Feeling of a Choking Sensation in the Throat: Possible Causes and Concerns - Otolaryngology

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The sensation of a choking feeling in the throat, often described as a lump or foreign body sensation, can be quite distressing. Given your thorough medical evaluations, including examinations by both an otolaryngologist (ENT specialist) and a gastroenterologist, it’s understandable that you may still feel concerned about your symptoms.
There are several potential causes for this sensation, even when no physical abnormalities are detected during examinations. One common cause is globus pharyngeus, which is a sensation of having a lump in the throat without any actual obstruction. This condition can be associated with stress, anxiety, or emotional distress. It is not uncommon for individuals experiencing high levels of anxiety to report physical symptoms, including tightness or discomfort in the throat area.
Another possibility is muscle tension dysphonia, where the muscles around the throat become tense, leading to a feeling of constriction. This can occur due to stress or overuse of the voice, and it may not always be evident during a physical examination.
Additionally, gastroesophageal reflux disease (GERD) can cause a sensation of a lump in the throat. Even if your endoscopy did not reveal any significant findings, silent reflux can still occur, where stomach acid irritates the throat without causing typical symptoms like heartburn.
Other potential causes could include allergies, which can lead to postnasal drip and throat irritation, or even thyroid issues, where an enlarged thyroid gland can create a sensation of pressure in the throat.
It’s also worth noting that psychological factors can play a significant role in physical sensations. If you are experiencing anxiety or stress, it may manifest as physical symptoms, including the sensation of choking or tightness in the throat.
Given that you have already sought medical attention and undergone various tests, it may be beneficial to consider a multidisciplinary approach. Consulting with a mental health professional could help address any underlying anxiety or stress that may be contributing to your symptoms. Cognitive-behavioral therapy (CBT) is particularly effective for managing anxiety and can provide you with tools to cope with these sensations.

In summary, while it is natural to worry about what might be causing your symptoms, it is important to remember that many cases of throat discomfort are benign and can be related to stress or anxiety. Continuing to communicate with your healthcare providers about your symptoms and concerns is crucial. If your symptoms persist or worsen, further evaluation may be warranted, including a possible referral to a specialist in psychosomatic medicine or a speech therapist who can help with muscle tension issues.
Take care of your emotional well-being, as it is just as important as your physical health. Engaging in relaxation techniques, mindfulness practices, or gentle exercises may also help alleviate some of the tension you are experiencing.