Neck issues
When a physician examines the neck during swallowing, they may feel two structures that move up and down simultaneously, approximately two fingerbreadths apart.
Is this normal? I am a female (could this be the movement of the Adam's apple and the thyroid gland?).
Thank you! ☺
Ling, 10~19 year old female. Ask Date: 2020/09/06
Dr. Li Jiaxuan reply Otolaryngology
If there are two obvious concerns, it is advisable to suspect the possibility of a thyroglossal duct cyst and seek consultation at an otolaryngology clinic.
Wishing you good health.
Reply Date: 2020/09/06
More Info
When you swallow, it is indeed normal to feel certain structures in your neck moving. The two structures you are likely referring to are the thyroid cartilage (which forms part of the larynx and is often referred to as the "Adam's apple") and the thyroid gland. During the swallowing process, these structures can move up and down, and this movement is a natural part of the swallowing mechanism.
The act of swallowing involves a complex coordination of muscles and structures in the throat. When you swallow, the muscles in your throat contract to push food down the esophagus. This action also causes the larynx (voice box) to rise, which is why you can feel the movement in your neck. The thyroid cartilage, being a prominent structure in the neck, is easily palpable, especially in women, where it may be less pronounced than in men.
The thyroid gland, located just below the Adam's apple, can also be felt moving during swallowing. It is a butterfly-shaped gland that plays a crucial role in regulating metabolism and other bodily functions. The movement you feel is due to the upward motion of the larynx and the surrounding structures as they work together to facilitate swallowing.
In general, the sensation of movement in your neck during swallowing is normal and should not cause concern. However, if you experience any discomfort, pain, or difficulty swallowing, it would be advisable to consult a healthcare professional. Conditions such as thyroid disorders, esophageal issues, or other structural abnormalities can sometimes cause changes in swallowing mechanics, but these are usually accompanied by other symptoms.
To summarize, the movement you feel in your neck during swallowing is a normal physiological response. The thyroid cartilage and the thyroid gland are likely the structures you are sensing. If you have any concerns about your swallowing or if you experience any unusual symptoms, it is always best to seek medical advice for a thorough evaluation.
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