Feeling of a Blocked Esophagus: Causes and Solutions - Otolaryngology

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Feeling of a lump in the esophagus?


Recently, I have been taking medication due to discomfort in my body.
After taking the medication, I felt a sensation of something stuck in my esophagus, and during meals, I experienced difficulty swallowing, which was very uncomfortable.
I'm not sure if this is because I swallowed the pills too quickly and injured my esophagus or if it is due to another condition.

Zhong, 20~29 year old female. Ask Date: 2016/04/30

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is possible that the inflammation of the esophagus or throat is caused by medication.
If the condition persists without improvement, it is advisable to seek medical evaluation.
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: 2016/04/30

More Info


The sensation of a blocked esophagus or the feeling of something stuck in the throat can be quite distressing and is often associated with various underlying causes. Based on your description, it seems that you have recently experienced discomfort after taking medication, which may have contributed to this sensation. Let's explore the potential causes and solutions for this issue.


Causes of Esophageal Blockage Sensation
1. Medication Swallowing Technique: If you swallowed your medication too quickly or without sufficient water, it could lead to irritation or even minor injury to the esophagus. Some medications can be harsh on the esophageal lining, especially if they get stuck.

2. Esophageal Motility Disorders: Conditions such as esophageal spasms or achalasia can cause difficulty in swallowing and a sensation of food being stuck. These disorders affect the muscles of the esophagus, leading to abnormal contractions.

3. Gastroesophageal Reflux Disease (GERD): Chronic acid reflux can lead to inflammation and narrowing of the esophagus, resulting in a feeling of obstruction. GERD can also cause esophagitis, which is inflammation of the esophagus.

4. Structural Abnormalities: Conditions such as strictures (narrowing of the esophagus), tumors, or diverticula can physically obstruct the passage of food and lead to discomfort.

5. Psychological Factors: Anxiety and stress can manifest physically, leading to muscle tension in the throat and esophagus, which may feel like a blockage. This is often exacerbated in situations where one feels rushed or anxious while eating.


Solutions and Recommendations
1. Hydration: Ensure that you are drinking enough water when swallowing pills. It is advisable to take medications with a full glass of water to help them pass smoothly through the esophagus.

2. Eating Habits: Pay attention to your eating habits. Eating slowly and chewing food thoroughly can help prevent the sensation of food getting stuck. Avoid talking while eating, as this can lead to swallowing air and increase discomfort.

3. Consult a Specialist: If the sensation persists, it is crucial to consult a gastroenterologist or an ear, nose, and throat (ENT) specialist. They may recommend diagnostic tests such as an endoscopy to visually inspect the esophagus and identify any abnormalities.

4. Medication Review: Discuss your current medications with your healthcare provider. They may suggest alternatives or adjustments to your regimen to minimize irritation to the esophagus.

5. Manage Anxiety: If anxiety is contributing to your swallowing difficulties, consider techniques to manage stress, such as mindfulness, relaxation exercises, or cognitive behavioral therapy (CBT). These approaches can help reduce the physical symptoms associated with anxiety.

6. Dietary Adjustments: Incorporate softer foods into your diet if you are experiencing discomfort. Foods that are easier to swallow, such as yogurt, smoothies, and soups, can help alleviate the sensation of blockage.

7. Follow-Up Care: If you experience persistent symptoms, follow up with your healthcare provider for further evaluation. They may recommend additional tests, such as a barium swallow study, to assess how well you are swallowing and to identify any structural issues.

In summary, the feeling of a blocked esophagus can stem from various causes, including improper swallowing technique, esophageal disorders, or psychological factors. It is essential to address these symptoms proactively by adopting better swallowing practices, consulting with healthcare professionals, and managing any underlying anxiety. If symptoms persist, further investigation will be necessary to ensure there are no serious underlying conditions.

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