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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Lithium And Synthroid Cause Something Stuck In The Throat?

THROAT ISSUE
Greetings,
I'm a 43 year old male, 5'9",165lbs. Taking lithium, riperidal, welbutrin and synthroid. I have the issue of feeling like i have a single grain of rice stuck in my throat (Adam's apple area). I have this symptom on and off during the daytime and almost always when I lie down in bed in the evenings. I do not have the symptom in bed when I wake in the morning. I can find "relief" for a minute or two if I swallow a cracker or other food. It does not seem to be correlated to my diet, but I can't be sure. What other information can i provide?
Thanks for your time,
Mo
Wed, 25 Jan 2017
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ENT Specialist 's  Response
Hi,thank you for posting your query on health care magic.

Looking at your symptoms,it seems that you are feeling a sensation of a lump or foreign body in the throat(Globus sensation).
Common causes are Gastroesophageal reflux disease,Abnormal upper esophageal sphincter function/Cricopharyngeal spasm,Pharyngeal inflammatory causes like pharyngitis, and chronic sinusitis with postnasal drip,Hypertrophy of the tongue base,Retroverted epiglottis,etc.

You might be suffering from Cricoparyngeal spasm-
Hyper-contraction of the cricopharyngeus muscle(forming upper esophageal sphincter), which causes a constricted or lump-in-the-throat sensation.
Individuals with cricopharyngeal spasm may describe a sensation of something stuck in the throat.
A key indicator of cricopharyngeal spasm is that you can still eat and drink without trouble, and that the troubling sensations described above actually tend to diminish or disappear you are eating. This happens because the cricopharyngeus muscle relaxes during swallowing (as it should), which temporarily relieves the hyper-contraction sensations.
Causes include stress and anxiety. In some cases, eating certain foods may bring on acute spasms, in susceptible individuals. Peanuts, pumpkin seeds and other nuts may trigger these spasms.
Muscle relaxant,stress reduction or botox injection will help in such a case.

It would be advisable to consult a Gastro-enterologist to do Upper gastro-intestinal Endoscopy to find out if there is any cause in the Oesophagus(food pipe) and also consult an Otolaryngologist to find out whether there is any cause in the pharynx or larynx.

Hope this answers your query.Take care.
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Can Lithium And Synthroid Cause Something Stuck In The Throat?

Hi,thank you for posting your query on health care magic. Looking at your symptoms,it seems that you are feeling a sensation of a lump or foreign body in the throat(Globus sensation). Common causes are Gastroesophageal reflux disease,Abnormal upper esophageal sphincter function/Cricopharyngeal spasm,Pharyngeal inflammatory causes like pharyngitis, and chronic sinusitis with postnasal drip,Hypertrophy of the tongue base,Retroverted epiglottis,etc. You might be suffering from Cricoparyngeal spasm- Hyper-contraction of the cricopharyngeus muscle(forming upper esophageal sphincter), which causes a constricted or lump-in-the-throat sensation. Individuals with cricopharyngeal spasm may describe a sensation of something stuck in the throat. A key indicator of cricopharyngeal spasm is that you can still eat and drink without trouble, and that the troubling sensations described above actually tend to diminish or disappear you are eating. This happens because the cricopharyngeus muscle relaxes during swallowing (as it should), which temporarily relieves the hyper-contraction sensations. Causes include stress and anxiety. In some cases, eating certain foods may bring on acute spasms, in susceptible individuals. Peanuts, pumpkin seeds and other nuts may trigger these spasms. Muscle relaxant,stress reduction or botox injection will help in such a case. It would be advisable to consult a Gastro-enterologist to do Upper gastro-intestinal Endoscopy to find out if there is any cause in the Oesophagus(food pipe) and also consult an Otolaryngologist to find out whether there is any cause in the pharynx or larynx. Hope this answers your query.Take care.