Is My Throat Sensation Serious? Should I Get Further Tests?

Could you please tell me if these symptoms are considered mild? Is further examination necessary?

Around mid-March of this year, I noticed a sensation of a foreign body in my throat.
At that time, I weighed about 95 kilograms.
I went to the hospital to see a doctor, but I did not undergo an endoscopy.
I had no history of gastroesophageal reflux disease (GERD).
Could this be related to weight training? Aside from the sensation, I had no other symptoms.
By mid-May, the sensation still occasionally persisted, so I thought it would be better to go to a larger hospital for peace of mind.
The doctor there also said that if it was improving, I could avoid the endoscopy, and prescribed me some proton pump inhibitors (PPIs).
By July, my weight had dropped to 85 kilograms.
Is this concerning, and should I get further tests? However, I am feeling much better now and have been controlling my diet.

Zhan, 20~29 year old female. Ask Date: 2017/07/08

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
You should continue with medication and monitor your diet/weight control.
Changhua Hospital is concerned about your health.
Chen Shidian.

Reply Date: 2017/07/08

More Info

When it comes to sensations in the throat, particularly the feeling of a lump or foreign body, it can be concerning and warrants careful consideration. In your case, you have experienced this sensation since March, and while you have sought medical advice and received treatment, it is understandable to still have questions about the seriousness of your symptoms and whether further testing is necessary.

Firstly, the sensation of a lump in the throat, medically known as "globus sensation," can be caused by various factors. These may include gastroesophageal reflux disease (GERD), anxiety, muscle tension, or even structural issues in the throat or esophagus. Given that you have a history of weight training and have recently lost a significant amount of weight, it is essential to consider how these factors may contribute to your symptoms. Weight loss can sometimes be a sign of an underlying issue, especially if it is unintentional, so it is good that you are being proactive about your health.

The fact that you have been prescribed proton pump inhibitors (PPIs) suggests that your doctor suspects GERD may be a contributing factor. PPIs are effective in reducing stomach acid production, which can help alleviate symptoms associated with acid reflux, including throat discomfort. If you have noticed improvement in your symptoms since starting the medication, that is a positive sign. However, if the sensation persists or worsens, it may indicate that further investigation is necessary.

Regarding the need for an endoscopy (esophagogastroduodenoscopy or EGD), this procedure allows for direct visualization of the esophagus, stomach, and the beginning of the small intestine. It can help identify any abnormalities such as inflammation, strictures, or lesions that may be causing your symptoms. While your doctor may have felt that an endoscopy was not immediately necessary, it is important to communicate any ongoing concerns or changes in your symptoms. If you continue to experience the sensation of a lump in your throat, especially if accompanied by other symptoms such as difficulty swallowing, persistent pain, or changes in weight, it would be prudent to discuss the possibility of further testing with your healthcare provider.

Additionally, lifestyle modifications can play a significant role in managing throat sensations. Since you mentioned that you have been controlling your diet, it is beneficial to avoid foods that may trigger reflux, such as spicy foods, caffeine, and alcohol. Maintaining a healthy weight and managing stress through relaxation techniques or counseling can also help alleviate symptoms.

In summary, while your throat sensation may not be immediately serious, it is essential to monitor your symptoms closely. If you experience any worsening or new symptoms, or if the sensation persists despite treatment, it would be wise to seek further evaluation. Open communication with your healthcare provider about your concerns and any changes in your condition will help ensure that you receive appropriate care and peace of mind. Remember, your health is paramount, and being proactive about any persistent symptoms is always the best approach.

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