Throat Issues: Symptoms and Possible Causes Explained - Otolaryngology

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Throat issues


Recently, I have noticed a pulsating sensation on the upper left side of my Adam's apple, around the area of the mandible, when I swallow saliva.
It feels like it is pulsating when I touch it, and there is also a pulsating sensation when I press down, but it is not painful, and there is no swelling upon palpation.
Is there lymphatic tissue in that area? I visited a doctor, and they mentioned that my oropharynx is slightly red and swollen.
Could you please explain what these symptoms might indicate?

Derek, 20~29 year old female. Ask Date: 2016/05/23

Dr. Zheng Jueyi reply Otolaryngology


Hello: This area may correspond to the location of the carotid artery, which is why you might feel a pulsating sensation when pressing down.
If you are still concerned, you may seek medical evaluation for a definitive diagnosis.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/23

More Info


Understanding throat issues can be quite complex, as they can arise from various causes and manifest in different symptoms. Based on your description, it seems you are experiencing a sensation in the left side of your throat, near the jawline, where you feel a rhythmic movement when swallowing or touching the area. You mentioned that it does not hurt, and there is no noticeable swelling, but you have been informed by a doctor that there is some redness and swelling in the pharynx.

Firstly, it is important to note that the area you are referring to does contain lymphatic tissue, which includes lymph nodes. Lymph nodes can sometimes become reactive due to infections or other inflammatory processes, leading to sensations such as the one you are experiencing. The fact that you feel a "jumping" sensation could be related to muscle contractions or spasms in the throat area, which can occur due to irritation or inflammation.

The redness and swelling in the pharynx that your doctor noted could indicate a mild infection, such as pharyngitis, which is inflammation of the throat. This condition can be caused by viral infections (like the common cold or flu) or bacterial infections (such as streptococcal bacteria). In many cases, viral infections are self-limiting and resolve on their own, while bacterial infections may require antibiotic treatment.

Another possibility to consider is the presence of allergies or irritants in your environment, which can lead to throat irritation and inflammation. Allergies can cause post-nasal drip, leading to throat discomfort and a sensation of swelling or tightness. Additionally, gastroesophageal reflux disease (GERD) can cause similar symptoms, where stomach acid irritates the throat, leading to inflammation and discomfort.

Since you mentioned that there is no pain and no swelling upon palpation, it might suggest that the issue is not severe. However, it is essential to monitor your symptoms closely. If you notice any worsening of symptoms, such as increased pain, difficulty swallowing, fever, or persistent swelling, it would be advisable to seek further medical evaluation.

In terms of management, if the symptoms are mild and you are not experiencing significant discomfort, you might consider home remedies such as warm saltwater gargles, staying hydrated, and using throat lozenges to soothe irritation. Over-the-counter pain relievers like acetaminophen or ibuprofen can also help alleviate any discomfort if it arises.

In conclusion, while your symptoms may be indicative of a mild throat infection or irritation, it is crucial to keep an eye on any changes and consult a healthcare professional if necessary. They can provide a more thorough evaluation and determine if any further testing or treatment is required. Remember, your health is paramount, and addressing any concerns with a qualified healthcare provider is always the best course of action.

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