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Is the pressure/choking feeling in throat constant?
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Is the pressure/choking feeling in throat constant?

Hi.  Just wondering .. for those that have had or have that choking, pressure or thumb pressing into  your neck feeling ... does it feel like that constantly or just intermittently (sp?!).

For me it usually starts in the afternoon and gets worse as the evening goes on.  When i wake up in the morning, it's much much better.  

So I am wondering is it acutally my thyroid (I do know it's slightly enlarged and a small nodule) or is it something else.

Thanks!!!!
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649848_tn?1357751184
I meant to answer this question this morning in the other post but got side tracked and had to get off line.  

The pressure I have in my throat is there all the time and has been for a long time (well over a year), but in general, it's gotten worse over time.  Sometimes now it's really bad and feels like I'm going to absolutely choke on it and other times, it's  there, but doesn't feel so large.  It's almost it is swells and then goes down only to swell up again.  

My ENT seemed to think that it did have something to do with thyroid even though he couldn't feel anything from the outside.  When he pressed on the area, it was also very tender.  He's already sent me for further blood work to test for anti-bodies and I'm scheduled for an ultra sound to rule out nodules on Tues morning.  I'm not scheduled to see ENT again until the 18th so I'm sure I won't find out any results until then.  

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393685_tn?1325870933
There are only two reasons I believe I had with the same symptoms.

I have/had GERD pretty good and still have bouts at times with it and that gives me a choking feeling -

also swelling in the neck itself from the autoimmune side of things too.

I too feel the same way - it grows throughout the day - especially if I am stressed and when I wake in the morning - I feel better too.

I was so desperate the other day - with the GERD symptom side I grabbed a pickle jar and drank the juice right out of the jar.

I wasn't impressed with the taste at 6:00 in the morning - but I was desperate and that just popped in my head to do.

I can't explain it - maybe the vinager leveled the acid out - but I felt really well in 10 minutes. I am finding that when I do either drink that - or a sea salt mixture it helps alot.

As for the thyroiditis - so far getting on selenium has helped me feel better in that department. I really don't have much of that going on lately - just the GERD stuff.



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623944_tn?1244039090
I've heard that the pickle juice helps to neutralize the acid in the stomach - just don't know why.
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649848_tn?1357751184
I have had GERD basically for all my life and I've been on daily Aciphex for the past 6-8 yrs.  Aciphex has always done quite well for me, but lately I've been having a lot of "break through".  I get a choking feeling from that also, but it feels different - that's a burning type of choking like when the acid backs up into esophagus.  My ENT has also ordered a barium swallow to have that checked out.  He feels that since I've had it for so long and med will no longer control it, that we need to find out how much damage has been done to my esophagus (my brother has already had esophagul cancer because of GERD and a newphew with precancerous cells).  I've read that sometimes it's not good to take too much med for acid reflux - that sometimes the reason we have a problem is because we actually need more acid rather than to neutralize what we have.  I've also had people tell me that pickle juice is good to drink for it - the acid in the vinegar supposedly is very good for you.  

The GERD type of choking is different from this other thing, which is more like someone has their fingers pressed against the front of my throat strangling me.  It's not really painful, but kind of scary when it gets really bad because I always wonder if I'm really choking or if I just think it's worse than it is.  As in my other post, my ENT thinks it has something to do with thyroid - I hope he's right and we can fix it??  


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649848_tn?1357751184
Forgot to ask - does/did anyone get cramps/pain in the neck or jaw area with this choking/pressure feeling?  
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700950_tn?1228611035
Check out the symptoms of scleroderma. Many people with this autoimmune disease do not have skin problems. One of the major symptoms is difficulty swallowing or tighting in the esophogus. GERD is also a symptom, which can cause inflammation in the lungs. There are systemic types of scleroderma that also can make you very constipated, and cause bleeding in the stomach that make you anemic and cause extreme fatigue. There are several tests that can rule out this condition. A Rheumatologist will be familiar with this autoimmune disease. You never know.
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623944_tn?1244039090
Hey, something I can answer! I have morphea scleroderma so know a bit about this! What Scooter3 is refering to is called esophageal dismotility. What basically happens is the excess collegen replaces normal tissue in the esophagus. This is easily diagnosed by barium swallow. I've had 2 and don't have it.

I'm having something going on with my thyroid and have the same sensation of pressure, mostly around my collarbones that starts mid-day as pressure but by the time I'm in bed, it's painful. Internally, my throat hurts, but not a scratchy hurt, more of a muscular hurt. I've read that taking some ibuprophen at bedtime can help because it's caused by an inflammatory  process and ibuprophen is an anti-inflammatory.
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649848_tn?1357751184
I'm having a barium swallow on Tues because of my long standing GERD - so is this what they would be looking for or are there other things they might find?  What treatment is used for this?  

I appreciate the input on this - I wasn't sure what the reason for the barium swallow was for and will do some more research into it; but I agree with you that I still have something going on with my thyroid.  The area of pain has expanded to include the front of my neck from just below my chin down to my collarbone.  
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623944_tn?1244039090
Longstanding GERD can cause Barrett's Esophagus, a pre-cancerous condition and can also cause the dismotility. The swallow will show if there is any area of the esophagus that don't have normal smooth muscle contractions.
As far as I know, if it's Barrett's, long term prescription acid medications such as Nexium to prevent further damage. IF, and that's a big IF, it's sclero related, mostly watching, preventing Barrett's and if it gets too closed up - esophageal stretching. Absolute worse case scenario, and I have a sclero friend with it, is a feeding tube and you eat through it at night. Based off your description though, and keep in mind, I'm a patient, not a doctor, it's not that. The dismotility would usually present with food, even small pieces, getting stuck in your esophagus and is felt internally, not in your collarbones.

Good luck with everything and let me know how it turns out!
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698356_tn?1240154327
Mine thyroid pressure and pain seems fluctuate.  Most days it's just a little pressure. But man there are some days where it's hurting and pushing against my throat. No rhyme or reason for this.
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519035_tn?1348279373
Ive noticed more I get stressed out when the thyroid chokes me. No acid reducers will help that. I guess we have to find ways to calm ourselves down.
dnmh, you sound like your having tension headaches. Ibus won't help that issue either, I have tried. Believe me! Maybe another round of tests soon???
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623944_tn?1244039090
Funny you mention tests! I just had a second US, several vials of blood drawn, including HIV, Hep, Diabetes, Cancer screen, Thyroid Antibodies and Dec 22nd, I get to have 3 biopsies on my leg, EMG, Sweat Test and Tilt Table testing! Neurologist thinks I have some kind of Autonomic Nervous System Disorder. I have some sensory loss in my ankles and feet and general muscle weakness and pain.
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623944_tn?1244039090
Forgot to mention, my neck pain starts in the divot between the collarbones and as it progresses it spreads out to my shoulders. I get tension and cluster migrains and this is totally different. It never radiates up to my head, just linear - across the collarbones. I also have a hard lump in my neck and one under my tongue... that makes me pretty confident it's not headache related at all.
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649848_tn?1357751184
I just did a little research on the esophageal dismotility and I'm not sure about that.  I don't have difficulty swallowing, I don't vomit, etc.  My hubby had to have his stretched, but I don't have that problem.  I just have the horrible acid reflux (or at least I think that's all I have).  I already take aciphex for it and it's no longer helping like it should.  This will be interesting.  

At the same time I'm having the barium swallow, I'm scheduled for an ultra sound on my thyroid, so will have both checked out at same time.  In spite of the GERD, I still feel that the pressure/choking is thyroid related.  There is no rhym or reason to it.  I won't get results until I see dr again on the 18th, but will certainly let everyone know what I find out.  
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623944_tn?1244039090
The swallow will show if the thyroid is causing any blockage to the esophagus as well. Like I said, it didn't sound like dismotility to me.

Good luck!
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Avatar_f_tn
Hey all,
I have similar sensation of choking, pressure around thyroid area, tenderness. sometimes radiating to collarbone area.  All my antibodies are negative, thyroid levels borderline low normal. Anyone have ideas how to get rid of this......??? Thanks
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Avatar_n_tn
Hi, I am so glad I am not alone on this matter.  I too am having choking feelings, very tender when you touch in the middle of my throat.  There are thyroid issues in my family, my mom does not have hers, but mind comes in at just a little low but does not give the doctor much concern.

Mine too gets worse as the day goes on, in the morning I wake up and its not there but as soon as I get an inkling of stress, it starts. Like today, nothing until I started talking politics and then bam, I thought my shirt was going to choke me to death.

My family doctors says its all in my head.  
So I guess my next step is a specialist on thyroid, but she is book for a few months but when I find something out I will let you all know.
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Avatar_n_tn
Hi Barlinda,
Just my two cents - I suggest you also get checked out for GERD (severe heartburn) as well as thyroid.  I have Hashimoto's thyroid (an auto-immune thyroid disorder) and GERD, and your neck issue sounds more like the pain I had with GERD.

Before I got diagnosed with either, I had a swollen neck and dull pain/pressure in the front of my neck - basically a goiter starting to form, as well as uncomfortable choking feeling and pain radiating from sternum out across my chest.  I also did actually choke frequently while drinking (but not eating), and it got a lot worse with stress.

Once I got diagnosed with Hashimoto's and got put on thyroid meds, the swollen neck & dull pain symptoms went away, but I still had the choking & radiating pain.  I had a barium swallow and endoscopy (the camera down the throat) and it turns out my esophagus had fissures and a lot of damage from the GERD, plus my esophageal valves are deformed.  It's funny because I NEVER had an "acid" feeling and never thought it could be heartburn.  Anyway, the doc prescribed massive doses of Nexium and I got better.

I would call a gastroenterologist now and get an appointment to get checked out for GERD.  I wouldn't wait on the thyroid doc, although do still go to that appt.  I say don't wait because it took me seven years to get diagnosed with autoimmune thyroid, despite it being in the family (mom, brother, aunt, cousin, both grandpas, and one grandma) and me pressuring the docs to do tests other than TSH.

Good luck!

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649848_tn?1357751184
My PCP told me about a week and 1/2 ago that 95% of people who get this choking feeling have nothing wrong with them - according to him, it's all caused by stress!!!  He also told me that I can't lose weight because I "need to move more", when I walk 3-5 miles daily, plus work out most days!!  

I've since found out that I have "inflammation" in my thyroid and also the term "multi-nodular goiter" was used.  I see my ENT in the morning and will find out what all this means.  So it sounds like my "stress" comes complete with inflammation and nodules - how much better can it get??  

PS - I will probably be looking for a new PCP right after New Years.  I have enough trouble with this stuff without some arrogant *** talking to me like I'm a hypochondriac.  
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698356_tn?1240154327
Ugh. Today is one of those days! Between my thyroid and my lymph nodes I feel like there is a golf ball pressing into my throat. The post-nasal drop throat clearing (from allergies) makes it more painful.
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Avatar_n_tn
I sympathize with ya'll on this.  I too have the golf ball pressing into my throat sensation.  I feel like it starts at the base of my throat.  I have been on thyroid meds since I was 14 (30 years!).  I also feel like I have lymph tissue gone wild - couple of lymph growths inside my mouth one hanging off my tonsil and one on the back of my throat (confirmed by ENT) but he would not biopsy, order a scan or even scope, but decided I had GERD without any tests.  So quit seeing him and went back to PCP.  If I am not drinking constantly it seems like my throat gets stuck together and this causes coughing and choking sensation.  I am getting heartburn and when taking antiacids I get nauseated.  I begged my PCP to order some type of tests and she ordered an ultrasound on my thyroid in October and I had several growths measured on it.  Was immediately (same day) referred back to endocrinologist but their next appt was not until 12/29.  So anxiously awaiting my appointment to see what they can do for me to relieve some of this pressure on my throat.  Mom had thyroid cancer and sister esophagus cancer.  Just tired of Doctors who act like there is nothing wrong with you!!!
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Avatar_n_tn
I had a total thyroidectomy in April due to cancer and my swallowing difficulties started in November.  I had a CT and it showed that my esophagus had shifted over an inch (the doc said due to the surgery) and scar tissue was pressing into it.  He said since the scar tissue is growing slow that it should be ok for a while but if it gets worse then they might have to go in and clip out the scar tissue.  It feels like someone is constantly pressing in on it.  One day I couldn't swallow at all for about 20 seconds.  

It was very scary for me until I heard it was just the scar tissue.  
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Avatar_f_tn
I had the 'fat neck feeling' and the choking sensation (especially when eating) when I had T3 Toxycosis after being diagnosed with Graves disease and Hyperthyroidism.
It eventually got worse as did the hyperthyroidism and thyroid storm and RAI was done.
Since then I have not had the choking feeling at all.
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Avatar_n_tn
I've had this "golf ball" feeling for a while off and on.  What I have finally discovered is that inflammation has the greatest effect on how my throat feels which is why it hurts more at night than in the morning.  I am modifying my diet to try to increase anti-inflammatory foods and decrease inflammatory foods.  Two indispensable items are fish oil supplements (high dose) and black raspberry powder.  Omega 3 fatty acids are highly anti-inflammatory and black raspberry is very high in anti-oxidants which is also anti-inflammatory as well as having other benefits.  These along with cutting high starch, sugar, and fat out of my diet as much as I can have started to help.  I think acid reflux and sleeping on my stomach (I can't help it) exacerbate my throat issues though but at least I am keeping the pain at bay.  This may not help everyone but it's worth a try.  Inflammation and the immune system are directly linked and since Hashimoto's is an immune system disorder, you have to keep inflammation in check.
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Avatar_n_tn
I started with anxiety 2 yrs ago, though I was not stressed or anxious ithas now evolved to choking in the throat & almost cramping at times. I have been to GP Naturapaths had many tests, so far the best results have been from chinese herbs.. Now Im doing zeolite also..
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1810384_tn?1316469966
Hi, I have had this pressure in my throat for about a month now... It's getting worse.. I have tightness in my lungs and sometimes I feel like I'm drowning... I'm about to turn 15.. and I've never had an "Allergy attack" before.. I don't know what it is.. This whole thing never happened to me before..
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Avatar_m_tn
Hang in there kiddo I have the same issue, very scary, alot of it is caused by stress. Have your parents make an appointment with your dr. Tell them it is scaring you because of the choking feeling. My issues are that my thyroid swells and hurts causing these issues.  Ut as I calm down the feeling is easier to deal with. The more I worry about the pain and choking the mare it hurts and it gets harder to swallow. Try a calming tea like sleepy time tea, warm wash cloth, soothing music and take you mind off of the throat.  This will help until you can get to the dr. Ionia that mine is related to stress, thyroid and acid reflux.
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Avatar_f_tn
Hi, hope some of you can be of some help....I am currently 22 weeks pregnant, and was told today that i have 6mm (about half a centimeter) nodule on my thyroid. (But my thyroid levels were okay thus far). I was feeling what i thought was (and still may be) acid reflux due to pregnancy because of the weird sensation (not painful, just pressure) when swallowing. (I do get occasional heartburn and a sour taste in my mouth). My symptoms are the same as some of yours: When I wake up in the morning, my throat also feels pretty good, almost "normal." Maybe a bit phlegmy....as the day increases and I eat/drink, I almost instantly have that "lump in throat" feeling. Some days it sticks around, others it almost disappears. ALSO....I have severe anxiety from this and did go off my Zoloft since becoming pregnant. My doctor (who is not a specialist in this area) says my throat feeling like this is more than likely due to some acid reflux and anxiety and not to the nodule, I am assuming she is saying this because my nodule is pretty small. I will soon have an appt. with another doctor upon which he will hopefully biopsy it. I guess my question is, have any of you experienced these symptoms while having acid reflux and/or thyroid nodules and/or stress?? Of COURSE my throat is really bad right now as this is the most stressed and anxious I have been in a very long time....!!  Sorry to go on but I am just looking for some reassurance. Thanks in advance....
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Avatar_m_tn
http://www.voicedoctor.net/content/lump  look at this web site it explains a lot about the lump in throat feeling
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Avatar_m_tn
I have had this "choking sensation" for about a year now.  It feels as if someone is pressing their thumb against my throat.  I do not choke nor have acid problems.  When it gets bad, my blood pressure goes up due to the distress feeling it gives.  

When I went to my Dr. initially she stated it was panic attacks.  I begged to differ, so she put me on bp meds, which help the throbbing I get in my stomach & lowered my bp, however it did not help the choking sensation.

I have had thyroid tested thru blood.  Nothing unusual except vitamin d levels were very, very, very low.  It's my understanding that a thyroid test thru the blood is not accurate.??

I am feeling very fatigued and am also having sudden onset of joint pain & stiffness.  Once I get up moving around, it works itself out for the most part.

I had a endoscopy and it only showed some inflammation in the stomach.  The gastrologist put me on Nexium which thus far has not helped.

She also had me take a sleep test in which I will get the results tomorrow.  I really don't think this is the problem.  I also don't know how much longer I can take this.  It is affecting my work & life.   Any other suggestions?
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Avatar_f_tn
I have been reading the posts here and while I don't have the pressure feeling I do have the throbbing in the left side of the neck at night when in bed and only at that time. What gives?
I was diagnosed hypothyroid in January2012 and have been on 75mcg of levothyroxine ever since. I just got my first post diagnosis labs back and I am at 1.75 now when I was at 8.66 before meds.
I've had the throbbing for sometime and began to wonder if it was hypertension but my BP is perfect. 102/60. So could this be due to the hypothyroidism?
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1137259_tn?1260705950
i get all of your symptoms, i am on meds for gerd in the morning i take a pill and now at night also, NOTHING helps. Two docs have said they think its Globus sensation also known as Globus Hystericus?.. its when muscle spasms and makes u feel the choking sensation. However i feel the choking or the feeling of someone pressing their finger on my lower right side of neck. I am going to ask for an operation that tightens the sphincter which is supposed to prevent acid backflow...and to answer the neck pain yep!! muscle pain and migraines
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1137259_tn?1260705950
i am going through what u are going thru..it pisses me off that the docs dont know how to fix it...:(
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Avatar_m_tn
Have you figured out what it is yet?  I'm having the exact symptoms!!
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Avatar_m_tn
Hi, I have been going through the tight neck and choking feeling for a couple of months now, it is related to the neck muscles in particular to the ones in the jaw that run down to the collar bone in the front, they become short and very tight then you get the choking feeling, so I found out today, you need to see a physiotherapist to get some stretching exercises that will stretch, lengthen the muscles again, it is due to sitting at a computer for too long, or due to not moving the neck a lot, for me it is due to having disequilibrium, long bouts of immobility and having to lay down a lot, so the muscles have tightened to much.  Leaning your neck over the bed and looking left then right and stretching the neck, gently pushing on the jaw and opposite collar bone will help to stretch it out, but this needs to be done everyday for a while, hope you get some relief soon.  Massage and acupuncture also well temporarily relief it, but the stretching is really what needs to be done, and hot packs too to relax the muscles.
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Avatar_m_tn
http://www.webmd.com/heartburn-gerd/guide/understanding-gerd-symptoms
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Avatar_f_tn
My husband has the same symptoms you describe but in addition he is very tired and listless which is abnormal for someone who was in the gym all the time. Are you still experiencing any symptoms and did you ever find the actual cause?
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Avatar_m_tn
This is a very old thread and many of the posters do not participate any longer on the Forum.  Your questions will get much more notice and response if you will click on the orange button for Post a Question, at the top of the page, and start a new thread with your questions.
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Avatar_m_tn
please my own sensation moves from the lymph node to the adam's apple.Whenever I feel it at one,I won't feel it at the other.I don't experience difficulty in swallowing.In fact,I don't experience it in the morning when I wake up.
Can someone please tell me the cause of this?
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Avatar_f_tn
I have that feeling. Usually happens at night for me. A couple minutes after waking up it seems fine but then returns later in the night. I know its gotta be with the neck muscles. Something there.
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Avatar_m_tn
Same  here happening for over 6months and is driving me crazy!!! Doctor says its psychological! Yeah ok  so im just imagining it SMH....I am in total misery. I have had an ultrasound, barium swallow, and the ENT says there is one more procedure to try under anesthesia, does anyone know what that may be
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Avatar_m_tn
Hi all I have the same feeling for few weeks now, I have had GERD and thought I might be recovering and after a Endoscopy I was put on H PYLORI. Then I stopped taking meds. Till it came back seems like. I had a stiff neck for awhile as well and my left arm aches sometimes even now. However the main trouble am having is this choky feeling and having to clear throat every now and then. Also am back on Lansoprazole, already had a chest X-Ray, US of thyroid and extensive blood work done all of which came back OK. Wonder what this could be? :(
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Avatar_f_tn
I too have this horrible choking feeling.  Mine is all day everday.  I'm taking Nexium in the mornings.  My ENT put a scope down my throat and said my lingular tonsil is swollen, that tonsil is on the base of your tongue in the back. I had no idea there were tonsils on your tongue.  But I have taken two rounds of antibiotics for infection and this feeling never goes away.  I burp all the time and have the choking feeling, but I don't know what else to do. :(  I also have a sore on my tongue, not sure if that is related to any of this.  Could just be a canker but its been there for about a week.  I have had this choking feeling for about 3 months now, and is just getting worse by the day.
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