u/Ale_Bo

Throat hit + Mononucleosis
▲ 5 r/dysphagia+2 crossposts

Throat hit + Mononucleosis

2 years ago a man hit me in the throat and I instantly experienced pain and discomfort when swallowing, fortunately no breathing problems.

The days after my voice went deeper with some hoarseness. I had a laryngoscopy 2 days later and they said me everything looked normal, but I felt something wasn't right. I started to experience vocal fatigue and the dysphagia slowly improved but I often choked when trying to swallow liquids, I thought it was me. I had another laringoscopy 1 month later and they said me it was reflux caused by anxiety and gave me some meds.

After that, things slowly improved, I stopped having difficulties with swallowing liquids, but for me my voice range never returned the same. Then I had mononucleosis last year with a very painful sore throat and enlarged lymphonodes.
I did another visit (stroboscopy this time) last month and again, the phisician said it's normal and that I probably have developed muscle tension dysphonia. I think this doesn't make very much sense and more probably I have some nerve damage caused by the physical trauma or the mono. I checked my throat in the mirror and I saw I have a long and deviated uvula that get more crooked at the end when I say "AH" (soft palate seems ok), so I fear I have some vagus nerve disfunction.

Currently, I still experience vocal fatigue and if I stress my voice a little bit more I feel burning in my throat and a sense of discomfort. When I swallow I feel something scratching where the Adam's apple is. Singing became much more difficult and it's almost painful. I did an MRI (for other purposes) and everything is normal. TSH reflex normal. From blood exams I have other deficiencies but I'm already addressing them.

Right now I started to see a speech therapist to try to do something but he said that I don't have tension in my neck although one side seems "softer" than the other. So I think I have superior laryngeal and vagus nerve damage. I'm depressed and don't know what to do. If I have nerve damage, there's something I can do or do I have to live with it? There's something else treatable I can have? Thanks

image of the latest stroboscopy

uvula deviated to the left

Unfortunately I don't have the stroboscopy video yet

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u/Ale_Bo — 3 days ago