What Is Causing Tightness In Your Throat?

Experiencing tightness in your throat can be a distressing and uncomfortable sensation. The feeling of tightness can vary in intensity and duration, and it can be accompanied by other symptoms such as difficulty swallowing, hoarseness, or a lump in the throat.

If you are experiencing these symptoms and don’t know why, it is always best to seek medical attention rather than attempting to diagnose yourself.

Here are some common reasons why you may feel tightness in your throat.

Heartburn or Acid Reflux

Gastroesophageal reflux disease (GERD), more commonly known as acid reflux or heartburn, is a common condition that occurs when stomach acid flows back up (refluxes) into your esophagus.

This can cause irritation, inflammation, and damage in the lining of the esophagus, resulting in symptoms such as heartburn, regurgitation, and tightness in the throat.

Acid reflux can typically be managed with lifestyle changes, such as avoiding trigger foods (spicy foods, fatty meats, and alcohol), losing weight, and not lying down after eating. In some cases, acid-blocking medications may be necessary to reduce the amount of acid produced by the stomach.

Stress and Anxiety

When you’re feeling anxious or stressed, your body releases a hormone called cortisol, which can cause your muscles to tense up.

This can lead to symptoms like chest pain, difficulty breathing, and heart palpitations. It may also cause a tight feeling in your throat—often described as feeling like you have a lump in your throat.

Managing anxiety can be challenging, but there are several strategies that can help, including mindfulness meditation, deep breathing exercises, creative art, and psychotherapy.

Throat Infection

A throat infection, such as strep throat or tonsillitis, can cause inflammation and swelling in the throat, leading to a sensation of tightness.

These infections are caused by bacteria and generally need to be treated with antibiotics. In addition to tightness in the throat, symptoms of a throat infection may include sore throat, difficulty swallowing, and fever.


Mild allergies to common things like pollen, dust, and pet dander can cause throat tightness along with other symptoms such as sneezing, runny nose, and watery or itchy eyes. Avoiding allergens is the best way to prevent allergic reactions, but medications such as antihistamines and corticosteroids may also be helpful in managing these symptoms.

However, severe allergic reactions, called anaphylaxis, can cause a sudden and life-threatening reaction that requires immediate medical attention. Symptoms of anaphylaxis may include difficulty breathing, swelling of the face and throat, rapid pulse, and dizziness or fainting. If you or someone nearby is experiencing these symptoms after being exposed to a known allergen, call emergency services immediately.

If you are at risk for developing a severe allergic reaction, carrying an epinephrine auto-injector (such as an EpiPen) with you at all times is essential.

Thyroid Problems

The thyroid gland is located in your neck and produces hormones that regulate metabolism. When the thyroid gland is overactive (hyperthyroidism) or underactive (hypothyroidism), it can cause a variety of symptoms, including tightness in the throat.

Other symptoms of thyroid problems may include weight changes, fatigue, and mood changes. Thyroid problems can be diagnosed with blood tests and treated with medication or other therapies.

When To See a Doctor

If you are experiencing tightness in your throat, it is always best to seek medical attention to determine the underlying cause. You should see a doctor if:

  • The tightness in your throat is severe or worsening
  • You have difficulty breathing or swallowing
  • You experience chest pain or pressure
  • You have a high fever or other symptoms of infection
  • You have a history of thyroid problems or other medical conditions that could be related to your symptoms

Don’t be afraid to err on the side of caution and seek medical attention if you are unsure about your symptoms. Your doctor can help you determine the underlying cause of your tightness and recommend the appropriate treatment.