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EndocrineWeb Community Advice

Throat pressure

From: JamieRN - 4 years 38 weeks ago

Hello everyone :-) I'm hoping to gain some insight on a few symptoms as I await my ENT consult. I just had my FNA of my thyroid done for a 1.5cm node. The results were "possible papillary neoplasm". My question is has anyone suffered from chronic pressure (choking type feeling) in their throat? It's driving me NUTS! It's severely distracting & at times drives me to near panic as it provokes a "I can't breath" feeling. The multi-nodular thyroid is not readily visible to others but very noticeable to me (can feel it move/snap in/out of place). Anyone else suffering with me or heard of this symptom? Thanks for listening :-)

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42 Responses

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Yes I have had the same problems. I have three nodulars and was told I have Hashimotos. Im going to a endoc. doctor soon to talk about having the thyroid removed. Talk to your doctor to see if this is a option for you. Good luck & God bless.

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Thank you so very much for your reply. Somehow it seems a bit more tolerable to know I'm not alone & therefore not going crazy! My MD just shrugs his shoulders so I'm left to wait to see the ENT to have my thyroid removed. This tightness has caused me to have a near panic attack & has me reaching to my throat to pull away the pressure (only to be reminded that I'm wearing a "V" neck blouse!

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Hi Jamie! New to the board here. A 12 year hyperthyroid patient, with toxic nodule goiter. I have 3 or 4 lumps that come and go, grow and shrink. The pressure in your throat may well be a nodule, or your thyroid is enlarged quite a bit (don't be alarmed). Occasionally one of my nodules gets large enough to cause the pressure you are talking about. One time it was very hard to swallow for a while, an things would get stuck in my throat, til it reduced. I've been very lucky, in that they are benign, and always seem to shrink again, at least not enough to drive me crazy or give me panic attacks. My heart feels you. I know all about the panic attacks. Never had one before I became hyperthyroid.

Don't worry too much, you'll get through this. The rate of nodules/thyroid being cancerous is very low, and your endo doc WILL get your TSH under control, which will likely shrink any nodules. Your symptoms WILL get better. You may want to ask for an anti-anxiety med in the meantime. I don't know if most docs understand how hard this is for us. The good news is, my hormone levels are under control most of the time, and life is great. I'm having problems right now, as my T4 kicked out of range for the first time ever, but I have confidence in my endo doc.

Hang in there!

morecatspls

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So glad I found this site! Good to know I am not the only one experiencing these things. I also had the throat pressure you talk about. Mostly at night, when I I went to bed...I expressed this concern several times...Now that my levels are getting better..this problem is getting better too Thank God! My nodules weren't even big enough that they measured them during an ultra-sound but still caused me much grief...Hang in there...It'll get better!:)

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Hi i am new to this sort of thing i am doing this for my wife as she is sitting beside me she has been going thru the better part of hell for the last two years between getting our family doc to believe what she is going thru and a endro doc who does not have much empathy the mathamazole has gotten her levels back to normal but is still having alot of the symptoms we are waiting for our next blood test to see if it still normal has anyone have a burning sensation but feel cold at same time and has anyone tried acupuncture to alleviate some of the symptoms envolved

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I have hyperthyroidism and go through the same feelings. It always feels like there is a lump in my throat.

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I too have that pressure or choking that occurs. Its like I choke on my own spit.

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Dear all,
Thanks for sharing your experiences. it is much useful but please share your treatment patterns as well. I had slightly high T3 level before five month after my misscarriage so dr put me on medication (Newmercazole) but after four days i again got tested and my level were within normal. but even my now i have been feeling discomfort in throat coupled with joints and muscles pain even my TSH, T4 and T3 are normal now. i feel the same throat pressure as mentioned in the above posts with pain in jaw and it aggravate at bed time. Dr has put me pain killer for the being because he is not the specialist on thyroid and also don't believe in my symptoms. The pain killer has relieved my pain a little but had not completely ended it.
Kindy tell me what should i do?

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I have the identical feeling. And, lately, it seems to be getting worse - ie: I constantly feel a pressure in my throat and find myself short of breath sometimes for no reason (even when stationary). I've had an endoscopic scope down my nose and nothing was apparent. I've had my heart and lungs tested. Heart is fine but it does appear that I have developed asthma for which I very recently started taking medication (no change in symtpoms). I also have Hashimoto's hypothyroidism and have been on medication for about a year.
I have been seeing only my G.P. I wonder if it's time to start consulting with an endocrinologist? I've noticed some comments about people having thyroids removed. A drastic measure, I'm sure, but I'm wondering if that has been of help to anyone?

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Same problem, have chronically low T4 and TSH all over the place (6 years of dosage ranging from 12.5 mcg to 275 mcg of synthyroid current 25 mcg with 90 mcg armour. I have problems swallowing, neck ultrasound showed abnormal lymph nodes at Level II Level III, had CT pending, pending ENT, endo says nothing is wrong you have a fat/thick neck. Not a happy camper

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I have the same issue but a different background. I had a total thyroidectomy 14 years ago after 18 FNA'S (I had tons of nodules) came back as Hashimoto. They went in to take out only half of it but my thyroid fell apart in his hand so he had to remove it all. He could only find 2 parathyroids so he implanted those and called it quits. 5 years ago I started feeling that same pressure and could physically feel something in my neck and ultrasound showed several growths in my neck. 8 FNA's were done and it showed as thyroid tissue with Hashimoto's again. What?? They said it's not impossible but very rare to have it grow back but the worst part is that it's growing in the wrong area. They said its growing in several places it shouldn't and it's also growing on the inside of the thyroid cartilage so it pushes against my esophagus. Has anyone gone through this? It's getting huge and I have a lump that looks larger than my hubby's adams apple. Having Hashimoto, does that bring any extra issues I should be aware of? Not sure if I should have another surgery or deal with the pressure and choking feeling.
Sorry this was a book in length ..but thanks for your guidance!

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Jamie, RN: Is your extreme tightness above or below your thyroid cartilage. Mine is in the mid-neck area, not exactly in the area of the thyroid tissue (which I believe, would be below what they refer to as the "thyroid cartilage"). It is EXTREME pressure and I have had to go on pain management because it was driving me NUTS, too!

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Melcollins and others, I am so glad I have discovered this discussion group. There doesn't seem to be much out there in the wasteland of the web on this very troubling issue of throat pressure. I went through the imaging tests a year ago, starting with the thyroid ultrasound. It showed no growths in the thyroid tissue. The first blood test however, did reveal a low thyroid. My PCP put me on armour thyroid and told me to "keep taking it" starting a year ago, how long I must continue, I don' t know. But I will say that the worst part is dealing with this constant daily tightening sensation, almost as if a rope is tied around my neck. Though I've never had the sensation of being unable to breath, just extreme tightness in the throat area.

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Travisi77- I know how you feel. I just found this site today and you're right..not much out there about the pressure and tightness. It is beyond frustrating and the doctors I've seen weren't too concerned because according to the imaging, I wasn't in immediate danger of choking from it. I haven't had new images done in a few years and it's double or tripled in size since then so not sure what they'd think now. It has started hurting pretty bad as well. I need to get back to endo and figure it out because I can't handle this anymore. I just hate going because they'll want to do another string of tests which means money and time away from work. I hope you can find the answers your searching for!

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melcollins, I hear you. It is most frustrating and expensive run-around. Last year I spent a small fortune out of pocket, and am I any better for the fact? Now I know I'm going to need another endo because I haven't had that test in over 10 years. The Gastro initially had a la-ti-da sort of indifferent attitude about it and basically told me I had to live with the "small" hiatal hernia. The first ENT doctor I saw a year ago said I had LPR or the silent GERD, which makes perfect sense considering the constant globus sensation. He just put me on the prilosec for the silent GERD and bascially sent me on my merry way.

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I had my thyroid removed eleven years ago and used to get pressure in my throat every now and again. Recently though I'm getting it every day get dry mouth feel chesty breathless and sometimes struggle to swallow even liquids. I've just had my annual blood test done today but felt my issues wee not enough to go to the doc but after reading about these problems here I think I should just go and get it checked as its getting worse...I feel as if someone is strangling me.

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Hi I know this is old post but Im just wondering if anyone managed to find treatment. My problem stared 2 years ago I was about 7 month pregnant. I'm 5ft2 and I had 10 pounds 3 baby. It felt like everything was pushed up and it never gone down. I'm left with lump feeling in my throat which I'm trying to swallow all the time. It feels like someone trying to strangle me and I feel pressure in my chest. I had thyroid scan which appeared normal, I had x-ray done again everything normal and I also went to see ENT consultant he put small camera in my nose and looked in my throat and said everything looks ok. My GP said that I'm worrying too much and making my self feel like it and recommended antidepressants. Another doctor said I have to learn to live with it. Not sure what to try next, very uncomfortable :-( Any ideas?

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You need to see an endocrinologist if you want to be taken seriously. Most doctor just don't get it. I'm a hyperthyroidism patient with toxic nodule goiter going on 15 years now, so I feel a little qualified to offer advice.

I had seven doctors say there was nothing wrong with me, before I went to an endocrinologist, and was one sick girl. Take him the results of the uptake scan, and any other test results. The new endo doctor will probably do a new set of blood tests, including a T3,T4, and TSH. You may want to start keeping a record of your lab result for those three tests, and compare them to the stated "range" for normal that the lab you go to uses. You'd be surprised how many doctors have told me "oh, it's not that low" only to need a medication adjustment, which only my endocrinologist understands. I also have throat pressure from several nodules, which have grown and subsided many times. They seem to grow (for me at least) when my THS is getting too low. I've done very well on Methimazole for several years, but my thyroid has a mind of it's own, and my medication has to be adjusted up or down from time to time. When it all started, I was put on PTU by my first endo doc, which I hated. It takes months, not weeks to begin to make a difference. I still have my second doc (12 yrs now) and he put me on Methimazole, and I'm never sick anymore. As long as I go for my blood tests every three months, all is well. Oh, and a ultrasound once a year, and biopsy every couple years.

Good luck to you, and don't worry, you'll get there! I was in your shoes. Just find the right doctor

morecatspls

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Thank you very much for your help. I will ask my GP to see endocrinologist as it's very hard to learn to live with it. :-(

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I understand. I get a lot of pressure to the point where I can't stand to have my pillow touch my neck at night. Your doctor should have no problem referring you to an endo doc, if you insist. Most docs are just too casual about it, and far too eager to put you on antidepressants. I do take xanax for anxiety attacks, but not every day, and they don't carry the same potential side effects as antidepressants.

I never had an anxiety attack before I became hyperthyroid. My doctor is so great, and takes such good care of me, I consider him my health partner in this not just a doctor. I think it's key to find someone you have confidence in. You'll be surprised how different an Endocrinologist is from your primary doc. Please post if you have any more questions I might be able to answer. I really empathize with you, having gone through the same thing.

morecatspls

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I'm very grateful thank you.

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Hi :)
I have a goiter and nodules I take methemazle for hper

Have had needle biospies and ultrasound

I had a thyroid uptake 15yrs ago

my concern is the cough and feeling of something in throat
do any of u have a cough because of goiter..i also have acid reflux and rheumatoid arthritis

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I can relate. I have a few nodules. Right now, one of them is pretty enlarged, and I can't stand to even have the pillow touch it at night sometimes. I'm having my ths and T4 tested right now to verify, but it usually means I need an increase in my Methimazole, to bring up myths. I do get a cough, but I think a lot of it is a nervous cough, and it also feels like my vitamins get stuck, or hung up on it. Very annoying. I do have acid reflux, but was taking daily meds foh that for years before I became hyperthyroid. Not surprised that others have the same thing as being hyperthyroid and anxious go hand in hand. My risk of cancer is very low, so we are hoping one of these days, my thyroid will burn Itself out. I may yet have it removed though.

morecatspls

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I realize this post is old but there isn't much on the web about this. I am new to hypothyroidism and have only been taking medication for about a month. I have never experienced throat pressure until now leading me to think that it is a side effect of the medication or maybe too high of a dosage. I'm not having anxiety. Was told that maybe "im thinking about it too much." Anyway this feeling is frustrating and was wondering if anyone has had any relief from this feeling by simply switching medications?

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I am so glad that I found this site. For the last month I have been having the throat pressure and it is driving me crazy. It feels like someone is pushing in on my throat right at the level of the vocal cords. Its there 24/7. Looks like I need to schedule an appointment with an endocrinologist. Good luck to all, I do feel better reading everyones post.

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You are not getting answers from traditional western medicine other than "removal of thyroid" which will be a lifetime of medicines and medical appointments. PLEASE GO ON AMAZON.COM AND GET THE BOOK, "IODINE, WHY YOU NEED IT, WHY YOU CAN'T LIVE WITHOUT IT" BY DR. DAVID BROWSTEIN. Your thyroid and your whole body needs iodine and selenium to kick the toxins out of your thyroid that are causing nodules and choking.

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I think it is irresponsible for someone to suggest reading a book in lieu of a medical evaluation. By all means, read it if you like, but please do not assume you can derive any magical healing ifrom it's pages, instead of a proper medical consult.

I have been hyperthyroid for 15 years, with multi nodule goiter, and Graves disease. My endocrinologist and I have talked about removal, but together, decided against it at this time. If my thyroid does not burn Itself out soon, then I may go ahead with it, knowing we have tried other approaches first.

With all due respect, I think the previous poster may have had some unfortunate experiences with his/her doctors. This is not uncommon, in my view, as a lot of doctors do not seem to have a great understanding of thyroid problems.

If it is suggested to you that you have your thyroid removed, you can certainly weigh that against other options and the involved risks for your specific case.

My personal advise, to anyone in this situation, would be to make every effort to find a good, board certified endocrinologist that you trust and feel comfortable with. Removal is definitely not the only answer.

morecatspls

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Kkm, The throat pressure is not from your medication. It is a symptom of your thyroid problems, which can manifest in a myriad of ways. A month or two is not long enough on the medication to see much in the way of results, especially if you are taking PTU, which is much slower to act than, say, Methimazole.

Please be patient. I get pressure frequently, and it really make me nuts, but in my case, the nodules will shrink to some degree as my tsh goes up. My "normal" is higher than most people, and I feel best when it is between 1.0 and 2.0.

Good luck.

morecatspls

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An update to the posts I made several months ago. My newest FNA's revealed one of them was cancer so I had to go through a 2nd full thyroidectomy. Repeat surgery proved to be a huge problem and there was some complications from the scarring I had from the 2002 full thyroidectomy that I had. I had the surgery in October 2015 and I am happy to say it's fully healed and the pressure I was feeling is GONE finally! I wish you all the best and I hope you are able to get relief yourselves. I am so happy it's finally gone. I am still dealing with severe hypothyroidism (TSH 32) and was hospitalized in December with endocrine complications but the pressure is gone so I'm happy to deal with any new issues that pop up.

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Had this problem since I was in the 4th grade. I am now 57. Constant choking feeling in the throat, 24 hours a day. Feels like a rope around my neck. Can't touch my throat, can't wear a shirt with a full collar, gag or puke every day. Chewed peppermint gum since it started. It helped, but didn't fix anything. Symptoms have increased in the last 2 years. Went the doctor again. This time I was diagnosed with Sarcoidosis. Started a steroid treatment so I'll see how that goes. Really glad to have found this site. Just found it tonight. Not a big computer user. I feel for all of you that have this.

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