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What Causes Choking Feeling, Throat Pain And Cyst In Upper Right Lobe?

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Posted on Tue, 30 Sep 2014
Question: Ok. Symptoms: pain in back of larynx 3 months now. Choking feeling in neck,when breathing in through nose I feel rawness in same spot in throat. Tinnitus in right ear all this time. Had ct scan, chest X-ray , lower & upper abdomen ultrasound. Found ovarian cyst 1 cm. did thyroid us, found cyst left side, lesion in upper right lobe 1 cm that is undefined. Could the lesion be from reflux? I have a nagging pain in upper right abdomen, but I had gallbladder removed 13 yrs ago. I'm 50 yr old female. Non smoker, 2 drinks a month, go to gym regularly, eat whole foods , love chocolate and coffee but I don't overindulge. Am taking tecta and iron supplements for anemia.
doctor
Answered by Dr. Saumya Mittal (3 hours later)
Brief Answer:
sounds like gastritis

Detailed Answer:
Hi
The symptoms do definitely sound like they are coming from the gastritis in stomach
Except cysts do not happen in gastritis
But then cysts are very often incidental findings

I have checked your picture
It seems congested
Another factor that goes in favor of gastritis.
However URTI is a bigger possibility.

I think you probably also have polycystic disease. We need to do a usg to find out. It would mean that you may have multiple cysts but they are not going to cause any problems.

Chocolate, coffee and iron all increase the gastritis. It also explains your stomach pain.

So I think its due to your gastritis
Best of luck
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (12 hours later)
Thank you Dr Mittal. By polycystic disease do you mean ovarian polycystic disease? For info I havent had a period in two years. Also, by congestion do you mean 'a cold' or virus? What are the red spots on the throat and how long do they usually take to go away? Its been three months now. Theyve subsided in colour intensity but are still there. I have also included my recent usg results from my thyroid. My throat feels so full it bothers me to turn my head from side to side. Is this thyroiditis? Blood tests came back ' normal' . What does 'ill defined' mean ? What does 'no concerning' mean and what does ' no significant' mean when you read these statements? :
doctor
Answered by Dr. Saumya Mittal (3 hours later)
Brief Answer:
specific questions anwered

Detailed Answer:
Hi
The congestion means the redness that you have noted in the throat.
The viral infection is just one of the causes of congestion.
They will go away only if the cause is treated

The thyroid report you uploaded is suggestive of multinodular gland. You should get your thyroid profile tested and plan an FNAC. It is not a cause of the red throat, but warrants testing.

Ill defined means there is no fixed shape to it.
Lymph nodes may be enlarged by minor infections as well. cancer has large lymphnodes. so its a medical message that the lymph nodes are ok.
"concerning" is a typo. only no calcification would suffice the report.

Best of luck
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (2 days later)
Hi dr mittal. I have two appointments booked this week. I am getting my throat scoped by an ent this week. My right ear is itchy and sound is muffled. Balance is off and i feel a little foggy today. My throat is more sore than normal. I feel an itchy congestive sore feeling around my voicebox but also around my collar bone. I should note that before this all started i had taken a short trip to china. I started to not feel well while i was there. Choking feeling, flushed face, and sore joints in my feet. When i got home a few days later my sore throat started and my tonsils flared up real bad and the right tonsil is still constantly irritated. I suppose there is a huge variety of viruses that i could have picked up? Do viruses cause these aymptoms for months though? In the beginning i had a little bit pf conjunctivitus but i got antiobiotic drops and it went away quick. I also had two rounds or oral antibiotics. In XXXXXXX clarithromycin for 10 days and end of july aug, biaxin for 7 days. This biaxin made me feel a little better but only when i was done taking it. I had a tough time with the dose. I know these drugs dont kill viruses, but do parasites cause these things too? How long can a virus last? Is there anything specific that i should ask of the ent? Also, i am meeting with endocrine dr as well. As you say, although the thyroid should be checked, it probably isnt the cause of my other symptoms. The endo ordered tsh, t3 t4 etc... And i have an appointment. He will probably order fnac, what else can i expect if the bloodwork is normal? How do i get rid of the fullness feeling that is showing on my thryoid scan? Based on my symptoms, could all these be possibly different ailments and i unfortunately have multiple diverse symptoms? Or are thyroid issues often occurring simultaneous to ent issues?
doctor
Answered by Dr. Saumya Mittal (7 hours later)
Brief Answer:
explaining things further

Detailed Answer:
Hi
I have read your response.
By those symptoms, I am almost sure this is a respiratory tract infection
A scopy may help locate some deeper throat complaints.
A viral syndrome should not last more than 15 days.
However ample number pf viruses cause the same problem
So maybe you are getting repeated infections
Its not necessarily China.
Antibiotics have limited role in a viral condition
The basic role of an antibiotic is just to make sure that a superadded bacterial infection can be avoided.
Parasites are not the usual cause of throat complaints.

Thyroid symptoms do not usually happen in ent problems- as in there is no link between the two. I think getting an FNAC, if the option is given, should be done cause that will tell you the exact thyroid problem

I hope this helps
Please let me know if you need any further information
Best of luck
Dr Mittal
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. Chakravarthy Mazumdar
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Causes Choking Feeling, Throat Pain And Cyst In Upper Right Lobe?

Brief Answer: sounds like gastritis Detailed Answer: Hi The symptoms do definitely sound like they are coming from the gastritis in stomach Except cysts do not happen in gastritis But then cysts are very often incidental findings I have checked your picture It seems congested Another factor that goes in favor of gastritis. However URTI is a bigger possibility. I think you probably also have polycystic disease. We need to do a usg to find out. It would mean that you may have multiple cysts but they are not going to cause any problems. Chocolate, coffee and iron all increase the gastritis. It also explains your stomach pain. So I think its due to your gastritis Best of luck Dr Mittal