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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Pain In Throat Along With Difficulty In Breathing?

Hi, I have a throat issue. So for a couple years now, something in my throat would pop out. I m not entirely sure what it is, I believe it s the hyoid bone, and I have read similar cases online but none of them ever found a solution. Attached are links of similar cases. What happens is that I will suddenly have intense pain in my throat with no provocation, no pressure is applied to it, my throat feels normal and then all of a sudden there is extreme pain where I have extreme difficulty swallowing because it is so painful. The pain begins at the hyoid bone, and usually stretches down some muscle below it. Sometimes it goes right back in, other times it takes about 20 minutes to go back in. Then there is a lingering pain for the next hour or so, which I believe is just inflammation caused by the pain. The main ways I get it to go back in are when I tighten my throat, like I push really hard against the roof of my mouth with the back of my tongue. Also lifting my chin up helps. Basically I just need to tighten the muscle enough so that the part I believe became loose goes back in. I read that some people push really hard on their throat to get it to pop back in too. And yes, there is a distinct popping sensation. Also turning my head to the right and swallowing aggravates my hyoid. I read about a case where a surgeon shaved off parts of the hyoid bone to make the bone fit better, but that ended up not helping. If you can tell me what this is, why it s happening, and what I can do to fix it, I would be very much appreciated! Oh and X rays, CT scans, and MRI s will all show up with positive results from what I can tell. It s almost like the muscle holding the bone slips out of place. I am a 21 year old athletic male. I also sleep on my stomach, usually facing the right without a pillow, if that helps, but it pops out at anytime in the day so I don t know why that would matter. My hunch was that it stretches the muscle, but just a guess. (But please don t tell me you need more information. This is all I got, and you can check what the below posts say, they re all about the same thing.) http://www.ourhealth.com/conditions/i-cannot-get-a-diagnosis/pain-in-throat-caused-by-poppinghttp://www.healthboards.com/boards/ear-nose-throat/962312-felt-something-jolt-out-place-my-throat.html
Fri, 26 Jun 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, issue of chronic swallowing difficulty with throat discomfort may be in concern with:
- Recurrent muscle spasm involving esophagus
- Stress exacerbation related
- Esophageal motility disorders
- Narrowing of part of upper digestive tract

However, in my clinic, after indirect laryngoscopy examination, I do suggest an evaluation with x-ray chest and Barium swallow report which can be followed by CT or MRI as per the need of clinical concern.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Intermittent Pain In Throat Along With Difficulty In Breathing?

Hello, As per my clinical experience, issue of chronic swallowing difficulty with throat discomfort may be in concern with: - Recurrent muscle spasm involving esophagus - Stress exacerbation related - Esophageal motility disorders - Narrowing of part of upper digestive tract However, in my clinic, after indirect laryngoscopy examination, I do suggest an evaluation with x-ray chest and Barium swallow report which can be followed by CT or MRI as per the need of clinical concern. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon