Throat Sounds When Swallowing: Causes and Concerns - Otolaryngology

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Swallowing saliva?


In the past month, I have noticed a sound similar to cartilage rubbing in the upper left side of my throat when swallowing saliva, but there is no sound when eating or drinking.
This sensation is causing me significant mental stress.
What could be the reason for this?

TOM, 30~39 year old female. Ask Date: 2010/04/07

Dr. Ye Dawei reply Otolaryngology


Dear Sir/Madam: There is no major issue.
Please rest more.
Dr.
Yeh Da-Wei, Head of the Department of Otolaryngology, Hsinchu Hospital.

Reply Date: 2010/04/07

More Info


When you experience a sound in your throat, particularly a cartilage-like friction noise when swallowing, it can be concerning and may lead to increased anxiety or stress. This phenomenon can be attributed to several potential causes, and understanding these can help alleviate some of your worries.

One common reason for such sounds is the presence of a condition known as "cervical crepitus," which refers to the audible sounds produced by the movement of structures in the neck, including the cartilage and joints. This can occur due to various factors, including age-related changes in the cervical spine, inflammation, or even minor injuries. As we age, the cartilage in our joints can wear down, leading to a rougher surface that may produce sounds during movement.

Another possibility is that you may be experiencing a condition called "pharyngeal or laryngeal dysfunction." This can occur when the muscles and tissues in the throat do not function properly during swallowing, leading to unusual sounds. This dysfunction can be caused by several factors, including muscle tension, stress, or even gastroesophageal reflux disease (GERD), which can irritate the throat and lead to abnormal sensations or sounds.

Additionally, if you have recently experienced any upper respiratory infections or allergies, these can lead to inflammation or swelling in the throat, which may also contribute to the sounds you are hearing. Mucus buildup can create a sensation of obstruction or friction, especially when swallowing.

It's important to note that if the sound is not accompanied by pain, difficulty swallowing, or other concerning symptoms, it may not be a cause for alarm. However, if you find that the sound persists or worsens, or if you begin to experience additional symptoms such as pain, difficulty swallowing, or changes in your voice, it would be advisable to consult with a healthcare professional. An ear, nose, and throat (ENT) specialist can perform a thorough examination, which may include imaging studies or endoscopy, to determine the underlying cause of your symptoms.

In the meantime, managing stress and anxiety can be beneficial. Techniques such as mindfulness, deep breathing exercises, and relaxation strategies can help reduce the mental burden associated with these sensations. Staying hydrated and avoiding irritants such as smoke or strong odors can also help maintain throat health.

In conclusion, while the sounds you are experiencing when swallowing may be concerning, they can often be attributed to benign causes such as joint movement or muscle dysfunction. Monitoring your symptoms and seeking medical advice if they persist or worsen is the best course of action. Remember, understanding your body and its signals is crucial, and addressing any underlying anxiety can significantly improve your overall well-being.

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