Throat Discomfort: Symptoms and Cancer Concerns

Dry throat, sticky sensation, feeling of foreign body?

Hello doctor, I have a fear of cancer, and it's been quite severe for the past two months (I'm very worried that I might have cancer).
Recently, I developed a small blister on my soft palate eight days ago, which burst on the same day and healed.
Therefore, I've been particularly attentive to my throat.
I feel a sticky sensation when swallowing saliva, and when I'm not swallowing, it feels dry, sticky, and like there's something foreign (a little behind the left soft palate).
Eating and drinking feel normal.
Usually, when I lie down or wake up, the discomfort disappears if I don't think about it, and my focus gets distracted.
Yesterday, I visited an ENT specialist, who noted some mild inflammation and mucus.
The doctor asked me to keep my head straight while examining my throat (and asked me to vocalize for a while to observe).
The doctor said there were no abnormalities and that it shouldn't be serious.
If the symptoms persist after a week, I should return for a follow-up, and the doctor mentioned prescribing anti-inflammatory medication, but I decided not to pick it up, thinking it was no problem.
I would like to ask the following questions: 1.
I am currently 27 years old, do not smoke or drink alcohol.
Do these symptoms resemble esophageal cancer or throat cancer? 2.
Is there a need for further examination? Should I continue visiting a small clinic, or go directly to a larger hospital?

Jason, 20~29 year old female. Ask Date: 2016/12/06

Dr. Ji Zhaoyun reply Otolaryngology

Hello Jason, the situation you described may be indicative of chronic pharyngitis.
I recommend seeking medical attention for a laryngoscopy to rule out any masses and for pharmacological treatment.
In addition to medication, please observe the following lifestyle precautions: avoid lying down for two hours after eating, and refrain from coffee, tea, smoking, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Regarding the "small blister that appeared on the soft palate eight days ago and resolved after bursting," this is likely a minor salivary gland cyst, which is usually benign.

As for your questions:
1.
I am currently 27 years old, do not smoke or drink alcohol.
Could these symptoms be indicative of esophageal or laryngeal cancer? -> Due to the limited information provided about your symptoms, it is difficult to make a definitive assessment.
2.
Should I pursue further examination at a small clinic or go directly to a large hospital? -> The next step may involve undergoing an endoscopic examination (which could include nasopharyngoscopy, laryngoscopy, or gastroscopy).
It is advisable to visit a hospital that has both otolaryngology and gastroenterology departments for examination and consultation.
Wishing you good health.

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

Reply Date: 2016/12/06

More Info

It's understandable to feel anxious about health issues, especially when it comes to serious conditions like cancer. Your concerns about throat discomfort and the fear of cancer are valid, and many people experience similar feelings when faced with health uncertainties. Let's break down your situation and address your concerns.

Firstly, it's important to recognize that throat discomfort can arise from various benign causes, such as allergies, infections, or even stress. The symptoms you describe—sticky sensations, dryness, and a feeling of something being stuck—are often associated with conditions like post-nasal drip, mild throat inflammation, or even anxiety-related muscle tension. The fact that your symptoms improve when you are distracted or lying down suggests that they may be linked to anxiety rather than a serious underlying condition.

1. Cancer Concerns: At 27 years old, and given your non-smoking and non-drinking status, the likelihood of developing esophageal or throat cancer is quite low. These cancers are more commonly associated with risk factors such as smoking, heavy alcohol consumption, and certain viral infections (like HPV). Your recent visit to an ENT specialist, who found no significant abnormalities, is reassuring. They noted mild inflammation and phlegm, which are common and usually not indicative of cancer.

2. Further Evaluation: Since your ENT doctor suggested that your symptoms are likely not serious and recommended a follow-up if symptoms persist, it may be wise to monitor your condition for a week or so. If your symptoms do not improve or worsen, returning for further evaluation would be prudent. You might consider seeking a second opinion or visiting a larger hospital if you feel that would provide you with more peace of mind.

3. Managing Anxiety: Your anxiety about cancer can exacerbate your physical symptoms. It's crucial to address this anxiety directly. Cognitive-behavioral therapy (CBT) has been shown to be effective in helping individuals manage health anxiety. Techniques such as mindfulness, relaxation exercises, and focusing on positive distractions can also help reduce anxiety levels. Engaging in activities that you enjoy and spending time with supportive friends and family can provide emotional relief.

4. Lifestyle Considerations: Maintaining a healthy lifestyle can also help alleviate anxiety. Regular exercise, a balanced diet, and adequate sleep are essential for both physical and mental health. If you find that your anxiety is overwhelming or persistent, consider speaking with a mental health professional who can provide tailored strategies and support.

In conclusion, while your concerns about throat discomfort and cancer are understandable, the evidence suggests that your symptoms are likely benign. Continue to monitor your health, follow up with your healthcare provider as needed, and consider addressing the anxiety that accompanies your health worries. Remember, taking care of your mental health is just as important as your physical health.

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