Throat Discomfort: Causes and When to Seek Help - Otolaryngology

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There is something in the throat that shifts?


Hello, doctor.
I would like to ask about a throat issue.
Sometimes after clearing my throat, I experience an inexplicable pain when swallowing saliva, and I feel like something is displaced in my throat.
When I press with my thumb, I can push it back to its original position, and the pain goes away.
This has been happening intermittently for a while.
Recently, it occurred again while chatting with someone.
What could be the cause of this? Do I need to see a doctor immediately?

Niming, 10~19 year old female. Ask Date: 2016/08/02

Dr. Zheng Jueyi reply Otolaryngology


Hello: If you continue to feel unwell, it is advisable to seek medical examination for diagnosis.
Wishing you safety and health.
Sincerely, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/08/02

More Info


Throat discomfort can be a common yet concerning symptom that many people experience. Based on your description, it sounds like you are experiencing a sensation of pain when swallowing saliva, along with a feeling of something being out of place in your throat. The fact that you can press on a specific area and relieve the discomfort suggests that there may be a localized issue.

There are several potential causes for throat discomfort, and understanding these can help determine whether you need to seek medical attention. Here are some common causes:
1. Muscle Tension or Strain: Sometimes, the muscles in the throat can become tense due to stress or overuse, especially if you have been talking a lot or shouting. This can lead to discomfort and a sensation of tightness.

2. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause irritation in the throat, leading to pain, a sensation of something being stuck, or the need to clear your throat frequently. This is often accompanied by heartburn or a sour taste in the mouth.

3. Postnasal Drip: Allergies or sinus infections can lead to mucus dripping down the back of the throat, causing irritation and discomfort. This can also lead to a persistent cough or the need to clear your throat.

4. Throat Infections: Conditions such as pharyngitis (inflammation of the throat) or tonsillitis can cause pain and discomfort when swallowing. These infections may be viral or bacterial and can present with additional symptoms like fever, swollen lymph nodes, or white patches on the tonsils.

5. Throat Lesions or Growths: Although less common, growths or lesions in the throat can cause discomfort. These could be benign or, in rare cases, malignant. If you notice any unusual lumps or persistent pain, it is essential to seek medical evaluation.

6. Anxiety and Stress: Psychological factors can also manifest as physical symptoms, including throat discomfort. Anxiety can lead to muscle tension and a heightened awareness of bodily sensations, making you more sensitive to discomfort.

Given that you have experienced this issue for some time and it has recently become more noticeable, it would be wise to consult a healthcare professional. Here are some signs that indicate you should seek medical attention promptly:
- Persistent pain that does not improve or worsens over time.

- Difficulty swallowing or breathing.

- Presence of a lump or swelling in the throat.

- Accompanying symptoms such as fever, rash, or significant fatigue.

- Changes in your voice or persistent hoarseness.

When you visit a healthcare provider, they will likely conduct a thorough examination of your throat and may ask about your medical history, lifestyle, and any other symptoms you may be experiencing. Depending on their findings, they may recommend further tests, such as a throat culture or imaging studies, to determine the underlying cause of your discomfort.

In the meantime, you can try some home remedies to alleviate your symptoms, such as staying hydrated, using throat lozenges, or gargling with warm salt water. However, these are temporary measures, and it is crucial to address the root cause of your discomfort.

In summary, while throat discomfort can arise from various causes, it is essential to monitor your symptoms and seek medical advice if they persist or worsen. Early intervention can lead to better outcomes and help you find relief from your symptoms.

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