Any Dr House's around - diagnose me?

[DrHouseintheHouse]

Feeling of something stuck in throat
Painful Chest ache mid chest (burning pain)
Trouble swallowing
Pressure feeling in throat/neck/pulsating in ears
Voice hoarseness
Dizzy and out of breath if talking/singing for too long
Excessive yawning
Burping
Tight chest
Tiredness
Weight loss (roughly a stone over two months)

All worse in the late afternoon/evenings

Blood tests fine (iron, thyroid etc)

No asthma

Clear chest X-ray

Not a Dr but it sounds a lot like stress to me. I've certainly had the throat/swallowing sensation when very anxious (not always consciously so) about something. Look up Globus Pharyngis. Then see your GP if you're still worried - always best to be safe.

I have a lot of those symptoms. I had a lump on my thyroid which caused some of the symptoms but my neck lump Dr also diagnosed me with acid reflux/silent reflux. I'm on lasoprazole before food and gaviscon advance a couple of hours later and always before bed.

There has been some improvement but not not totally.

Perhaps mention to your GP and see what they think.

Normal chest X-ray

I don't think it's stress, I've had that feeling of anxiety lump in the throat before, it feels different to that.

Lump in the throat is after eating usually. Feels like a thickness/fullness feeling

Wait, if we're House, don't we first have to rule out sarcoidosis?

What about something along the lines of reflux/GORD, or hiatus hernia?

Did you go to docs with those symptoms or were xray, bloods etc for something else?

Went to the docs with them. She though GERD, but I don't feel like I have reflux/acid (certainly not like pregnancy heartburn!)

I think we need to rule out lupus first

Achalasia

Reflux/indigestion

Possible hernia in your oesophogus?

My stepdad has the latter and has a lot of your symptoms.

I think you'll need to be referred for a camera down the throat!!

Quite unusual and often diagnosed as stress but symptoms fit apart from the dizziness I think.

You need an endoscopy or barium swallow to diagnose it I think.

After saying Wegeners à la House (annoys the hell out of me they say 'Waygners' when it's actually 'Vegeners' but that's a whole other thread...), I'd go with reflux.

My dad actually had Wegeners and was an inpatient in hospital (very ill) for six months before they diagnosed him. Id been telling them for ages I thoughtnthats what it was......they fucking loved me!

Every week I appeared with some rare autoimmune condition Id researched and said "might it be this, I think you should test for it".

They settled on Wegeners in the end but don't think they were ever 100%. Maybe he had something totally unique. Killed him whatever it was.

Simon, hmm I don't tend to bring food back up again. Although I do if I eat too much or a largish meal.

Hernia in the osophagus sounds like it could fit. Most of this came on during/after pregnancy

Have you checked for tick bites?

Am also breastfeeding...

I did get bit by a tick!

Three years ago in Australia.

And just to throw you for a loop I can replicate the full/stuck in throat feeling if I tip upside down (don't ask how I know this)

Well with Achalasia you tend to have the symptoms of fullness, swallowing problems for some time before starting to bring food back up. It's only as the opening decreases further that the vomiting starts.

I'm sorry, Simon.
It's very close to home for me too, but I was responding in the spirit of the thread.

Hiatus hernia? A lot of those symptoms are the same as dh had.

uselessinformation. That's ok, I always enjoy a good "diagnose me" thread.

OP, are they going to refer you for any more tests?

The lump in the throat may be a red herring. It's surprisingly common and can be as simple as a timing mismatch between your swallow and the muscle constriction.

The burping/burning could be reflux or hiatus hernia.

The other symptoms could be stress and anxiety.

The weightloss would be the most concerning thing if it's all unintentional and no dietary/activity differences are being made.

Isn't Lymes disease caused by tick bite?