Throat Discomfort: What Tests Should You Consider for Relief?

If you have a sensation of something stuck in your throat and are concerned, you should consider undergoing a thorough evaluation. Recommended examinations may include: 1. Laryngoscopy: A procedure that allows a doctor to examine the throat and vocal cords using a thin, flexible tube with a camera. 2.

Two weeks ago, while picking my nose, I suspected that I inhaled a tiny particle that I couldn't get out.
I didn't pay much attention to it, but the next day my throat started to feel swollen, and I had a strong sensation of a foreign body when swallowing.
A few days later, the swelling decreased, but I still felt a foreign sensation when swallowing saliva and liquids.
Feeling uneasy, I visited an otolaryngologist, who performed a nasal endoscopy and said there was nothing significant, just a bit of swelling.
The doctor prescribed medication for chronic pharyngitis, but after a few days, there was still no improvement.
I keep wondering if the particle I inhaled could be some dangerous bacteria or virus causing the discomfort in my throat or esophagus.
Is it possible that not washing my hands properly after applying antifungal cream led to my pharyngitis? Or could it be that touching a mouse in an internet café that was contaminated caused my pharyngitis? Recently, I've had a loss of appetite, weight loss, and occasionally experience chest pain when inhaling, which makes me worry about potential lung issues.
Doctor, which other specialty should I consult? What additional tests can I request from my doctor to alleviate my concerns? Thank you.

Niming, 20~29 year old female. Ask Date: 2016/08/02

Dr. Ji Zhaoyun reply Otolaryngology

Hello, if you have undergone an endoscopic examination and ruled out the presence of any masses, it is possible that you are experiencing chronic pharyngitis.
In addition to medication, daily lifestyle recommendations include: avoid lying down for two hours after eating, and refrain from consuming coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
However, if you experience loss of appetite, weight loss, or chest pain during inhalation, and are concerned about potential lung issues, you may consider consulting a pulmonologist.
Wishing you safety and good health.

Sincerely,
Dr.
Chi Chao-Yun,
Director of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/08/02

More Info

When dealing with throat discomfort, especially after an incident where you suspect you may have inhaled a foreign object, it's understandable to feel anxious about potential underlying issues. Based on your description, it seems you've already taken a significant step by consulting an ENT specialist who performed a nasal endoscopy. The findings of mild swelling without any foreign body detected are reassuring, but your ongoing symptoms warrant further exploration.

Potential Causes of Your Symptoms
1. Chronic Pharyngitis: This condition can result from various factors, including allergies, irritants, or infections. The medication prescribed for chronic pharyngitis should ideally help reduce inflammation and discomfort. If you haven't noticed any improvement after a few days of treatment, it may be worth revisiting your doctor.

2. Inhalation of Foreign Material: While it's possible to inhale small particles, the body often clears these without causing significant harm. However, if you experience persistent discomfort, it could indicate irritation or inflammation rather than a serious infection.

3. Infection: Your concern about bacteria or viruses is valid, especially if you have symptoms like decreased appetite and weight loss. Viral infections, such as those caused by the common cold or flu, can lead to throat discomfort and may also affect your appetite.

4. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can cause a sensation of a lump in the throat or discomfort when swallowing. If you have a history of heartburn or acid reflux, this could be a contributing factor.

5. Anxiety and Stress: Psychological factors can also manifest as physical symptoms, including throat discomfort. If you are feeling particularly anxious about your health, this could exacerbate your symptoms.

Recommended Tests and Consultations
Given your symptoms and concerns, here are some steps you can take:
1. Follow-Up with Your ENT: Since you have already seen an ENT, it may be beneficial to schedule a follow-up appointment. You can discuss your ongoing symptoms and the lack of improvement with the prescribed medication. The doctor may consider additional tests or imaging studies, such as a CT scan of the neck, to rule out any other issues.

2. Allergy Testing: If you suspect that allergies may be contributing to your symptoms, consider consulting an allergist. They can perform tests to identify specific allergens that may be causing your throat discomfort.

3. Gastroenterology Consultation: If you suspect GERD or have gastrointestinal symptoms, a gastroenterologist can evaluate your condition. They may recommend tests such as an upper endoscopy or pH monitoring to assess acid reflux.

4. Pulmonary Evaluation: Given your chest pain and concerns about lung issues, a pulmonologist can perform tests such as a chest X-ray or pulmonary function tests to evaluate your lung health.

5. Blood Tests: Blood tests can help rule out infections or other systemic issues. A complete blood count (CBC) can check for signs of infection or inflammation.

Conclusion
It's important to communicate openly with your healthcare providers about your symptoms and concerns. If your throat discomfort persists or worsens, don't hesitate to seek further evaluation. Remember that many throat issues are benign and can be managed effectively with the right treatment. Your health and peace of mind are paramount, so advocating for yourself in medical settings is crucial.

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