Persistent Throat Sensation: What Could It Mean? - Otolaryngology

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A week of a sensation of a foreign body in the throat (without pain)?


Hello doctor, this week I suddenly felt a sensation of something foreign in my throat (it's not painful) and I have difficulty swallowing food (it goes down better with water), accompanied by burping.
There are no other obvious symptoms.
I visited my family doctor today, but the doctor couldn't determine the cause and prescribed me anti-inflammatory medication.
Could it be that there is something unusual growing in my throat?

Mr. Wu, 20~29 year old female. Ask Date: 2016/05/14

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is recommended to visit the ENT (Ear, Nose, and Throat) department and the Gastroenterology department for examination, as it may be related to gastroesophageal reflux or other throat inflammations.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/14

More Info


The sensation of a persistent foreign body in the throat, often described as a feeling of something stuck or an obstruction, can be quite distressing. This symptom, known medically as "globus sensation," can occur without any pain and is often associated with difficulty swallowing, especially when dry foods are involved. It is important to understand that while this sensation can be alarming, it is not always indicative of a serious underlying condition.

There are several potential causes for this sensation. One common cause is related to muscle tension or spasms in the throat, which can occur due to stress or anxiety. This tension can lead to a feeling of tightness or constriction, making it feel as though something is lodged in the throat. Additionally, gastroesophageal reflux disease (GERD) can contribute to this sensation. In GERD, stomach acid can irritate the lining of the throat, leading to inflammation and a feeling of discomfort or obstruction.

Another possibility is the presence of post-nasal drip, where mucus from the nasal passages drips down the back of the throat, causing irritation and a sensation of fullness. Allergies or sinus infections can exacerbate this condition, leading to increased mucus production. In some cases, a throat infection or inflammation, such as pharyngitis or tonsillitis, can also cause similar symptoms.

It is worth noting that while the sensation of a foreign body in the throat can be concerning, it is relatively common and often benign. However, if the sensation persists or worsens, further evaluation may be warranted. Your primary care physician may recommend seeing an ear, nose, and throat (ENT) specialist for a more thorough examination. This could include a laryngoscopy, where a small camera is used to visualize the throat and larynx, allowing the doctor to check for any abnormalities such as growths, inflammation, or structural issues.

In the meantime, there are several self-care strategies you can employ to alleviate your symptoms. Staying well-hydrated can help ease swallowing difficulties, and consuming softer foods may also be beneficial. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, can help reduce muscle tension in the throat.

If you are experiencing persistent symptoms, it is important to follow up with your healthcare provider. They may consider additional diagnostic tests or refer you to a specialist to rule out any serious conditions. While it is understandable to worry about the possibility of growths or other abnormalities, most cases of globus sensation are not associated with serious health issues.

In summary, the sensation of a foreign body in the throat can be caused by various factors, including muscle tension, GERD, post-nasal drip, or throat infections. While it is often benign, persistent symptoms should be evaluated by a healthcare professional to ensure proper diagnosis and treatment.

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