vocal chord dysfunction (VCD?) II?

Question

For about 10 years, I have had a feeling of constriction in the top of my throat, just under my jaw, as though I am being choked. It is exacerbated by environmental and emotional triggers, and singing.

I was diagnosed with asthma about 12 years ago, but my lungs are fine. I exercise normally, w/occasional exercised-induced asthma. I have had mixed success with asthma drugs: Claritin works not at all, and albuterol works OK, though steroidal drugs, such as Qvar and cortizone, seem to work best.

About 15 years ago, I had intensely painful symptoms of temporal mandibular joint (TMJ) syndrome, which I still have, but with minor symptoms.

I do not experience significant problems with my voice or eating. I have seasonal respiratory infections.

The throat constriction pain is mild, but very annoying. Is this VCD, and, if so, is there effective treatment? I asked this question before and received good answers, for which I am grateful, but I wanted to see what more I can find.

Answer 1

If you had VCD, your voice would be affected, as would your swallowing. If I had more information about what you mean by "significant", I could give you more information.
It is possible that you are using your vocal tract muscles improperly when upset or around environmental triggers, or you may be experiencing muscle tightening as a consequence of the TMJ (especially if it is limited to one side).
I suggest consulting an ENT. Painful swallowing needs specific investigation that a non-specialist cannot provide.

Answer 2

My understanding regarding the workings of the vocal chords, are that they are controlled by the brain. If the nerves that control the chords are damaged, your voice sound is affected, sometimes with pain or a sensation of wanting to clear the throat. I would think you situation is allergy related.