Differential Diagnosis for Feeling of Choking
Single Most Likely Diagnosis
- Gastroesophageal Reflux Disease (GERD): This condition is characterized by the backflow of stomach acid into the esophagus, which can cause a feeling of choking or tightness in the throat. It's a common condition that can be exacerbated by certain foods, obesity, and other factors.
Other Likely Diagnoses
- Anxiety or Panic Disorder: Anxiety and panic attacks can cause a sensation of choking or difficulty breathing, often without any physical obstruction. This is due to the body's "fight or flight" response, which can lead to rapid breathing and throat constriction.
- Postnasal Drip: Excess mucus from the nose can trickle down the back of the throat, causing irritation and a feeling of choking. This is often associated with allergies, colds, or sinus infections.
- Tongue or Tonsil Conditions: Enlarged tonsils or a large tongue can obstruct the airway, leading to a feeling of choking, especially when lying down or sleeping.
Do Not Miss Diagnoses
- Foreign Body Obstruction: This is a medical emergency where an object becomes lodged in the airway, causing choking. It requires immediate attention and can be life-threatening if not treated promptly.
- Epiglottitis: Inflammation of the epiglottis can cause severe swelling, leading to airway obstruction and a feeling of choking. This condition is potentially life-threatening and requires urgent medical attention.
- Angioedema: A severe allergic reaction that can cause rapid swelling of the face, lips, tongue, or throat, potentially leading to airway obstruction and a feeling of choking.
Rare Diagnoses
- Eosinophilic Esophagitis: A chronic inflammatory condition of the esophagus that can cause difficulty swallowing, food impaction, and a feeling of choking due to esophageal narrowing or spasms.
- Laryngomalacia: A condition where the soft tissues of the larynx are floppy, which can cause partial airway obstruction, leading to a feeling of choking, especially in infants.
- Zenker's Diverticulum: A rare condition where a pouch forms in the pharynx, which can trap food and cause symptoms such as difficulty swallowing, regurgitation, and a feeling of choking.