Persistent Throat Swelling: Causes and Treatments - Otolaryngology

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Persistent throat swelling can be a concerning symptom, and understanding its causes and potential treatments is essential for effective management. Based on your description, it seems that you have been experiencing throat swelling since February 25, characterized by a sensation of fullness and audible swallowing without pain. This symptom has fluctuated in intensity, and while you initially had a higher fever, your temperature has stabilized around normal levels recently.

The sensation of throat swelling can be attributed to several factors, and it is important to consider both infectious and non-infectious causes. Common infectious causes include viral or bacterial pharyngitis, which can lead to inflammation and swelling of the throat. In such cases, symptoms may include sore throat, fever, and difficulty swallowing. However, since you mentioned that your symptoms do not include pain and your fever has subsided, it may suggest that a more chronic or non-infectious process is at play.

Non-infectious causes of throat swelling can include allergies, gastroesophageal reflux disease (GERD), or even environmental irritants. Allergies can lead to post-nasal drip, which may cause throat irritation and swelling. GERD, on the other hand, can result in stomach acid irritating the throat, leading to a sensation of swelling or discomfort. Environmental factors such as smoke, pollution, or dry air can also contribute to throat irritation.

Given that you have seen multiple doctors and have been prescribed medications for what was initially thought to be an inflammatory process, it may be beneficial to consider further evaluation. If your symptoms persist despite treatment, it may be worthwhile to explore additional diagnostic options. These could include imaging studies such as a neck ultrasound or CT scan to assess for any structural abnormalities, or referral to an ear, nose, and throat (ENT) specialist for a more thorough examination.

In terms of treatment, addressing the underlying cause is crucial. If allergies are suspected, antihistamines or nasal corticosteroids may provide relief. For GERD, lifestyle modifications such as dietary changes, weight management, and medications to reduce stomach acid may be recommended. Additionally, staying hydrated and using humidifiers can help alleviate throat irritation.

It is also important to monitor your symptoms closely. If you experience any new symptoms such as difficulty breathing, persistent fever, or worsening swelling, it is essential to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.

In summary, while your symptoms may initially suggest a simple inflammatory process, the persistence and nature of your throat swelling warrant further investigation. A comprehensive approach that includes identifying potential allergens, evaluating for reflux, and considering structural causes will be key to finding an effective treatment plan. Always communicate openly with your healthcare provider about your symptoms and any concerns you may have, as this will help guide your care effectively.