Should You See an ENT for Throat Issues After Vomiting? - Otolaryngology

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Hello, Doctor: In the past two days, I have experienced vomiting and noticed a small amount of blood mixed in with the vomit.
After a day, I felt a tightness in my throat.
I have observed that my saliva does not contain any blood, but my throat feels a bit unusual.
There is no severe pain, and I can swallow food normally, although I occasionally feel a slight discomfort.
I would like to ask if my symptoms are not severe, do I need to visit an ENT specialist for an examination? Additionally, if my throat or esophagus has been damaged due to vomiting, what special precautions should I take regarding my diet and daily activities? Thank you for your attention, and I greatly appreciate it.

cdyism, 20~29 year old female. Ask Date: 2018/01/08

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there are no persistent traces of blood, you can observe the situation first.
Generally, injuries caused by vomiting tend to improve gradually within a week.
It is recommended to drink plenty of water and reduce the intake of hot or irritating foods.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/08

More Info


When it comes to throat issues following vomiting, especially when there is blood present, it is important to take these symptoms seriously. Vomiting can cause irritation and injury to the throat and esophagus, leading to discomfort and potential complications. In your case, the presence of blood in your vomit, even if it is just a small amount, warrants a consultation with an Ear, Nose, and Throat (ENT) specialist.

The throat can be sensitive and easily damaged by the acidic contents of the stomach that are expelled during vomiting. This can lead to conditions such as esophagitis (inflammation of the esophagus) or pharyngitis (inflammation of the throat). The tightness you are feeling in your throat could be a result of inflammation or irritation caused by the vomiting. While you may not be experiencing severe pain or difficulty swallowing, it is still advisable to seek medical attention to rule out any serious underlying issues.

An ENT specialist can perform a thorough examination of your throat and esophagus, which may include a laryngoscopy or endoscopy, to visualize any potential damage. They can also assess whether there is any ongoing bleeding or other complications that need to be addressed. Early intervention can prevent further complications and ensure that any necessary treatment is initiated promptly.

In terms of dietary and lifestyle adjustments following vomiting, there are several recommendations to consider:
1. Hydration: After vomiting, it is crucial to stay hydrated. Drink clear fluids such as water, broth, or electrolyte solutions to replenish lost fluids. Avoid acidic or carbonated beverages that may further irritate your throat.

2. Diet: Start with bland foods that are easy to digest, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Gradually reintroduce other foods as your throat feels better. Avoid spicy, hot, or rough-textured foods that could irritate your throat.

3. Rest: Allow your body to recover by getting plenty of rest. This will help your immune system function optimally and aid in healing.

4. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate throat discomfort. If you smoke, consider quitting, as smoking can further irritate the throat and delay healing.

5. Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of your condition, such as increased pain, difficulty swallowing, or persistent bleeding, seek medical attention immediately.

6. Medications: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are taking other medications.

In summary, while your symptoms may not seem severe at the moment, the presence of blood in your vomit and the tightness in your throat are indicators that you should see an ENT specialist. They can provide a comprehensive evaluation and ensure that any potential issues are addressed. Additionally, following the dietary and lifestyle recommendations can help support your recovery and prevent further complications. Always prioritize your health and do not hesitate to seek medical advice when in doubt.

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