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Why Eating Acidic Foods Or Hot Drinks The Left Body Of Hyoid Has A Radiating Stinging Sensation
Question: Hi I’m struggling to get a clear answer.. when I eat acidic foods or hot drinks the left body of my hyoid has a radiating stinging sensation it’s fine all the time other than when I eat certain foods.. I seen ent in uk and he done a mri with contrast an ultra sound of the neck and a scope up nose .. he also found and removed a papilloma from my tongue base that can back benign. There was no obvious abnormal sightings on imaging… I have had surgery on the same side to remove first rib and scalen muscles due to thoratic outlet syndrome 6 months ago
I’m desperately seeking answers as it’s not improving at all
The left body of the hyoid sticks out a little more on the effected side also
It’s also stings when I burp
I have searched every bit of literature on the net possible and can not find anything close to stinging hyoid when eating … other that cancer and I’m desperately hoping it’s not that … I had full bloods done cbc bone profile c-rp and all came back in range
It has been seen that I have cervical lymph nodes but on ultrasound the look reactive so no action was needed
Have you ever heard of such a thing ?
I’m desperately seeking answers as it’s not improving at all
The left body of the hyoid sticks out a little more on the effected side also
It’s also stings when I burp
I have searched every bit of literature on the net possible and can not find anything close to stinging hyoid when eating … other that cancer and I’m desperately hoping it’s not that … I had full bloods done cbc bone profile c-rp and all came back in range
It has been seen that I have cervical lymph nodes but on ultrasound the look reactive so no action was needed
Have you ever heard of such a thing ?
Brief Answer:
Hyoid syndrome, neuralgia, tendonitis or a referred sensation.
Detailed Answer:
Hi,
1. From your description and history, this seems to be a hyoid syndrome, neuralgia, tendonitis, or a referred sensation. These are benign conditions, not cancer.
2. The hyoid bone does appear prominent in many elderly patients during endoscopy, most of them are asymptomatic or ignore the discomfort. With advancing age, the hyoid bone calcifies especially in the region of the attachment of the stylohyoid ligament.
3. Conservative treatment includes medication to relieve neuralgia, such as gabapentin, pregabalin, carbamazepine, and pregabalin. Most of these medications cause drowsiness and hence, to be taken at night.
4. A nerve block by an anesthetist may help check if the neuralgia is local, or referred from a distant site, such as the previous surgery, dental, jaw joint, from nearby blood vessels (carotidynia). Steroid injections and medicated gargles may help.
5. Please let me know if a trial with medications for neuralgia has been undertaken currently or in the recent past.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards.
Hyoid syndrome, neuralgia, tendonitis or a referred sensation.
Detailed Answer:
Hi,
1. From your description and history, this seems to be a hyoid syndrome, neuralgia, tendonitis, or a referred sensation. These are benign conditions, not cancer.
2. The hyoid bone does appear prominent in many elderly patients during endoscopy, most of them are asymptomatic or ignore the discomfort. With advancing age, the hyoid bone calcifies especially in the region of the attachment of the stylohyoid ligament.
3. Conservative treatment includes medication to relieve neuralgia, such as gabapentin, pregabalin, carbamazepine, and pregabalin. Most of these medications cause drowsiness and hence, to be taken at night.
4. A nerve block by an anesthetist may help check if the neuralgia is local, or referred from a distant site, such as the previous surgery, dental, jaw joint, from nearby blood vessels (carotidynia). Steroid injections and medicated gargles may help.
5. Please let me know if a trial with medications for neuralgia has been undertaken currently or in the recent past.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
It’s only when I eat certain foods like big flavour foods
And the stinging is localised to left body of the hyoid
And the stinging is localised to left body of the hyoid
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
1. Yes, the trigger zone will be a patch of mucosa or lymphoid tissue. Try avoiding strong flavoured, acidic or hot foods.
2.I usually start the patient on anti-allergy, anti-inflammation, anti-reflux medication, and, medicated gargles.
3. Tab. Ultracet in the morning and Tab. Gabapentin 100mg once at night for 10 days, then review.
4. Images or a video of the pharynx and larynx from the scopy will help, if it is available.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
1. Yes, the trigger zone will be a patch of mucosa or lymphoid tissue. Try avoiding strong flavoured, acidic or hot foods.
2.I usually start the patient on anti-allergy, anti-inflammation, anti-reflux medication, and, medicated gargles.
3. Tab. Ultracet in the morning and Tab. Gabapentin 100mg once at night for 10 days, then review.
4. Images or a video of the pharynx and larynx from the scopy will help, if it is available.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. LAKSHMI
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