwise it may be complicated by the breakthrough of pus in the tissue around the major vessels of the neck, as a result of which severe bleeding may begin.
- The abscess of the tongue root is characterized by a sensation of a lump in the throat, an increase in the volume of the tongue, which prevents it from being placed in the mouth and makes breathing difficult, and speech is indistinct. The temperature rises, weakness and malaise appear, sleep is disturbed. Urgent treatment is required in the ENT department of the hospital.
- Inflammation and abscess of the epiglottis are manifested by the sensation of a foreign body in the throat, sore throat, which is aggravated by swallowing, fever, difficulty breathing, and nasal voices.
What to do when a lump in the throat
Treatment of a lump in the throat depends on its cause. So, if this is a tumor formation, an operation is necessary followed by the introduction of chemotherapy drugs or radiation therapy. Diverticula are also removed promptly. With the development of paratonsillar or parapharyngeal abscess, an operation is also needed to open and drain the abscess. But myasthenia gravis, multiple sclerosis, Guillain-Barre syndrome and some other diseases are treated only in a conservative way.
Therefore, to determine the cause of the "lump", consult a otolaryngologist (ENT). He will inspect the pharynx and larynx, examine the epiglottis and test the neck to exclude parapharyngeal abscess, take a seeding from the tonsils and posterior pharyngeal wall. If the pathological process is not detected, you need to be examined further:
- perform an ultrasound of the thyroid gland and donate those of its hormones that the endocrinologist will say
- To perform an MRI scan of the brain, cervical spine and neck organs and undergo the examinations recommended by the neuropathologist,
- to visit a gastroenterologist, to perform FSHD (fibrogastroscopy).
If at least 1 of the symptoms listed below has occurred, contact your doctor immediately:
- it became difficult to breathe
- temperature rises above 37.5 ° C
- neck swelling along with a sore throat,
- coughing up sputum, in which pus or blood is visible,
- a lump in the throat appeared either against the background of a violation of sensitivity and movements in the legs or arms, or it can be said that at the same time it becomes more and more difficult to swallow each time,
- if, in addition to a coma in the throat, there is a nagging voice, speech blurring, choking when swallowing.
While you are being examined, take the following measures:
- Rinse the nose and gargle with salt water in the morning, or dissolve 1 tsp in 1 liter of boiled water. sea or ordinary salt, or buy one of the salt solutions in the pharmacy.
- Give up smoking and drinking alcohol.
- Exclude from the diet seafood, spicy dishes, dairy products with high fat content.
- If swallowing is impaired, enter more liquid and high-calorie foods into the diet: broths with blender passed through chicken meat, dairy products, mixtures for enteral nutrition.
- If mucus in a throat disturbs, include in the ration decoctions of rosehip, chicken broth, mashed fresh apples, warm soups. Just do not eat before bedtime.
- If, parallel with the lump in the throat, the temperature rises, while you are waiting for the day on which you were recorded for an ENT, rinse your throat with antiseptic solutions: Miramistin, Chlorhexidine.
- If you notice that a lump in the throat has appeared after contact with an animal, eating a new food, working in dusty conditions and so on, take an antihistamine drug, optimally 1 generation (they, although they cause drowsiness, act fairly quickly): “Diazolin” , Suprastin, Tavegil. If such a “lump” interferes with breathing, call the ambulance.