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Ear, Nose and Throat  (Expert Forum)
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Any ideas regarding unresolved throat clicking and new symptoms
Answered by
Eric Genden, MD - Ear, Otolaryngology, nose, throat
The Mount Sinai Medical Center New York - NY
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Questions posted in the Ear, Nose and Throat Forum are answered by medical professionals from The Mount Sinai Medical Center.

Any ideas regarding unresolved throat clicking and new symptoms

by jilldai, Jun 21, 2008 11:21PM
I have had a throat click at the level of the Adam's apple right below the jaw right side since December 2007. I have seen three ENT's, one medical professor of head and neck surgery and have had the following diagnostics:
MRI contrast-negative
CT contrast 1 mm slices-negative
Laryngoscopy three exams-normal

My medical history is as follows:

40 yr old female
Cervical/lumbar spinal stenosis-dx 8/07
Small hiatal hernia-no reflux

I am very frustrated lately about this because I am ok for a few days then it bothers me again. I have developed some additional symptoms as well within the past few months. Ok will be a day where my throat is clicking on and off and that's it. A bad day will be like the past few days. My throat is clicking a lot, occipital headache on affected side, pain deep in the neck/throat region where the clicking is, referred twinges of pain to my right ear, right jaw, and sometimes right rear molars, and pain behind the right eye. This pain makes me think of a nerve being affected by this and that it is all related to the throat/neck. (I am a veterinary technician of 20 years and have a medical background.) The last doc told me that he sees nothing at this point that  would warrant surgical intervention. He did not see anything related from my cervical stenosis. Someone mentioned glosso pharyngeal neuralgia? Any ideas greatly appreciated. I am so tired of going to the doctor. This has brought me to tears several times especially when I am having a bad day like today. I just want a normal throat.

Sincerely,

Jill


by Eric Genden, MD, Jun 23, 2008 05:52AM
This may be  complex, yet most likely, there is a rather simple explanation. You would be best served by seeing someone whose practice is dedicated to swallowing disorders. This is commonly found at major academic institutions. A careful history and exam will usually determine the cause- Often, it is nothing serious.
Member Comments (2)

by jilldai, Jun 23, 2008 07:39AM
To: Eric Genden MD
I had been to San Antonio UTSA Medical School/Hospital. That is the last doc I saw. They wanted me to do the swallowing study, but, I didn't yet. Would this reveal how the cartilage and larynx are relating in regards to the mechanics and movement when swallowing? I am just trying to minimize my radiation exposure. If it could help, then I will do it. It takes a bit for me to go there as I am 2 hours away, have a baby, and husband has to take more time off of work.

Thanks

Jill
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