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Does Irritation In The Throat While Swallowing Suggest Thyroid Issues?

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Posted on Wed, 20 Jul 2016
Question: Hello Doctor

two days ago; I started to have a little abnormal feeling in my throat on the left side.
This can be nothing or it can be something
I just want to outrule thyroid problem.
But it seems that a thyroid problem can very well be confused with a innocent lymph node problem.

Here is the problem:
Started two days ago, where I feel little weird feeling ( doesn't make pain ) but irritating when I swallow, and also if I press my finger on the perfect location; I get a very mild pain feeling. Some doctor may thing it's a thyroid problem; but in my meaning, the problem is a little bit to high on the neck to be a swollen thyroid. It's located just next to (beside) the laryngeal incisure. And the feeling as been reduced by 30% since yesterday.

I have attached a picture where I locate the laryngeal incisure, and also where the problem area is.

1. no voice change
2. no weight gain

Do you think I have anything to worry about ??
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Neck swelling

Detailed Answer:
Sorry to learn about your bothersome symptoms.

I have reviewed your attached photographs.

A blood test for thyroid called TSH, and an Ultrasound examination should settle the matter as to whether it is thyroid related or not. If TSH is normal and the Ultrasound shows normal thyroid then other causes need to be explored.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Does Irritation In The Throat While Swallowing Suggest Thyroid Issues?

Brief Answer: Neck swelling Detailed Answer: Sorry to learn about your bothersome symptoms. I have reviewed your attached photographs. A blood test for thyroid called TSH, and an Ultrasound examination should settle the matter as to whether it is thyroid related or not. If TSH is normal and the Ultrasound shows normal thyroid then other causes need to be explored. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day