Hello everybody! I'm hoping somebody can help steer me in the right direction as I have had quite a journey up to this point and am at my wit's end (as I'm sure a lot of people are with these things).
I will try to keep this as brief as possible. I'm a 36 year old male. A little over two years ago I started having the feeling of something stuck in the right side of my throat. The feeling has always been in one exact spot just below the jaw joint on the right side. About an inch below right in the area where my neck transitions to my jaw. I also have intermittent fullness in my right ear. Those are the two main symptoms. I have no pain other than occasional feeling of a sore throat.
The symptoms have been getting progressively worse over the last two years to the point that now I have a constant feeling of something in my throat. Almost like there is mucus or something I need to clear my throat to get out but nothing ever comes out. Again this is only ever on the right side and always in the same spot.
The symptoms definitely get much worse after eating. Usually during or after eating my throat feels very tight like I am going to not be able to breath or start choking. Because of this I barely eat anything and have largely switched to drinking lots of Ensure.
The ear fullness seems to only occur after eating. It feels like a pressure fullness similar to when you need to pop your ears on an airplane. I've found that if I open my mouth as wide as possible and hold it open for a few seconds that general causes the pressure to pop and the fullness goes away, but then it will return within a few minutes.
These worsened symptoms generally continue for a few hours after I eat and then switch back to the constant symptom of just feeling like something is pushing in on the side of my throat.
I have been to numerous doctors trying to figure this out. I've had tons of MRIs, CT scans, EGD scopes, ENT scope (through the nose down the throat in office), multiple allergy tests (skin and blood testing) The only things that are ever identified are:
- small nasal polyp on right side
- deviated septum to the left
- some sinus mucus
- Eosinophilic esophagitis (may be just incidental finding)
- Very minor allergies to things like dust mites
- No food allergies identified on skin test or patch test but did show slightly elevated for wheat, barley, rye, and gluten on blood testing.
I have been put on high dose Nexium to see if it is acid reflux related, swallowed Flovent to see if it EOE related, oral steroids to see if it is somehow allergy related, multiple courses of antibiotics, Zyrtec, Allegra, Mucinex, etc. all to no avail. I also had a dental guard made at a TMJ dentist to see if it is all somehow being caused by jaw clenching and have been going to a physical therapist. None of these treatments seem to be helping things.
I had a swollen jugulodigastric lymph node removed on the right side about a year into this problem as we thought maybe it was push on things causing the issue. It tested normal and the symptoms did seem to improve for about a week but then came right back. The cause of the swollen node was not determined and I still have some smaller swollen nodes on that side but nothing that the doctors feel is concerning.
If you've read this far, thanks!
So here I am now and the symptoms seem to have gotten much worse in the last week. I constantly feel like something is in my throat and I am about to start choking. It is extremely annoying and making it so I am basically not able to function. I also have been waking up multiple times each night. I'm not sure why I'm waking up but I think it is just from feeling like my throat is being pushed on.
At this point I am strongly considering having my tonsils removed just to see if that by some miracle will fix the problem. Several ENT doctors have suggested that it could somehow be related to the tonsils even though they do not appear swollen. Of course they also caution me that the recovery from adult tonsil removal is not fun and there is no guarantee that removing them will help my problem at all.
I went to another ENT doctor recently for another opinion on the tonsils and he too suggested that I could give it a try at least to rule them out, but then he also mentioned Eagle's Syndrome and Hyoid Syndrome and suggested I look them up. So here I am!
My questions for anybody else who's been through this are:
- Does this sound like it could be Eagle's Syndrome? It is only on the right side, causing throat pressure/tightness and ear fullness.
- There is never any pain and the symptoms get worse after eating. Is that typical?
- What is the best test to diagnose this? The ENT doctor is sending me for a neck CT scan with contract both axial and coronal to both look at my tonsils and also check for Eagle's or Hyoid Syndrome. I always wonder if this is something that is easily picked up on or if the radiologist needs to be told to specifically look for it.
- Could these symptoms just be caused by something like bad posture or back problems?
- Does anybody have similar experience with tonsils that could cause these symptoms?
Thanks again for reading and for any insights you can provide.