the Sensation of a Foreign Body in the Throat - Otolaryngology

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Sensation of a foreign body in the throat?


Excuse me, doctor.
I am 19 years old and about two weeks ago, I started feeling a sensation of something stuck in my throat, like a slight choking feeling.
When I am busy or focused on something, I don't notice it, but when I think about it, the sensation comes back.
I feel the urge to clear my throat, but it's mostly just white saliva.
I have difficulty swallowing, and after drinking water, I feel a tightness in my throat for a few seconds, and my breathing is slightly labored, but it returns to normal after a few seconds.
In the morning, the sensation disappears, but it tends to reappear in the afternoon and evening.
My diet is normal and relatively light, and I do not have habits of staying up late, smoking, or drinking alcohol.
Sometimes I do feel anxious.
Could you please tell me what symptoms this might indicate? Thank you, doctor.

Xiao Xing, 10~19 year old female. Ask Date: 2017/06/03

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly, this is chronic pharyngitis.
If it persists without improvement, you may visit an otolaryngologist or a gastroenterologist for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/06/03

More Info


The sensation of a foreign body in the throat, often described as a feeling of tightness or discomfort, can be attributed to several potential causes. Given your age and the symptoms you've described, it's important to consider both physiological and psychological factors that may be contributing to your experience.

1. Physiological Causes:
- Globus Sensation: This is a common condition where individuals feel a lump or foreign body sensation in the throat without any actual obstruction. It can be triggered by stress, anxiety, or even gastroesophageal reflux disease (GERD), where stomach acid irritates the throat.

- Allergies or Post-Nasal Drip: Allergies can lead to mucus accumulation in the throat, causing discomfort and the sensation of something being stuck. This is often accompanied by throat clearing and a feeling of needing to cough up phlegm.

- Muscle Tension: Stress and anxiety can lead to muscle tension in the throat area, which may create a sensation of tightness. This can be exacerbated by focusing on the sensation, leading to a cycle of anxiety and discomfort.

- Infections: Although you mentioned no significant swallowing difficulties, mild infections like pharyngitis or tonsillitis can cause discomfort and a sensation of fullness in the throat.

2. Psychological Factors:
- Anxiety and Stress: Your mention of feeling anxious at times suggests that psychological factors may play a role in your symptoms. Anxiety can manifest physically, leading to sensations like tightness in the throat. The mind-body connection is powerful; when you focus on the sensation, it can become more pronounced, leading to a cycle of anxiety and discomfort.

3. When to Seek Medical Attention:
- If the sensation persists or worsens, or if you experience additional symptoms such as difficulty breathing, swallowing, or significant pain, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination, which may include a laryngoscopy to visualize the throat and rule out any physical obstructions or abnormalities.

- Given your age and the nature of your symptoms, it may also be beneficial to discuss your anxiety with a healthcare professional. They can provide strategies for managing anxiety, which may help alleviate the sensation in your throat.

4. Self-Care Strategies:
- Stay Hydrated: Drinking plenty of water can help soothe the throat and reduce irritation.

- Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help manage anxiety and reduce muscle tension in the throat.

- Avoid Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate throat discomfort.

In summary, the sensation of a foreign body in the throat can stem from various causes, including globus sensation, allergies, muscle tension, or psychological factors like anxiety. Monitoring your symptoms and seeking medical advice if they persist or worsen is essential. Additionally, incorporating self-care strategies to manage anxiety and throat irritation can be beneficial.

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