Have jittery feeling in throat. Have seen 3 clinicians, now what?
February 1, 2013 9:30 AM Subscribe
Medical Issue: I have a subtle jittery/ticking sensation in my throat and I've seen a doctor and 2 PAs and no one seems to know what is going on. What should be my next steps? Important details inside.
posted by anonymous to health & fitness (11 answers total)
About a month ago I started getting what I can best describe as an internal jitter/ticking/twitching sensation in my throat/neck area. This sensation is all the time, relatively subtle, and generally doesn't bother me. However does increase in intensity at times, especially the morning when I am just waking and while it is never painful it bothers me greatly.
I went to the doctor, they gave me an EKG (normal) and sent me home with a 24 hour heart monitor (ECG?) which showed I have bradycardia (slow heart rate). Bradycardia might make sense for me. I am 33 year old maile and a fairly avid cycler in the summer months and my resting heart rate is routinely 50-60 beats per min. Although, it is now the winter and I live in a cold climate, so my cycling has been almost non existent and I don't get much exercise (other than walking the dog) otherwise. I have an appointment with a primary care PA to further review my results next week.
I've also been told to take omeprazole (Prilosec) and have been taking 20-40mg for the past 3 weeks. This hasn't seemed to help the sensation in my throat. They tested by blood for thyroid, lipids, psa, the usual work up. That came back that I had elevated LDL (133), but everything else was normal. My father did have a CABG (bypass) and has heart disease so this is a constant worry for me.
Throughout the day I have periods (maybe once per day while awake) where this feeling intensifies and it seems to start impacting the rest of my body. My hands start jittering and I feel like I have had 10 cups of coffee. This is similar to how I feel in the morning as well. So, the doc thought it might be stress and anxiety related (and all my google searching seems to indicate this) so they put me on 20mg of Celexa and Xanax. I have to admit the Xanax makes me feel normal. The feeling in my body goes away as soon as the Xanax kicks in and the jitter in my throat is reduced to hardly noticeable or even sometimes non-existent. I will also mention that the Celexa seems to have heighten my anxiety around this whole situation and has made the more intense daily occurrences worse and more frequent. But this could be a nature progression of whatever the underlying issue is, too.
I have had history of periods of moderate depression and anxiety in the past. But my worry is that there is some underlying issue (with my brain, CNS, heart, etc) that is causing this sensation and anxiety. Life has been pretty great otherwise, so I can't think of why I'd be stressed/depressed/anxious. Another odd thing is that when I am having these more intense periods in the morning, I can usually make it go away just by thinking about it and visualizing the sensation stoping (I know this sounds crazy, but it works).
Has anyone experienced anything like this before? Or, if there is a doc in the house what could this be? So, what are my next steps? I am worried that there might be something more serious going on (MS, parkinsons, ALS, heart failure, etc. )