### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have recently within the past month started feeling what feels like a lump in my throat and its not painful but it feels like my throat is closing and is feeling like my throat may close all together. I recently quit smoking 2 months ago and am also an on again off again bulimic and i dont know if either of those would be causes of the lump in the throat but thought i would throw that out there. Also I am always extremely cold and fatigued and recently have gained about 20 pounds out of nowhere. I havent changed my diet too much but I know I started eating a little more when I quit smoking so maybe that doesnt matter but do you think I have a thyroid issue possibly? Please help!

### output:

Hi, Dear,Thanks for the query to Chat Doctor.-I went through your query in-depth and Understood your health concernsRemedy and Cause-In my opinion lump in the throat-is of Hyperthyroidism-mostly as It's related with weight gain / and fatigue feeling.-Overweight by bulimia / and Smoking off and on-is not the cause of your lump but the after effect of the Thyroid-Goiter with hypo / hyperfunctioning thyroid disease.-Remedy-a-Consult ER Surgeon before that Throat LUMP suffocates you any more.b-CBC/Xray neck/ USG Neck -thyroid/ and Thyroid /Lipid profiles /ECG would fix the plan of treatment -by a TEAM OF SURGEON and PHYSICIAN. Conclusive advise-a-Yes You need to worry of the Throat lump b-and be Worried of 20 pounds weight gain lately -due to Hypo-Hyper-Thyroid functions c-and Yes you need to leave smoking as it worsens your HEALTH RISKS multiple times with the other factors which your Surgeon and Physician would work up and advise / and treat it accordingly.d-Hemithyroidectomy or HRT would be needed from your doctors team and co-operate for this ASAP. Hope this would help you to work a plan with your doctor. Wishing you early and fast recovery. Wellcome to my Chat Doctor Clinic for further queries in this matter. Wishing you Good Health ASAP. Have a Good Day. Chat Doctor. S. Genl-Thorasic CVTSSuper specialist in Asthma/Cancer and non-curable diseases.