Throat Discomfort: Causes of Pain and Blisters - Otolaryngology

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It feels like there is something stuck in my throat, and it is painful?


This morning when I woke up, I felt a scratchy pain in my throat, as if there was something stuck inside.
I initially thought it might be something I had eaten that got lodged in my throat.
However, when I checked my throat in the evening, I noticed that there were many blisters.
Doctor, what could this be?

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

Dr. Zheng Jueyi reply Otolaryngology


Hello: You may have blisters caused by a viral infection, such as enterovirus.
It is recommended to seek medical examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/10/10

More Info


Throat discomfort, particularly the sensation of pain and the presence of blisters, can arise from various causes, and understanding these can help in determining the appropriate course of action. Based on your description, it seems you are experiencing a sore throat accompanied by blisters, which can be indicative of several conditions.

One common cause of throat discomfort and blister formation is viral infections, such as herpes simplex virus (HSV) or coxsackievirus, which can lead to conditions like herpangina or hand, foot, and mouth disease. These infections often present with painful sores or blisters in the throat, accompanied by fever and general malaise. Another possibility is a condition known as pharyngitis, which can be viral or bacterial in origin. In cases of bacterial pharyngitis, such as strep throat, you may also experience swelling and redness in the throat, along with white patches or blisters.

Allergic reactions or irritants can also lead to throat discomfort. If you have been exposed to allergens, smoke, or other irritants, this could cause inflammation and the formation of blisters. Additionally, gastroesophageal reflux disease (GERD) can lead to throat irritation and discomfort, although it typically does not cause blisters.

Another potential cause of blisters in the throat is a condition called oral lichen planus, which is an inflammatory condition that can affect the mucous membranes in the mouth and throat, leading to painful sores. This condition is often chronic and may require management by a healthcare professional.

Given the symptoms you are experiencing, it is crucial to monitor for additional signs such as difficulty swallowing, persistent fever, or worsening pain, as these may indicate a more serious condition that requires immediate medical attention. If the blisters are painful and affecting your ability to eat or drink, or if you develop a fever, it is advisable to seek medical care.

In the meantime, there are several home remedies and over-the-counter treatments that may provide relief. Gargling with warm salt water can help soothe the throat, and staying well-hydrated is essential. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain and reduce inflammation. If the blisters are caused by a viral infection, they will typically resolve on their own, but symptomatic treatment can ease discomfort.

If your symptoms persist for more than a few days, or if you notice any concerning changes, it is important to consult a healthcare provider for a thorough evaluation. They may perform a physical examination and possibly a throat swab to determine if a bacterial infection is present, which may require antibiotic treatment.

In summary, throat discomfort accompanied by blisters can result from various causes, including viral infections, bacterial infections, allergic reactions, or inflammatory conditions. Monitoring your symptoms and seeking medical advice if they worsen is essential for proper diagnosis and treatment.

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