Feeling of a Lump in Throat: Is It Pharyngitis or Something Else? - Otolaryngology

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There is a sensation of something stuck in the middle of the throat, and swallowing saliva feels uncomfortable?


Hello, doctor! Recently, I've been feeling unwell and have been taking medication.
However, after swallowing a gelatinous dietary supplement and a larger pill, I've had a sensation in my throat for about four to five days, as if something is stuck.
It doesn't hurt, and eating and drinking water are not affected, but I feel a foreign body sensation when swallowing saliva, and I also have a dry cough with phlegm.
Could this be pharyngitis? Will it heal on its own, or do I need to see a doctor? Thank you!

Miss Chen, 20~29 year old female. Ask Date: 2016/04/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: Most cases are pharyngitis.
If there are no abnormalities in your diet and you do not experience pain, you may observe for a week.
If the pain worsens, it is recommended to seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/18

More Info


The sensation of a lump in the throat, often referred to as "globus sensation," can be a perplexing and uncomfortable experience. It is important to understand that this feeling can arise from various causes, and while it may be related to conditions like pharyngitis, it can also stem from other issues.

In your case, you mentioned that the sensation began after swallowing a gelatinous dietary supplement and a larger pill. This could suggest that the sensation is related to irritation or inflammation in the throat, possibly due to the size or texture of what you swallowed. However, it is also essential to consider other potential causes.

1. Pharyngitis: This is an inflammation of the pharynx, which can be caused by viral or bacterial infections. Symptoms typically include sore throat, difficulty swallowing, and sometimes fever. In your case, since you do not have pain while eating or drinking, it may be less likely that you have a significant infection, but mild pharyngitis could still cause a sensation of a lump.

2. Esophageal Issues: Conditions such as esophageal reflux (GERD) can lead to a feeling of a lump in the throat. Acid from the stomach can irritate the lining of the esophagus and throat, causing discomfort and a sensation of something being stuck.

3. Muscle Tension: Stress and anxiety can lead to muscle tension in the throat, which can create a sensation of tightness or a lump. This is often exacerbated by swallowing or even by the act of talking.

4. Allergies or Post-Nasal Drip: Allergies can lead to post-nasal drip, where mucus drips down the back of the throat, causing irritation and a sensation of fullness or lumpiness.

5. Throat Irritation: If you have been coughing or clearing your throat frequently, this can lead to irritation and inflammation, contributing to the sensation of a lump.

Given that you have experienced this sensation for four to five days, it is advisable to monitor your symptoms closely. If the sensation persists, worsens, or is accompanied by other symptoms such as difficulty swallowing, significant pain, or changes in your voice, it would be prudent to seek medical attention. A healthcare provider can perform a thorough examination, possibly including a laryngoscopy, to visualize the throat and determine if there is any underlying issue that needs to be addressed.

In many cases, mild cases of pharyngitis or throat irritation can resolve on their own with time, rest, and hydration. However, if you suspect that your symptoms are related to the recent swallowing of a larger pill or supplement, it may be worth discussing this with your doctor. They can provide guidance on whether any further evaluation or treatment is necessary.

In summary, while your symptoms may suggest a mild case of pharyngitis or irritation, it is essential to remain vigilant and consult with a healthcare professional if your symptoms do not improve or if you have any concerns. Taking care of your throat by staying hydrated, avoiding irritants, and possibly using throat lozenges may help alleviate your discomfort in the meantime.

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