Feeling of Something Stuck in Throat: Causes and Concerns - Gastroenterology and Hepatology

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Throat and esophageal obstruction?


Hello doctor, I have been feeling like there is something stuck in my throat near the Adam's apple for the past few days.
Drinking water and swallowing solid food does not improve the sensation, but there is no pain in my throat.
I just feel like something is lodged there, and I experience a sensation of something stuck when drinking water or swallowing saliva, although eating food is fine and I do not have difficulty swallowing.
It has been 4.5 days, and I am starting to feel a bit of chest tightness and some gastroesophageal reflux.
I had an endoscopy done by an ENT specialist, who said my throat is fine.
Yesterday, I consulted a gastroenterologist, and they arranged for an upper endoscopy to take a look.
I would like to ask what might be causing my condition.
Could it be esophageal cancer? Or could it be that I took capsule medication a few days ago and did not swallow it properly, causing this sensation? However, it has been so many days; wouldn't the medication dissolve on its own in the esophagus? Please help me, thank you.

Miss Peng, 20~29 year old female. Ask Date: 2016/10/13

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, it is possible that the medication dissolved and caused irritation to the esophagus.
A gastroscopy can clarify the situation.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/10/13

More Info


Hello! It sounds like you are experiencing a sensation of something being stuck in your throat, often referred to as "globus sensation." This feeling can be quite distressing, especially when it persists for several days, as you mentioned. Let's break down some potential causes and concerns related to your symptoms.

Firstly, the sensation of something stuck in the throat can arise from various factors. One common cause is muscle tension in the throat area, which can be exacerbated by stress or anxiety. When we are anxious, our muscles can become tense, leading to discomfort and the feeling that something is lodged in the throat. This is often accompanied by difficulty swallowing or a sensation of tightness, but it typically does not indicate a physical obstruction.

Another possibility is related to gastroesophageal reflux disease (GERD). You mentioned experiencing some symptoms of acid reflux, which can lead to irritation of the esophagus and throat. This irritation can create a sensation of fullness or something being stuck, especially after eating or drinking. If you have been diagnosed with GERD, managing your diet and possibly taking medications to reduce stomach acid can help alleviate these symptoms.

You also mentioned that you have had an endoscopy that showed no abnormalities in your throat. This is a reassuring sign, as it suggests that there are no significant structural issues in the throat area. However, if the sensation persists, it may be worth exploring other potential causes, such as esophageal motility disorders. These conditions affect how well the esophagus moves food down to the stomach and can lead to sensations of obstruction or difficulty swallowing.

Regarding your concern about esophageal cancer, it is understandable to feel anxious about such possibilities, especially when experiencing unusual symptoms. However, esophageal cancer typically presents with additional symptoms, such as significant weight loss, persistent difficulty swallowing solid foods, or severe pain. Given that you have had a thorough examination and no abnormalities were found, the likelihood of cancer is low, but it is always best to discuss these concerns with your healthcare provider for peace of mind.

As for the capsule medication you took, it is possible that if it was not swallowed properly, it could have caused some temporary irritation in the esophagus. However, capsules typically dissolve within a reasonable timeframe, and it is unlikely that a capsule would remain lodged in the esophagus for several days. If you are still experiencing discomfort, it may be beneficial to follow up with your gastroenterologist to ensure that there are no underlying issues that need to be addressed.

In the meantime, here are some tips that may help alleviate your symptoms:
1. Stay Hydrated: Drink plenty of water throughout the day to help keep your throat moist and reduce irritation.

2. Eat Soft Foods: If swallowing solid foods is uncomfortable, try consuming softer foods that are easier to swallow.

3. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help reduce muscle tension in your throat.

4. Avoid Irritants: Stay away from spicy, acidic, or very hot foods that may exacerbate reflux symptoms.

5. Follow Up: Keep in touch with your healthcare provider regarding your symptoms, especially if they persist or worsen.

If your symptoms continue or if you develop new symptoms, please do not hesitate to seek further medical evaluation. Your health and comfort are important, and it’s always best to address any concerns with a qualified healthcare professional. Take care!

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