Throat Discomfort: Symptoms and Risks of Enlarged Larynx

Suspected enlargement of the larynx with discomfort in the throat?

I have a noticeable swelling of an unknown object in my throat, and my voice is slightly hoarse.
My breathing is somewhat obstructed, and when I swallow saliva or drink water, I can feel a slight movement of the swollen object.
Sometimes, when it feels stuck in my throat, I need to drink water to relieve it, but it gets stuck again shortly after.
I do not have a cold, but my throat may be mildly inflamed due to frequent coughing.
I also suffer from hyperventilation syndrome, and the sensation of something stuck in my throat tends to occur more easily during episodes of over-breathing.

I would like to ask Dr.
Jian if this condition poses a risk of obstructing my airway, as I have been experiencing this sensation for over a year now, and I am very concerned about the possibility of choking while lying down.
Additionally, should I undergo an endoscopy examination? Can it be done on-site, or do I need to make an appointment? I previously visited the Tzu Chi outpatient clinic but forgot to mention this issue to the doctor.
They examined my throat and nose, noted that I have a deviated septum, but it is not severe, and found mild inflammation in my throat.
They prescribed some antibiotics for me.

Thank you, Dr.
Jian, for your assistance in answering my questions.
I appreciate it.

SKY, 20~29 year old female. Ask Date: 2007/05/07

Dr. Jian Linzhen reply Pulmonology

Your symptoms are quite complex, but it seems necessary to consult an otolaryngologist for an examination.
An endoscopic examination may be required.

Reply Date: 2007/05/07

More Info

Throat discomfort, particularly the sensation of an enlarged larynx, can be concerning and may indicate various underlying conditions. The symptoms you describe—feeling of a foreign object in the throat, slight hoarseness, difficulty breathing, and the need to drink water to alleviate the sensation—are indicative of potential issues that should not be ignored.

Firstly, the sensation of an enlarged larynx could be due to several factors, including inflammation, swelling, or even the presence of a mass. Chronic coughing, as you mentioned, can lead to irritation and inflammation of the throat, which may exacerbate the feeling of tightness or swelling. Conditions such as laryngitis, which is inflammation of the larynx, can cause hoarseness and discomfort. Allergies, acid reflux, or even chronic sinus issues can also contribute to throat discomfort.

Given that you have a history of hyperventilation syndrome, it is important to consider how anxiety and breathing patterns can affect your throat sensations. Hyperventilation can lead to muscle tension in the throat and may cause a feeling of tightness or constriction. This can create a cycle where anxiety about the sensation leads to further hyperventilation, worsening the symptoms.

Regarding your concern about the risk of airway obstruction, it is essential to monitor your symptoms closely. While the sensation of something being stuck in the throat can be distressing, it does not necessarily indicate that your airway is at immediate risk of being blocked. However, if you experience significant difficulty breathing, wheezing, or if the sensation worsens, it is crucial to seek medical attention promptly.

As for the need for an endoscopic examination, this is a reasonable step if your symptoms persist or worsen. An otolaryngologist (ENT specialist) can perform a laryngoscopy, which allows for direct visualization of the larynx and surrounding structures. This procedure can often be done in the office setting, but in some cases, it may require scheduling an appointment. Discussing your symptoms in detail with your healthcare provider will help determine the best course of action.

In summary, while your symptoms may be related to inflammation or irritation, it is essential to rule out any serious conditions. Keep track of your symptoms, and if you notice any changes, such as increased difficulty breathing or swallowing, seek medical attention immediately. Regular follow-ups with your healthcare provider can help manage your symptoms and address any underlying issues effectively.

Similar Q&A

Understanding Epiglottis Issues: Risks of Swelling and Breathing Difficulties

I would like to consult Dr. Hu about the epiglottis. I previously read in medical literature that the epiglottis functions to prevent food from entering the trachea. If it becomes enlarged, could it sometimes obstruct the airway? I occasionally feel something stuck in my throat, ...

Dr. Hu Kexin reply Otolaryngology
Hello: I recommend that you consult an otolaryngologist for a thorough examination. If necessary, you may first undergo a fiberoptic laryngoscopy to assess any issues with your throat. Sincerely, Dr. Hook.

Understanding Throat Discomfort: Causes and Solutions Beyond GERD

Hello, Director Ji. I have been experiencing a tightness, a thick sensation, and a feeling of something foreign in my throat for over four months now, with symptoms varying in intensity. I have consulted both an otolaryngologist and a gastroenterologist, and both doctors have dia...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy to rule out any masses and for pharmacological treatment. In addition to medication, please pay attention to the following lifestyle recommendations: avoi...

Feeling of Throat Obstruction After Singing: Causes and Solutions

Hello, doctor. I sang a few songs yesterday evening, but it wasn't too intense. However, I did clear my throat forcefully a few times. As a result, I woke up three times last night, unsure if it was due to a sore throat. This morning, I noticed that my throat hurts and I hav...

Dr. Li Jiaxuan reply Otolaryngology
It is recommended to visit an otolaryngology clinic to check for any inflammation or injury to the vocal cords. Wishing you good health.

Understanding Chronic Laryngitis: Symptoms, Causes, and Anxiety Concerns

Hello, doctor. You mentioned that there are many causes of chronic laryngitis. I would like to ask the following questions: 1. Is laryngitis only related to the area visible when the mouth is open? 2. You mentioned that stress and lack of sleep can contribute to this condition...

Dr. Zheng Jueyi reply Otolaryngology
Dear Xiao Ke, 1. Chronic laryngitis is not something that can be directly observed with the mouth open; it generally refers to a condition located deeper, near the vocal cords or the entrance of the esophagus. 2. Excessive anxiety can also trigger psychosomatic symptoms, and th...