Feeling of Foreign Body in the Esophagus: Causes and Solutions

Feeling of foreign body in the esophagus?

Hello Dr.
Tsai: I recently caught a cold, and after taking cold medication a few days ago, I particularly felt a sensation of a foreign body in my throat and esophagus.
I initially thought a capsule was stuck in my esophagus.
After my follow-up appointment yesterday, I explained my situation to the doctor, who prescribed me some gastrointestinal medication, but I feel that my condition has not improved.
My symptoms include: burping, a sensation of a foreign body in my throat that makes me feel nauseous, a feeling of something being stuck in my esophagus when eating, and a slight pain (when the food reaches the chest area).
I have not particularly noticed similar symptoms in the past.
I am unsure whether to see a gastroenterologist or a pulmonologist, and I hope Dr.
Tsai can clarify this for me.
Thank you!

Yun, 10~19 year old female. Ask Date: 2017/07/13

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello, you can first consult a gastroenterologist to check if there is any damage to the esophageal mucosa.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/07/13

More Info

The sensation of a foreign body in the esophagus can be quite distressing and may arise from various underlying causes. Based on your symptoms, which include a feeling of something stuck in your throat or esophagus, belching, nausea, and mild pain when swallowing, it is essential to consider several potential factors that could be contributing to your discomfort.

Possible Causes
1. Gastroesophageal Reflux Disease (GERD): One of the most common causes of a foreign body sensation in the throat is GERD. This condition occurs when stomach acid frequently flows back into the esophagus, leading to irritation and inflammation. Symptoms often include heartburn, regurgitation, and the sensation of a lump in the throat.

2. Esophageal Motility Disorders: Conditions that affect the movement of the esophagus can lead to difficulty swallowing and the sensation of food being stuck. Achalasia, for example, is a disorder where the lower esophageal sphincter fails to relax properly, causing food to accumulate.

3. Esophageal Obstruction: Any physical obstruction, such as a tumor or a stricture (narrowing of the esophagus), can create a sensation of something being lodged in the throat. This is less common but should be considered, especially if there are risk factors present.

4. Psychological Factors: Anxiety and stress can manifest physically, leading to sensations of tightness or a lump in the throat, often referred to as "globus sensation." This can be exacerbated by recent illnesses or stressful events.

5. Medication Side Effects: Certain medications, including some cold medications, can cause dryness in the throat or esophagus, leading to discomfort and the sensation of a foreign body.

Recommendations for Relief
1. Dietary Modifications: Eating smaller, more frequent meals can help reduce the pressure on the esophagus. Avoiding spicy, acidic, or overly hot foods may also alleviate symptoms.

2. Hydration: Ensure you are drinking enough fluids, especially when taking medications. This can help prevent pills from getting stuck in the esophagus.

3. Elevate Head While Sleeping: If GERD is suspected, elevating the head of your bed can help prevent acid reflux during the night.

4. Medications: Since you have already been prescribed medication, ensure you are taking it as directed. Antacids or proton pump inhibitors may help reduce acid production and alleviate symptoms.

5. Relaxation Techniques: If anxiety is a contributing factor, practicing relaxation techniques such as deep breathing, meditation, or yoga may help reduce the sensation of a lump in the throat.

When to Seek Further Evaluation
If your symptoms persist despite these measures, or if you experience worsening pain, difficulty swallowing, or unintentional weight loss, it is crucial to seek further evaluation. A gastroenterologist may perform tests such as an endoscopy to visualize the esophagus and determine if there are any structural abnormalities or inflammation present.
In summary, the sensation of a foreign body in the esophagus can stem from various causes, including GERD, esophageal motility disorders, and psychological factors. By making dietary changes, staying hydrated, and following your doctor's recommendations, you may find relief. However, persistent or severe symptoms warrant further medical evaluation to rule out more serious conditions.

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