Throat and Neck Issues: When to Seek Medical Help - Otolaryngology

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Throat, neck


Hello, doctor.
I would like to ask again.
My throat is dry, and my tongue is also dry, but even after drinking water, it still feels dry.
I feel lazy to swallow, and my neck feels swollen.
I have chest tightness, dizziness, and a tingling sensation in my head.
I am overthinking and feeling very uncomfortable and fatigued.
Could this be due to my daily stress, or is it because I talk less, which has caused throat issues? Or could it be related to anorexia? Or is it connected to the nerves in the back of my head? Should I go to a major hospital for a check-up or get an X-ray? My family seems to not believe that I have health issues, so they haven't taken me to see a doctor.
I've been in this state for a long time.

Zhenzhen, 10~19 year old female. Ask Date: 2016/11/18

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you continue to feel unwell, it is still recommended to consult the relevant department for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/11/18

More Info


When it comes to throat and neck issues, understanding when to seek medical help is crucial, especially when symptoms persist or worsen. Based on your description, you are experiencing a combination of symptoms including dryness in your throat and tongue, difficulty swallowing, a sensation of swelling in your neck, chest tightness, dizziness, and a general feeling of malaise. These symptoms can be indicative of various underlying conditions, and it is important to approach them with caution.

Firstly, the sensation of dryness in the throat and tongue, even after drinking water, could suggest several possibilities. One common cause is dehydration, which can occur due to inadequate fluid intake, certain medications, or underlying health conditions. However, if hydration is not the issue, it could also be related to conditions such as Sjögren's syndrome, which is an autoimmune disorder that affects moisture-producing glands.
The feeling of swelling in the neck could be due to lymphadenopathy, which is the enlargement of lymph nodes often associated with infections, inflammatory conditions, or malignancies. If you are also experiencing chest tightness and dizziness, these symptoms could be more concerning. They may indicate cardiovascular issues, anxiety, or even respiratory problems. The sensation of numbness or tingling in the head could be related to anxiety or stress, but it can also be a sign of neurological issues that should not be overlooked.

Given that you mentioned these symptoms have persisted for a long time, it is advisable to seek medical attention. While it is understandable that family members may not fully grasp the severity of your symptoms, your health should be a priority. A thorough evaluation by a healthcare professional is essential to rule out serious conditions.
You should consider visiting a hospital or a specialized clinic where you can undergo a comprehensive examination. This may include blood tests, imaging studies like X-rays or CT scans, and possibly referrals to specialists such as an ENT (ear, nose, and throat) doctor or a neurologist, depending on the findings.
In the meantime, managing stress and anxiety can also be beneficial. Practices such as mindfulness, relaxation techniques, and ensuring adequate hydration can help alleviate some symptoms. However, these should not replace professional medical evaluation and treatment.

In summary, your symptoms warrant a medical evaluation, especially given their duration and the combination of signs you are experiencing. Do not hesitate to advocate for your health, and seek the necessary medical attention to address your concerns effectively. Your well-being is important, and early intervention can often lead to better outcomes.

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