Persistent Throat Discomfort After Fish Bone Incident: When to Seek Help? - Otolaryngology

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My throat feels strange?


I had a fishbone stuck in my throat two-thirds of the way, and after that, I had my throat and esophagus examined (via endoscopy), but no fishbone was found.
However, I occasionally feel something unusual in my throat.
It doesn't hurt when I swallow, but sometimes I experience pain after swallowing.
Should I go for another check-up?

Chen, 20~29 year old female. Ask Date: 2019/02/16

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the situation you described may be due to chronic pharyngitis or a retained fish bone.
If symptoms persist, it is recommended to undergo laryngoscopy to rule out any masses and to receive appropriate medical treatment.
In addition to medication, please observe the following daily life precautions: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and health.

Sincerely,
Dr.
Chi Chao-Yun,
Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2019/02/16

More Info


Persistent throat discomfort following an incident where a fish bone got lodged in the throat can be concerning, especially if you are still experiencing symptoms after having undergone an endoscopy (gastroscopy) that did not reveal any foreign objects. Here’s a detailed breakdown of what could be happening and when you should consider seeking further medical help.


Understanding Your Symptoms
1. Post-Removal Inflammation: After a foreign body like a fish bone is removed or passes through the throat, it is not uncommon for the throat to remain irritated. This irritation can lead to a sensation of discomfort or a feeling that something is still present, even when it is not. This is often due to inflammation of the mucosal lining of the throat.

2. Muscle Spasms: The muscles in the throat may also go into spasms after an incident like this, leading to intermittent pain or discomfort when swallowing. This can happen even if there is no physical obstruction.

3. Referred Pain: Sometimes, pain can be referred from other areas, such as the esophagus or even the stomach, especially if there has been any irritation or inflammation in those areas.

4. Psychological Factors: Anxiety about the incident can also contribute to the sensation of discomfort. The mind can amplify sensations, leading to a feeling of persistent discomfort even after the physical cause has been resolved.


When to Seek Further Medical Help
You should consider seeking further medical evaluation if you experience any of the following:
- Worsening Symptoms: If your throat discomfort worsens or becomes more frequent, it’s important to consult a healthcare provider.


- Difficulty Swallowing: If you start experiencing pain while swallowing or a sensation of food getting stuck, this could indicate a more serious issue that needs to be addressed.

- Persistent Pain: If the discomfort persists for an extended period (more than a few weeks) without improvement, it would be wise to seek further evaluation.

- Other Symptoms: If you develop additional symptoms such as fever, significant weight loss, or changes in your voice, these could indicate a more serious condition that requires immediate attention.

- Recurrent Cough or Throat Clearing: If you find yourself frequently coughing or needing to clear your throat, this could be a sign of ongoing irritation or another underlying issue.


Recommended Actions
1. Follow-Up Appointment: If your symptoms persist, schedule a follow-up appointment with your healthcare provider. They may recommend further imaging studies or a repeat endoscopy to ensure that there are no lingering issues.

2. Symptomatic Relief: In the meantime, consider using throat lozenges or gargling with warm salt water to soothe your throat. Staying hydrated and avoiding irritants like smoke or strong odors can also help.

3. Dietary Adjustments: Eating softer foods and avoiding spicy or acidic foods can help minimize irritation while your throat heals.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be helpful for your healthcare provider in diagnosing the issue.


Conclusion
While it is possible that your throat discomfort is a result of post-injury inflammation or muscle spasms, it is essential to monitor your symptoms closely. If you experience any worsening or new symptoms, do not hesitate to seek medical attention. Your health and peace of mind are paramount, and a healthcare provider can offer the best guidance tailored to your specific situation.

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