Anyone have Laryngeal Sensory Neuropathy?

Posted by tkubby @tkubby, Jan 23, 2019

I am looking to talk with anyone that has been told they have larynx sensory neuropathy. In other words, over active nerves in the larynx.

Interested in more discussions like this? Go to the Ear, Nose & Throat (ENT) Support Group.

@melinda561

Have you had a CT of chest to rule out other pathology for cough. Also , if your cough is productive then get a sputum sample for culture/sensitivity, fungus and AFB. If none of this is applicable, I sincerely hope you find answers and effective treatment.

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I have many test done and some of them twice and by process of elimination and all the test coming back fine the doctor diagnosed me with LSN.

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@tkubby

I have many test done and some of them twice and by process of elimination and all the test coming back fine the doctor diagnosed me with LSN.

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As of 2019, I was diagnosed with Hypersensitive Laryngeal Disorder/Irritable Larynx Syndrome/Vocal Cord Dysfunction/Paradoxical Vocal Fold Motion, Sensory Neuropathy, etc. and I experience sever symptoms, nearly every day.

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@2011panc

@tkubby I have not been told that I have larynx sensory neuropathy. I have noticed changes in my voice and throat that I associate with reflux and many intubations. My throat is sensitive (mildly achy) most of the time and my voice is scratchy. I almost always have a buildup of phlegm in my throat. I do not talk as much as I once did and no longer attempt to sing. I used to talk quite a lot and sang in choirs since my youth. I can no longer do phone work because after 1/2 day I lose my voice. Are these symptoms similar to yours?

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Are you still the same way today? You sound like me!!

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@camayeron

Are you still the same way today? You sound like me!!

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@tkubby, I apologize for not responding sooner. My throat and voice are slightly worse as far as sensitivity and a raspy voice. I am bothered less by phlegm in my throat and I still limit my talking. I now often have to use speaker on my phone, as my voice is so weak that it cannot be heard when I use my normal talking effort. I want to learn simple signing, not spell signing, to communicate easier when my voice is bad. However, I am somewhat lazy and have not put enough effort into that.

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I have asked Mayo connect, and would form it without their help, if people are interested in meeting together at Mayo for a support group. I am not suggesting repeated meetings there because I live in Minneapolis, not Rochester. But I would drive there for a chance to compare notes with others who are struggling also. I am supposed to start anew at Mayo in April and May because I am no better today than I was 2 years ago. They were supposed to get me into the cough clinic way back, but are just doing so now with my insistence and another Doctor referral.

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After three years and 10 different ENT’s I finally got Summer. Please read below my doctors email to me:

Nice to meet you today, the receptor I was thinking of is P2RX3. It is receptor involved in pain detection. The medication is called gefapixant. I have to amend what I was saying earlier today - the study was for refractory chronic cough not laryngeal hypersensitivity of the type we suspect you have. Generally speaking refractory chronic cough aka neurogenic cough is thought to be on the same spectrum of laryngeal hypersensitivity conditions so maybe there is some role for this kind of medication in treating your symptoms as well. I do not have experience prescribing it since it is approved only in the EU.

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@johnbishop

Hello @tkubby, welcome to Mayo Clinic Connect. — I'm tagging @alaskaann, @jeffrow, @steeldove, @2011panc who have all discussed autonomic neuropathy in a previous post. Hopefully they can share their thought and suggestions with you.

Mayo Clinic has information on the diagnosis and treatment for autonomic neuropathy here:
https://www.mayoclinic.org/diseases-conditions/autonomic-neuropathy/diagnosis-treatment/drc-20369836

I did find a couple of sites that may be helpful.

What LPR Has to Do with Laryngeal Sensory Neuropathy & Chronic Cough
-- https://www.refluxgate.com/laryngeal-sensory-neuropathy

Pregabalin Shows Promise as Treatment Option for Laryngeal Sensory Neuropathy
-- https://www.enttoday.org/article/pregabalin-shows-promise-as-treatment-option-for-laryngeal-sensory-neuropathy/

Have you been recently diagnosed with larynx sensory neuropathy?

John

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Please see my ENTs note to me:

Nice to meet you today, the receptor I was thinking of is P2RX3. It is receptor involved in pain detection. The medication is called gefapixant. I have to amend what I was saying earlier today - the study was for refractory chronic cough not laryngeal hypersensitivity of the type we suspect you have. Generally speaking refractory chronic cough aka neurogenic cough is thought to be on the same spectrum of laryngeal hypersensitivity conditions so maybe there is some role for this kind of medication in treating your symptoms as well. I do not have experience prescribing it since it is approved only in the EU.

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@lhess57

I have a chronic cough as well. One ENT said that it was habit cough. My pulmonologist gave me gabapentin to see if it helps. I've been on it for a week and have seen no changes.
I read an article that said it could be a result of low vitamin b12 and/or low vitamin d. So I've started taking supplements for that. Don't know what else to do.
When the cough gets bad I start with cold sweats. Very life changing.

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I have coughing out of the blue which is really hard when its during the night. It can be frightening. I'm trying the pressure points to stop the spasm and breathing through a straw but looking for more help. Waiting for a referral to an ENT.
This has been going on since 2013 after I had emergency surgery but getting worse as I age.

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@bubbie2

I have coughing out of the blue which is really hard when its during the night. It can be frightening. I'm trying the pressure points to stop the spasm and breathing through a straw but looking for more help. Waiting for a referral to an ENT.
This has been going on since 2013 after I had emergency surgery but getting worse as I age.

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What are the pressure points that could help the coughing spasms? I would like to see if that could help me, too.

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@onmayo

What are the pressure points that could help the coughing spasms? I would like to see if that could help me, too.

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There is a spot behind the earlobe and above the jaw which when pressure is applied with your index finger can ease a laryngospasm (when it feels like you can’t breathe). Not sure if that’s what you mean when talking about a coughing spasm?

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