Throat Sensitivity: Causes and When to Seek Help

Throat is prone to injury?

In recent years, I have noticed that my throat is not as resilient as it used to be.
I easily injure it from drinking hot soup, consuming spicy foods, or drinking alcohol, and the next day I experience throat pain and yellow phlegm, which lasts for several days before I recover.

- I am not particularly fond of spicy food; I usually do not choose spicy options in my daily diet.
If given a choice, I would prefer non-spicy dishes.
- I also rarely drink alcohol because it makes my face look unattractive, with redness and uneven patches (I am not sure if this is what is referred to as alcohol flush reaction?).
Additionally, I have a low tolerance for alcohol; even a bottle of 3% alcohol, like beer, can make me vomit and then fall into a deep sleep (though this does not happen every time).
Therefore, I dislike drinking and do so very infrequently.
- However, I have always enjoyed hot or warm soup since childhood, and I used to drink it without any issues, but in recent years, it seems I can no longer do so as I used to.
[Note 1: I have always experienced allergic rhinitis with post-nasal drip, although it does not seem very severe, and I do not really notice it myself; it tends to worsen when I have a cold.]
[Note 2: In one or two years a few years ago, I suddenly became quite prone to tonsillitis with pus, experiencing it several times within a year, which had never happened before, but in recent years, it has become less frequent.]
I am quite confused about whether this is normal.
Should I see a doctor or undergo any tests? I am worried that it might be related to cancer.
I am concerned that I might be overreacting and that it may not require medical attention.
I would like to ask for your kind assistance in clarifying my concerns.
Thank you!

Amy, 30~39 year old female. Ask Date: 2018/04/02

Dr. Li Jiaxuan reply Otolaryngology

It is recommended to visit an otolaryngology clinic for an endoscopic examination.
Given your age, significant hormonal fluctuations in recent years (such as during pregnancy) may have caused thinning of the mucosa, leading to the aforementioned symptoms.
However, under conditions of minimal irritation, it should gradually improve.
If this persists for a long time, it is advisable to consult an otolaryngologist for further evaluation.
Wishing you good health.

Reply Date: 2018/04/02

More Info

Throat sensitivity can be a common issue that many people experience, and it can arise from various causes. Based on your description, it seems that you have been experiencing increased sensitivity in your throat, particularly after consuming hot or spicy foods, as well as alcohol. This sensitivity, accompanied by symptoms like throat pain and yellow phlegm, can be concerning, especially when it becomes a recurring issue.

Possible Causes of Throat Sensitivity
1. Gastroesophageal Reflux Disease (GERD): One of the most common causes of throat discomfort is acid reflux, where stomach acids flow back into the esophagus, leading to irritation. This can cause symptoms such as a sore throat, hoarseness, and a sensation of a lump in the throat.

2. Allergies and Post-Nasal Drip: You mentioned having a history of allergies and nasal drip. Allergies can lead to inflammation in the throat and contribute to sensitivity. Post-nasal drip, where mucus accumulates in the throat, can also cause irritation and discomfort.

3. Infections: Recurrent throat infections, such as tonsillitis or pharyngitis, can lead to chronic throat sensitivity. Your history of frequent tonsil infections in the past may suggest a predisposition to throat issues.

4. Environmental Irritants: Exposure to smoke, pollution, or other irritants can exacerbate throat sensitivity. If you live in an area with high pollution or if you are exposed to secondhand smoke, this could be a contributing factor.

5. Dietary Factors: While you mentioned not consuming spicy foods often, even mild spices or very hot foods can irritate a sensitive throat. Additionally, alcohol can cause inflammation in some individuals, especially if consumed in larger quantities.

6. Age-Related Changes: As we age, our bodies can become more sensitive to certain foods and environmental factors. This might explain why you are experiencing these symptoms more frequently than in the past.

When to Seek Medical Help
It is understandable to be concerned about your symptoms, especially with the fear of serious conditions like cancer. However, it’s important to note that throat sensitivity and pain are often due to benign causes. Here are some indicators that suggest you should seek medical attention:
- Persistent Symptoms: If your throat pain and sensitivity persist for more than a few weeks or worsen over time, it’s advisable to consult a healthcare professional.

- Difficulty Swallowing: If you experience significant difficulty swallowing or a sensation of food getting stuck in your throat, this warrants further investigation.

- Unexplained Weight Loss: If you notice unexplained weight loss along with your throat symptoms, this could be a red flag.

- Changes in Voice: Hoarseness or changes in your voice that last longer than two weeks should be evaluated.

- Severe Pain: If you experience severe throat pain that does not improve with over-the-counter medications, it’s important to seek medical advice.

Recommendations
1. Consult a Healthcare Provider: Given your symptoms and concerns, it would be beneficial to consult an ENT (ear, nose, and throat) specialist. They can perform a thorough examination, possibly including a laryngoscopy, to assess your throat and vocal cords.

2. Keep a Symptom Diary: Documenting when your symptoms occur, what you eat, and any other relevant factors can help your doctor identify patterns and potential triggers.

3. Avoid Irritants: Try to avoid very hot, spicy, or acidic foods and beverages that may exacerbate your throat sensitivity. Staying hydrated and using a humidifier can also help soothe your throat.

4. Manage Allergies: If allergies are contributing to your symptoms, consider discussing allergy management strategies with your healthcare provider.

5. Follow-Up: If you receive treatment or recommendations, ensure you follow up with your healthcare provider to monitor your symptoms and make any necessary adjustments to your care plan.

In conclusion, while throat sensitivity can be concerning, it is often manageable with appropriate care and lifestyle adjustments. Seeking medical advice will provide you with clarity and peace of mind regarding your symptoms.

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