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EndocrineWeb Community Advice

Throat pressure

From: JamieRN - 5 years 50 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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67 Responses

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YES! I had the same thing happen to me last summer. Only it happened after I wore an S.I. belt to help my lower back. And felt like something got pushed up that won't come down. Had upper endoscopy, ultrasound - all of my abdominal area. I just know there's something there that's out of place. OR that perhaps there is some nodule or something that got pushed during that event. Mine got less over time - until yesterday! When I bent in a certain way and it is now back full-time. It also makes me feel somewhat nauseous - like there is a positional aspect (inner ear?). But I do feel "strangled" and throat pressure and it truly is an awful feeling. I do also have to say that I had been feeling "strangled" when I wore a turtleneck over the past few years. And wearing this tight belt on my lower abdomen just kicked it into superdrive. Anyone else have the nausea issue, too?

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I have had throat pressure for about four months. I have had two ultrasounds and blood work that showed Hashimoto's thyroiditis. My endocrinologist said my thyroid is double the normal size. I also have a 1.5 cm nodule, but he said there are several. He recommended taking it out so I had a consult with a surgeon who agreed. My general doc also agreed. I went for a second opinion because my thyroid function is normal and I knew removing it just because of the choking feeling would now move me into a whole new set of problems. My second opinion endo gave me a watch and wait diagnosis. It is hard with these symptoms but I don't like the alternatives. I get headaches too if I am compressing it by bending my head down or turning my head to the side. Sometimes can't catch my breath when I'm raising my arms to wash hair etc. I'm hoping in the next few months it will shrink. I'm just going to try to get by for now.

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Hello! I am new here! But I just wanted to say, like others have, how reassuring and nice it is to see others with the throat swelling problem. My search on this led to this post, since it is so hard to find information on this on the web. I too went to an endo, since my PCP was no help. When she saw me for the first time, she asked if I had ever been told I had Hashimoto's. That was a relief to me! Except it seems the symptoms cycle. One month my hair falls out and the next my throat swells. I did have a sonogram about 8 months ago and I had no nodules, but the throat swelling is so scary. At first I was afraid it was an allergic reaction, since I have allergies as well, but since I had no other symptoms it brought me to this site. I appreciate all the comments I have read so far!

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I have recently found myself in a similar situation as many of you.

In 2007, I was diagnosed with and treated for hyperthyroidism. My body refused to let my thyroid burn out so in 2011, because the symptoms were too much to take, I had the I-131 treatment done. I began a synthroid regimen, which up until recently, has worked well. I have an excellent endocrinologist who is truly a partner in this journey. About 9 months ago, I started gaining weight-it was like my body was compelled to do it. I hadnt been eating as healthy as I should, so I attributed it to that. 3 months ago I started having major menstration problems (sorry to the guys on this thread, but as a girl, the thyroid can reek havoc on it). I was also having hoarseness, what I thought to be a palpable node, severe pain in my neck and general fatigue so I made an appointment with my doctor. My T4 was normal, but my THS had spiked since my last labs, which were done in September. We changed my synthroid dosage and I go back next week for follow up. I feel like something just isn't right. I feel more tired now than I did before I changed my dosage and the pain in my neck hasn't made much improvement. For the past 2 weeks, I've started choking in the middle of the night and it is really frightening.

I'm quite certain my doctor will order an ultrasound. I haven't had a new one in years, but I have several (not sure of the exact number) nodes.

Sorry to ramble, but for the first time since I was diagnosed with thyroid disease, I actually feel scared and it's nice to find a group of people who can relate to what I'm going through.

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Hello everyone, I am new to this forum but not the problem. I was diagnosed with Papillary Carcinoma in 2008 following which I had a total thyroidectomy and followed by radiation.
I havebeen doing regular blood tests such as TFT and annual Thyroglobulin tests. However after 8 years my blood tests showed high levels which went higher after a repeated test. Although the thyroblobulin results came negative, the ultrasound results show a mass/tissue of thyroid on the left side. I have been asked to go for a RAI but have to be off thyroxine for 4 weeks.
I feel a stiffness and uncomfortable feeling in my neck which gets worse especially during the night when I lie down. and I get some pain in my chest too. has someone felt like this. Thanks and sorry for the long story.

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YES! I've had the chronic pressure/tightness/being strangled feeling for 2 months and it's getting worse. My PCP wants me to try an anxiety and acid reflux med for a month before doing anything else. It is making me crazy! I don't thing it's either of those things and I had a partial thyroidectomy due to a tumor the size of a golf ball 15 years ago. She says she can tell by looking /feeling that I don't have a nodule.
I think I need to go see an ENT. How did your consult go? Do you have any updates?

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Hi! What ended up happening? I'm experiencing the same symptoms you described. My PCP wants me to try acid reflux and anti anxiety melds for a month before further testing but I don't know if I'll survive! I had a partial thyroidectomy 15 years ago and think I may have a nodule causing this.

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Update- I had a biopsy that came back atypical. Pressure seems worse with feeling like a harder time swallowing. I have woken up at night a couple times not able to breath if I get on my back instead of on my side by accident. Next appt. in Oct for another ultrasound. Getting worn down and thinking surgery soon:(

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I'm 23 years old, and just a month ago woke up and felt like my throat was closing. I've had stomach issues for the past 3 years but I have changed my diet, and lifestyle. I quit alcohol and cigarettes and eat very healthy. But now my throat feels tight all the time. It is hard for me to swallow food, and I lost my job from having so many doctors visits and them giving me no useful help and they get angry when I tell them they're making me waste my ******* money for them to shrug. I am not a wealthy person and can not afford to go to any doctors anymore since I lost my job 4 weeks ago. I can not go on like this. I can't eat, I'm afraid to sleep and any physical activity makes me immediately tired and makes my throat feel like it's closing. Any natural remedies? Anyone experience these symptoms? Please help

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Hi everyone. I hope everyone here has found some kind of relief or answers to what they have been experiencing. Im also feeling this pressure and tightness.
I'm a 29 year old male and have been feeling it more and more for the past 3 months, and Italian driving me crazy.. :(

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Folks, you may also want to check with your ENT as the throat feeling very well could be LPR/Silent Reflux and not your thyroid.
I also have several nodules on my Thyroid and thought is was causing my "lump in throat" but working with my ENT we discovered that it's being caused by LPR. He had me take the Restech 24 hour PH probe test (easy test) and it came back positive for LPR. The PH in my throat never went above 6.5 and stayed mostly between 5.8 - 6.2, the normal PH in your throat should be 7.0-7.2. The acid vapor is irritating my throat right below the larynx. It got so bad that I was having throat spasms. I have now been high does PPI (Nexium x2 per day) for 5 weeks and I'm 50% better but it may take as long as 6 months for the damage to heal. If PPI's don't work, and they don't for many then you need to look at some other procedures that could help but are more invasive. Bottom line is look into LPR just to be sure.

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I have been having this feeling for a few months, but didn't know until now why I was having it... My description of my issue is that it feels like I am swallowing something and it's so uncomfortable. I have been diagnosed with hypothyroid and have been referred to have a thyroid uptake but if course I am having an issue with UNITED HEALTHCARE approving it... I am also having, as I would describe it, as having to take deep breaths more often than usual, but I guess that might would be short of breath. Not to mention I have gained a lot of weight bc of the thyroid issues. At this point I just want some relief with this... IS THERE ANY THING THAT YOU ALL ARE DOING TO COPE WITH THESE ISSUES..?.. I can really use anything that will help me until I can get this insurance to approve... Thanks in advance...

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I have slight pressure on and off at the base of my throat. I don't have any congestion but it made me cough if I laugh or bend forward in a certain way. It can make me cough for no reason apart from the pressure now. I have been to an ear nose and throat specialist and I told him I have lumps on my thryroid although it is still fully working. I have also had x-rays that show the thryroid is not pressing on my throat. He said it could be reflux that I hadn't noticed and gave me tablets for it. Well, believe me, I took special notice after that and it isn't reflux at all. I'm not happy with the lack of knowledge of doctors these days and I'm usually left to diagnose myself. Can you help?

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I see the thread started 4 years ago, but still active. That's good to be able to share, and not so good we all are experiencing these symptoms.

I also have pressure near the trachea and I describe mine as near the collar bone. This current story for me began in March, ER for not being able to breathe and severe chest pain that radiated to my back to under my ear. I still don't know exactly what that was, but cardiologist recommended thyroid check, as heart was fine.

Months later, long story short, I have a hemmoraging cystic mix nodule 3.6cm in left thyroid and at least 6 smaller nodules all around 1cm in right. The left is putting pressure on the trachea.

I suffer chronic migraine, and had been made to feel that my issue was also either A. GERD or B. Anxiety attack in March. While I feel finally we are getting some answers even if I don't like the answers, I am very nervous about these nodules and this pain.

FNA is on the 24th.

I am looking through the discussion and wondering if anyone else had their FNA and all is benign? Or how did things go? If the nodules are extra large and causing pain were they removed?

We have to advocate for ourselves, I learned as well. Proactive and positive even if it's not easy.

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Update to my posts. I have surgery scheduled for Oct 28. My fine needle biopsy came back atypical which means cells are changing. Ultrasound showed no changes. Thyroid still enlarged. My endo still recommended surgery even though my nodule is not that big 1.5 cm the only way to truly rule out cancer is to have it taken out. I was able to meet with my old general practitioner who had moved to another clinic that I really liked and trust. She told me if I was her sister she would strongly tell me to have the surgery. I was finally convinced after having four doctors tell me to. She said my nodule would continue to grow and my symptoms only worsen. I really don't want to end up with cancer down the road, and at this point willing to take the risks of surgery. I can't handle the pressure anymore and get headaches all the time. I'll update after.

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Best wishes and keep us posted. I think it's right to do what you need to do to prevent future bigger problems! And the headaches are awful to deal with, I understand!

I had another appt. this morning myself and have a lesion near my spine also. I don't know what it is except that it is not a problem with the vertebrae, rather something is pressing on the vertebrae.

boooh! How to cling to any sense of humor when one is frightened and in pain?!

Take good care, and again, keep us posted!

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fosdick, I hope your steroid treatment goes well. Wouldn't it be great if it proved effective in getting rid of the awful throat pressure once and for all! I can't imagine having this most uncomfortable human feeling since you were a kid in the 4th Grade. How awful. I've had it now for almost three years, i.e. since January 29, 2014. Yes, I can pin it down to the exact day mine started, and has not let up since. I could never have survived my whole adult life, as like you, I am now 57, dealing with this--- pain (and yes, I'll call it "pain"). It is the most horrible pressure, as if a belt is being tightened 'round my neck, but as far as I'm concerned an intense feeling of pressure IS pain.

I have had some experience however dealing with migraine-like headaches all my adult life, but when the throat pressure started in 2014 my compound pain was off the charts. My pain level had reached uncharted heights. For eight months with no family or support in my area I was dealing with this worst pain of my life, trying to find a pain clinic to at least deal with the symptom of "the pressure pain". As far as I was concerned, the throat pressure was worse to deal with than a near lifetime of "hemicrania continua" (migraine-like headache).

My PCP for unknown reasons refused to prescribe me anything for the pain, and I refused to take benzos because they are nearly impossible to get off of if you take them daily. So finally in September of 2014 I made contact with a great pain specialist in my city at the Pain Recovery Solutions Clinic. Within 2 days he put me on buprenophine sublingual for pain control. Earlier in 2014 my PCP had also put me on Lyrica 100 mg. twice daily and Prilosex 20 mg. twice daily for the probable silent gerd. Also, armour thyroid because my TSH test was high one time. And this is the medicinal regimin I have continued with and am presently taking.

The silent gerd may have allot to do with my pressure, due to the fact I have a small hiatal hernia. It is to a point where I can push it in and out, right below the sternum bone. The hernia was diagnosed over 10 years ago at the University Hospital here but all they said to do was lose weight and put me on rantidine at that time. It makes sens though that if my stomach is too high, that it would be putting pressure on my hypo-pharynx. I had the direct laryngoscopy test in 2014 and the ENT said it was very red behind the voicebox and that most likely I have silent GERD. He said that most people who have it don't know they have it.

Well, it all makes sense, but I am still not to the bottom of my problem. How great it would be to be rid of this throat pressure once and for all. Someone on this thread posted having her thyroid removed and expressed how overjoyed she was (in spite of losing this important gland) just to be rid of the throat pressure. I understand completely. Even though I have good pain control now I still do not have the answers. There are tests I still need (i.e. a 24 hour ph test of the hypopharynx, and a manometry to test the pressure of the cricopharyngeus muscle). I would like to be rid of this throat pressure once for all so I could just concentrate on the headache issue which is hard enough.

Please post back, forsdick and other friends on the thread and let me know if you're making any strides. fosdick let us know if you got any satisfaction from the steroid treatment. I wondered about that for myself too but the side effects...are problematic...but I wonder about inflammation. Sorry for writing a book, but once in a while the pressure breaks through the pain medicine, particularly if I don't get enough sleep or am under unusual stress. That was yesterday, which brought my back to this site. I am so thankful to God for this tread.

Take care troopers, Travis77

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I continue to make slow progress on my throat issue, I'm at about 75% better which is great!
I'm scheduled for an endoscopy in December just to rule out any other issues and see if they can see any damage/healing from the LPR.
For those still struggling with this don't give up and keep pushing you are your best advocate.
One thing that helped me a lot for those that have throat spasms is Flexeril which is a muscle relaxer, it would stop the spasm within and hour and gave me great relief! I had the spasms happen every day, late in the afternoon for several months and Flexeril was the only way I was able to function. Because of my improvement I don't have the spasms anymore thank God! I now only take the Flexeril when needed and it's not very often.
They have also started me on a low dose of Amitriptyline to see if it helps. They are thinking there may be some hyperactive and or some damaged nerves that could be contributing to the feeling. I been on them for about three weeks and I think they are helping a little bit but its hard to tell. I'll give it another three weeks and then decide to continue or not. I may also give Gabapentin a try if the Amitriptyline does not help. I wish all of you the best!

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I just wanted to give an update on my complete thyroidectomy which was one week ago. I am feeling good with minimal pain at this point. No cancer, thank God which was such a relief! The doctor said my thyroid was typical Hashimoto's thyroiditis and was multinodular. The pressure is still slight because of swelling in the area of the incision but I am sure this will go away soon. My headaches are gone now which is wonderful. The size of my thyroid was putting pressure on blood vessels and causing headaches. I hated the choking feeling and not being able to breathe. That is gone now. I am glad I had the surgery, as I would not have been able to live with the symptoms. I gave it about nine months to resolve on its own, and was told by several doctors it would not. My parathyroids were injured a bit during surgery during the dissection. I am on a lot of calcium until they heal. The doctor says two weeks to two months. The surgery isn't for sissies but I was determined to get through it and had a lot of support from my family and friends from church who brought meals every night for a week. I have suffered from panic attacks in the past and was very concerned about them returning. I had one big one the night of the surgery because of pain. Don't try to be a hero and take the pain pills! I have been adjusting to the thyroid medicine well and haven't felt any different on it. I bought lots of pretty scarfs and have been enjoying my recovery time watching Netflix and coloring. Hugs and prayers to all who are going through this. Hope you can make the best decision for your individual situation.

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Hello,

About 9 months ago or so I notices a lump/bulge in my throat. It's located on the right side, right next to my Adam's apple (or whatever you'd call it in a female). It's about the size on my fingertip and very hard. I ignored it because I had no other symptoms. About 2 months ago, I started feeling like there was something stuck in my throat all the time, and I could feel it when I swallowed. I made an appointment with my Primary doc. He validated that he felt it and that it is very hard. Blood work all came back normal (although I have not personally seen the results). I have an ultrasound scheduled for this Wed. Over the past few days, I have begun to have a tightness in my throat, feeling pressure like someone is pushing on it. I can breathe fine, but swallowing is getting more difficult. I know I need to wait and see what happens with the ultrasound- but are thyroid nodules typically slow growing? I am heading to Las Vegas on Thursday for 4 nights and then to Disneyworld over Thanksgiving so I want to hold off on potential surgery (if needed) until after that. I'm just nervous it's going to impede my breathing or I am going to choke before then. Of course that sounds crazy, but the feeling is very anxiety provoking :(

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Hope you are doing okay, Travis. It's not easy to deal with pain day in and day out, I know.

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That's great to hear you are feeling better! It helps a lot to lose headaches especially! Keep being positive and best wishes for a good recovery!

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hm... maybe I am not replying correctly here, but giving a try.

GJones, I understand the feeling you describe. They will be able to tell you more when you have your ultrasound. I have a multinodular goiter (on the inside - not visible). The cystic nodule on the left is something I feel pressure from, but the specialist didn't think it was necessary to do the FNA for that one - only from one of the smaller on the right. I have to repeat the FNA though. hm. I don't know for sure, but if you have something cystic, like me, it may be full of liquid - but may decrease on its own. I think the cystic one for me increased fast for some reason. The smaller ones are probably older and slow growing. Don't panic. You will feel in better control of the situation once you have the ultrasound.

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Would my Dr. Have missed something?
I have had
-CT scan with contrast
-MULTIPLE Xrays of head,neck, throat
-Barium swallow Xray
-Ultrasound of neck area
-MULTIPLE different types of blood work
-upper and lower GI with biopsies
-Prior (5-6 years ago) have had EKG, stress tests, 24 and 48 hour Holter monitor

I'm beginning to think I may have lymphoma because of how swollen my neck feels (small lump near adams apple which Dr says is my anatomy)
And my night sweats.

I also have been a heavy drinker for over 6 years (3-6 or more drinks per night)

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I just had my FNA thyroid biopsy done today 1/5/17. I have a 1.6 CM and 1 CM nodule on right love and bothers me while eating. I'm only 28 and noticed an enlargement in my neck early September 2016. I went to my primary doc 7 weeks later and she sent me for an ultrasound. I'll get my biopsy results next week. ENT recommends a hemithyroidectomy because it is interfering with my eating. If the results come back cancerous obviously he will take it all. I've read about weight gain (which I can't afford) and brittle hair as side effects :( My thyroid levels were fine but I did ask him if meds might shrink it but he said not with this size. Should I get a 2nd opinion? I hate the feeling of choking on my food though... IDK what to do.

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Greetings to all, it has been a little over a year since I posted here so here is an up date. My throat pressure feeling continues and now I am having a feeling of not being able to breath deep. My pain level increases if I bend my head up or down. Went to my local urgent care and was told they dont know what is causing my problem. Today I went to my local ENT thinking he was going to tell me what was wrong but all I got was it might be GERD....Total waste of time, left feeling let down. I guess my next step is an ENDO DR. I wish health care providers would take our symptoms more serioulsy. I will post after seeing Endo Dr.

Darrell

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I have set up a second opinion for tomorrow with another ENT. My MIL thinks I should see an endo instead. Is there really a difference?

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You should go to the Endocrinologist. His specialty is thyroid issues, diabetes, etc., you will end up at one sooner or later no doubt. If you want a correct diagnosis, in a timely manner, you might as well go see the guy that treats thyroid issues first. I've been to an ENT, they more generally cover sinus, throat problems, and ear problems.

morecatspls

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I feel the same because my ENT was no help. He was not understanding to my complaint. Good luck with endocrinoloist, please post and let us know what happens.

Darrell

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I've had this problem for a while. I found my thyroid was responding to my silent acid reflux. I think I'm responsible for making it worse by taking anti-acids. Can't say I haven't had gullstones as well. Relieving the gullstones with half a lemon of juice didn't help but I found the Anti-inflammatory Nigella Sativa offered temporary relief. Unfortunately it isn't permanent so you have to keep taking the drug properly.

Here is where you can find it, but I can't guarantee it won't have side effects. Only 10 day supply per bottle.http://lifespice.us/

I do suspect it is adrenal fatigue tied to most of your problems. A few days of Beet Juice or an Adrenal supplement might help test that theory. I'm trying this theory right now.

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