Feels like something's screaming inside of me

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Do any of you ever experience this really horrible feeling like there's a creature clawing at your insides and screaming when something upsets you. Thing is, I know the things that trigger me would be considered trivial by other people, but for me, when I see something out of place, someone making a harmless joke that's nevertheless based on some obvious inaccuracy for example, I start to get this really irritated feeling and it festers inside me and I just want to grab someone and shout at them about how wrong they are until I calm down. It also happens a lot when I'm socialising and stuff. I just want to vent but then I know that I'll be socially ostracised for venting about something other people would consider small so I just have to let it ride.

Anyone have this and any tips with dealing with it?

I tend to tell myself over that I'm not real and I don't exist. (because if I don't exist than whatever is bothering me is not real either)
But I'm not sure if this helps or just causes me to shut down.

Yup and no idea how to deal with it.
I tend to just work at the underlying issues going on in my life

I expressed the feeling to the doctor as feeling like sometimes I want to punch certain people in the throat, he told me a horror story of an extremely bad reaction to meds, and gave me samples of something he said would have a calming effect. Got home and looked it up, it's an antipsychotic 1 step lower than Seroquel

Anxiety meds have helped me with that. Otherwise, typical calming strategies (deep breathing, thinking of something more enjoyable, etc.) work well.
My fiance is starting to understand my little quirks with this thing and sometimes she'll just let me rant if I need to, so long as I'm careful not to say something unfair and nasty about her

I try to make my outside appear neutral and close my eyes and have a meltdown in my head. I might scream and scream and scream - just totally go for it- or destroy everything in the room. I imagine it all in great detail - the sounds of breaking glass, the damage to the walls, the blood if I am killing someone.

This is all in my head. I am doing it a lot more lately.

I am not saying this is good, or advisable, or healthy, or helpful. But at least it's in my head not on a prison record.

Not really advice........

I love being home alone. When I feel the need I can scream at the top of my lungs and not bother anyone.

Seeing the title of your thread, reminded me that when I was around 17, I used to have this overwhelming feeling that I needed to go to the top of a remote mountain and scream and scream and scream to get everything out. I used to think it was a result of my rather crap childhood, but I realise now it was probably the existential stress as an (at the time) undiagnosed Aspie. I think others may have formed an opinion of me that I tend to get angry, my husband thinks I have a form of tantrum, but there are times when I have not been able to stop the anger/overwhelmedness from coming out, which is of course a meltdown. The rest of the time, I will fester like you, feeling the urge to explode but holding it in. There have been occasions when I have exploded in public, much to the disapproving looks of others. I think holding it in, is what results in having imaginary and dream meltdowns, as discussed in a recent thread.

Oh yeah. I think it's the worst when I feel like I'm being judged unfairly or condescended to. Unfortunately, you can't make people listen, so I try to keep it to deep breaths and letting things go. Journal ranting is always a good one, too.