I have a tight and dry throat~~ I'm very talkative, sorry about that?
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.
I seem to have some health anxiety lately, as I often worry about whether something bad is developing in my body.
Does this count as being under stress? (I feel a bit foolish for worrying.)
3.
You said that autonomic nervous system dysregulation can also be a factor.
Since I started experiencing health anxiety, my eyelids often twitch involuntarily.
I consulted another doctor who said this is one of the signs of autonomic nervous system dysregulation.
Is that true? If so, could the strange sensations in my throat also be a result of my own psychological state?
4.
I previously reported to a doctor that I have health anxiety, and I often use a flashlight to examine my throat.
Could this lead to chronic inflammation? I apologize for the trivial nature of these questions, but I am genuinely seeking peace of mind.
I kindly ask for your understanding, doctor, and from everyone online.
Thank you.
Xiao Ke, 30~39 year old female. Ask Date: 2013/01/15
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 the sensation of a lump in the throat may arise from heightened anxiety or be caused by gastroesophageal reflux.
It is advisable to seek medical attention to check for any structural abnormalities.
If there are none and it is simply chronic inflammation, managing stress through regular routines and moderate exercise, along with drinking plenty of water and reducing the intake of irritants, should lead to improvement.
3.
Using a flashlight to examine the throat will not cause inflammation.
Wishing you peace and health.
Sincerely,
Dr.
Zheng Jue-Yi
Director, Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2013/01/15
More Info
Chronic laryngitis is a condition characterized by inflammation of the larynx, which can lead to a variety of symptoms and is often influenced by multiple factors, including anxiety and stress. Let’s break down your questions and concerns regarding chronic laryngitis, its symptoms, causes, and the interplay with anxiety.
1. Understanding Laryngitis: Laryngitis refers to inflammation of the larynx, which is located in the throat, just above the trachea (windpipe). It is not limited to what can be seen with the mouth open; rather, it encompasses the entire laryngeal area, including the vocal cords. Symptoms typically include hoarseness, a sore throat, and sometimes a dry cough. In chronic cases, these symptoms can persist for an extended period, often due to ongoing irritation or inflammation.
2. Impact of Stress and Anxiety: You mentioned experiencing anxiety about your health, which can indeed be a significant source of stress. This kind of worry, often referred to as health anxiety or illness anxiety disorder, can exacerbate physical symptoms and lead to a cycle of concern and discomfort. Stress and anxiety can contribute to laryngitis by causing muscle tension in the throat and affecting your immune response. When you are under stress, your body produces more cortisol, which can lead to inflammation and make you more susceptible to infections or irritations in the throat.
3. Autonomic Nervous System and Symptoms: The autonomic nervous system (ANS) regulates involuntary bodily functions, including heart rate and digestion. Anxiety can lead to dysregulation of the ANS, which may manifest as physical symptoms such as eyelid twitching or a sensation of tightness in the throat. These symptoms can indeed be linked to anxiety, and it is possible that the strange sensations in your throat are exacerbated by your mental state. The mind-body connection is powerful; when you are anxious, your body can react in ways that may seem unrelated to your emotional state.
4. Self-Examination and Its Effects: Frequently checking your throat with a flashlight can lead to increased anxiety and may contribute to the sensation of discomfort in your throat. This behavior can create a heightened awareness of bodily sensations, leading to a cycle of worry and physical symptoms. While self-examination can be useful in some contexts, excessive checking can lead to increased irritation and inflammation of the throat, potentially worsening chronic laryngitis.
In summary, chronic laryngitis can be influenced by various factors, including stress and anxiety. Your concerns about your health are valid, but it is essential to address both the physical and psychological aspects of your condition. Here are some recommendations:
- Consult a Specialist: If you haven’t already, consider seeing an otolaryngologist (ENT specialist) for a thorough examination of your throat. They can provide a definitive diagnosis and recommend appropriate treatment options.
- Manage Anxiety: Engaging in stress-reduction techniques such as mindfulness, meditation, or cognitive-behavioral therapy (CBT) can help manage anxiety symptoms. These approaches can also alleviate some of the physical symptoms associated with anxiety.
- Limit Self-Examination: Try to reduce the frequency of checking your throat. Instead, focus on following your doctor’s advice and monitoring your symptoms based on professional guidance.
- Healthy Lifestyle Choices: Ensure you are getting enough rest, maintaining a balanced diet, and staying hydrated. These factors can significantly impact your overall health and may help reduce symptoms of laryngitis.
By addressing both the physical and emotional components of your health, you can work towards alleviating the symptoms of chronic laryngitis and improving your overall well-being. Remember, it’s important to seek professional help when needed and to take care of both your body and mind.
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