posted
So I already posted about my throat symptoms that seemed like thyroid symptoms. Along with that, I've had a sore throat for months- but only when I speak or laugh, and only occasionally.
When it happens when I'm speaking, I get choked off mid-word. I
In the last month, that has gotten worse. Now coughing or clearing my throat is excruciating, and I cannot talk if I am breathing hard or exercising.
I had a basic thyroid test, and it was normal. I went back, because I was still having problems, and I was told nothing was wrong, and I should just take tylenol when I get a sore throat.
Well- since it only hurts when I do certain things, and I never really know when it's going to hurt, tylenol won't help (unless I was psychic).
Is it worth continuing to pursue this? Or should I just give up, and hope it doesn't continue to get worse?
I'm just tired of sitting in doctor's offices for hours, only to be told that there is noting wrong.
Posts: 503 | From Alberta, Canada | Registered: Jun 2009
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hshbmom
Frequent Contributor (1K+ posts)
Member # 9478
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Carotidynia can be caused with Lyme disease. See a description of carotidynia in the section entitled "Clinical Pearls" in Lyme Borreliosis Complex
'The sore throat that is not a sore throat' - What is Carotidynia?
Frequently our patients describe sore throats as part of their recurring symptom complex. Often, when specifically asked, the patients note that ear pain accompanies the throat pain, but the patients often state that their primary physician can find no reason for their discomfort. In fact, on examination, there is no sign of inflammation of the throat or ear.
The condition 'carotidynia' is little known but is, in fact, common. On careful examination, one can easily detect swelling and pain at the carotid bulb, which is located just lateral to the top of the thyroid cartilage (Adam's Apple) and is the location at which the internal and external carotid arteries separate, or bifurcate.
Our theory is that this is yet another sign of inflammatory neurological disease associated with LBC, since the carotid bulb is known to be a baroreceptor, which means it plays a prominent role in monitoring blood pressure. As such, it is loaded with nerve fibers, some of which mediate pain. Since the fibers at the bulb lie in proximity to the throat and may radiate to the ear area, our patients complain of 'sore throat and earache', when in fact the throat and ear pain arise from an inflamed carotid bulb. The mediation of this pain is most likely from the Nerve of Hering, a branch of the 9th cranial nerve (glossopharyngeal nerve), and/or a branch of the superior cervical sympathetic chain.
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