Throat Standing

Throat Standing
Medically Reviewed by Sabrina Felson, MD on August 06, 2022
Does your throat feel tight or like you can’t swallow your food?
Many things can cause this. Not all are serious. Let your doctor know right away if the tightness doesn’t go away or if you have any other symptoms with it.
Depending on what’s causing the tightness in your throat, it might feel like:
Your throat is swollen or closed up.
Heartburn is a common problem that may cause tightness in your throat. Your throat can feel sore or burn. You might find it hard to swallow. It can last anywhere from minutes to hours.
This condition happens when stomach acid rises in your esophagus and creeps into your throat. If this happens often, it may be a sign of gastroesophageal reflux, or GERD .
You can get heartburn after you eat a big meal or if you lie down right after eating. Some foods and drinks can trigger it. This includes tomatoes, spicy or fatty foods, alcohol , or foods with lots of acid, like citrus. Stress , smoking , and obesity make it more likely that you'll get it.
If heartburn causes your throat tightness, you might also have these symptoms:
Pain or burning in your chest after meals, when you lie down, or when you bend over
Bitter, sour, or salty taste in your mouth
A feeling like food is stuck in your throat or chest
To keep it from happening, avoid trigger foods. Stop eating at least 3 hours before you go to bed. It may help to raise the head of your bed 6 inches to keep stomach acid where it belongs while you sleep .
When it does strike, you can try OTC (over-the-counter) antacids.
For intense attacks or if it happens often, see your doctor. You may need prescription medication . For example, H2 blockers or proton pump inhibitors (PPIs) can help slow down your body’s production of stomach acid, while prokinetics and antibiotics speed up digestion to help your stomach get rid of waste after eating. Be sure to ask your doctor about the possible side effects of these medicines, including nausea, diarrhea, and a loss of bone density.
In some serious cases, your doctor might recommend surgery.
Anaphylaxis is a fast, strong allergic reaction to something -- often a food, drug, or insect sting . It can cause your throat to tighten up suddenly. You may feel like it’s very hard to swallow. It can happen minutes or hours after your exposure.
If an allergic reaction is the cause of your throat tightness, you might have some of these other symptoms:
If you notice any of these signs, call 911 right away.
Your doctor may prescribe an epinephrine self-injection pen to keep on hand if you know you have any allergies that could cause anaphylaxis. Remember that you'll still need to call 911 right away after you use it. The medicine can wear off, or you could have a second reaction.
If you still have your tonsils , you can get tonsillitis . That’s when tonsils become inflamed because of an infection from viruses or bacteria.
Tonsillitis makes your tonsils swell and hurt. Your throat feels very sore. You may find it hard to swallow. Lymph nodes in your throat and neck can swell up too.
If tonsillitis is the cause of your tight throat, you may also have these symptoms:
White or yellowish patches on the back of your throat
If it's caused by a viral infection , treat it with rest, warm liquids, throat lozenges, and gargles with saltwater to ease throat pain and tightness. Ibuprofen or acetaminophen may ease fever and pain.
If a bacterial infection is the cause, your doctor can prescribe antibiotics .
If it happens often or makes it hard for you to breathe , swallow food, or sleep , you may need surgery to remove your tonsils.
A goiter is when your thyroid swells. This is a big, butterfly-shaped gland at the base of your throat. It makes hormones that keep your metabolism in balance. When it gets bigger, it can make your throat feel tight and closed up.
A goiter can happen if you don’t get enough iodine in your diet . This mineral is an important part of your thyroid’s hormone production.
Most people get enough iodine because it’s added to most table salt. It’s also found in seafood, seaweed, dairy products like yogurt or milk, and grains.
If a goiter is the cause of your throat tightness, you may also have these symptoms:
Lump in your neck that you can feel or see under the skin
If you think you may have a goiter, see your doctor. Your doctor can feel your throat for any lumps and run tests to find the cause, such as:
Blood test to measure your thyroid hormone levels or spot any antibodies that suggest thyroid disease
Thyroid biopsy to draw out a fluid sample that’s sent to a lab for testing
Treatment of a goiter depends on the cause. If your case is mild and only causes a little swelling, you may just need to watch it.
To get enough iodine, use iodized table salt and eat fresh fish or shellfish, or seaweed foods like sushi. Cut back on iodine if your doctor says you get too much.
Medications can either raise or lower your thyroid hormone levels to get them back to normal. This can reduce the swelling.
If you have a very large goiter that makes it hard to breathe or swallow food, you can have surgery to remove part or all of your thyroid. Thyroid cancer is also treated with surgery.
Some research shows that anxiety can be linked to feelings of tightness in your throat. For example, globus is the medical term for the feeling of a lump in your throat. People who have this almost always say it’s worse when they’re stressed or anxious. This is at least in part because stress triggers muscle tension.
Another condition related to tightness in your throat is dysphagia, which is when you have a hard time swallowing or feel like something is stuck in your throat. In one study, doctors were able to predict how severe participants’ dysphagia was based more on whether they said they had anxiety than on the standard physical exam and tests.
This is when your voice gets strained because you’re having to put more pressure or effort into speaking because of an issue affecting your voice. It can make the muscles in your neck feel tense or tight when you talk. It also can make you sound gravely, hoarse, or raspy and make it hard or painful to speak.
It can be caused by several things, including:
A reaction to an upper respiratory infection
Stomach acid working its way up to the throat (laryngopharyngeal reflux or LPR)
Cleveland Clinic: “Esophageal Spasms & Strictures,” “Heartburn Overview.”
National Sleep Foundation: “Ease Heartburn at Bedtime.”
Mayo Clinic: “Heartburn,” “Tonsillitis,” "Goiter."
American Academy of Allergy, Asthma and Immunology: “Anaphylaxis.”
National Institutes of Health Office of Dietary Supplements: “Iodine.”
National Institute of Diabetes and Digestive and Kidney Diseases: “Treatment For GER and GERD,” “Graves’ Disease,” “Hashimoto’s Disease.”
Royal Berkshire NHS Foundation Trust: “Globus: A Feeling of A Lump In The Throat.”
Northwestern Medicine: “Anxiety’s Overlooked Role In Swallowing Disorders.”
National Spasmodic Dysphonia Association: “Muscle Tension Dysphonia.”
Johns Hopkins Medicine: “Otolaryngology-Head and Neck Surgery.”
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.

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Tight throat/chest when standing, dysfunctional breathing.

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By

Pietro , November 15, 2021 in Dysautonomia Discussion

I've been having a very distressing new symptom. Every time I stand up or sit up I start feeling like my throat and chest muscles are getting tight and constricting. It feels like my breathing muscles are getting dysfunctional and that I'm being choked or something. Its very scary. The feeling eventually subsides when lying down, but I can't even stand up for 2 minutes without getting the tight and constricting feeling from my throat all the way down to my diaphragm. Feels like I'll literally stop breathing and that my breathing muscles might spasm or paralyze on me. It feels like I have to breathe manually and get air hunger as well. Doctors are gaslighting as usual, especially after a normal Brain MRI a few months ago. Spo2 is also in normal range during these episodes. Anyone else get this? I'm terrified of this new symptom and terrified I might go into respiratory failure or something.

When you go to the doctor, do they perform the "poor man's" tilt test? BP/HR lying, sitting, standing? Maybe they can pick up something different upon standing?

I have no idea what it could be, but of course that's probably what's so concerning about it. Our bodies have been through so much, they tend to freak out and exacerbate new symptoms. Hopefully this is a very temporary thing for you.

Hi Pietrol, sorry you're experiencing yet more misery.

Dyspnea – inability to take a deep breath; breathlessness

I get this a lot and have for many years and I’m still here.

Yesterday morning was bad as I was trying to get it together to go to the ER to see why I was having continuous chest (heart) pain. I also get this during or before other stressful adventures, when the weather is extreme (too hot/too cold), when my blood pressure is low, or I’ve had a busy day, or for no obvious reason.

My best quick fix or help is an extra calming herb (ashwagandha) coupled with a touch-my-toes posture which I hold for awhile while breathing better (coming up slowly afterwards). Also useful is a about half a cc (mL) of pure lavender oil massaged into my abdomen right below the sternum at the diaphragm. I then inhale with cupped hands the residual lavender oil which is very calming. If seated, a bend forward at a 40-45 angle also helps better breathing for me, as while reading or eating or texting. Throughout the day I watch breathing to make sure I am not shortchanging efforts or breathing too shallowly. Earlier this year I went to minimal shoes and love the change which makes better posture easier, lessening episodes of dyspnea. I also try to walk more when I can, not pushing length of walk on bad days. Some days it may take all day to really get a first deep, good breath, then the rest are easier.

There are many reasons for dyspnea and it is associated with many neurological conditions and dysautonomia. There are also many suggested solutions or helps.

Here is a very easy to read journal article related to POTS:

Breathlessness and dysfunctional breathing in patients with postural orthostatic tachycardia syndrome (POTS): The impact of a physiotherapy intervention, Charles C. Reillya et al; Autonomic Neuroscience: Basic and Clinical, 223, 102601; 2020

I tripped out the other day in a bit of a silent, mental PTSD rage after talking to my PCP. When I mentioned that I seem to have a credibility issue with many doctors who seem not to believe anything I say, her response was that I need more documentation of my dysfunctional self. As if autonomic testing and other tests I’ve had are not enough to prove I have issues that someone, somewhere should help me address. One of my professional neuro buds did defend his fellow professionals by saying it is as frustrating for them as it is for us when they have to deal with and manage patients like me who present with a variety of troubling symptoms. Days later, I am still not sure I am totally mollified, but I have soften my heart with regard to him. I still care for and about my PCP who is doing her best and is good for me. If you find professionals who seem the least bit interested in helping you, keep them, don’t push them away, and move forward as best you can.

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