Throat Discomfort: Allergies or Something Stuck? - Otolaryngology

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Throat issues


Hello, doctor.
After eating fruit, I have a persistent sensation of something stuck in my throat.
I have a history of allergic rhinitis.
Could this be a symptom of choking?

Lin, 10~19 year old female. Ask Date: 2019/03/14

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, if you experience persistent difficulty swallowing or continuous coughing after choking, it is recommended to visit an Ear, Nose, and Throat (ENT) specialist or a Gastroenterologist if the sensation of a foreign body does not improve.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/14

More Info


Throat discomfort, particularly the sensation of something being stuck in the throat, can be quite distressing and is often a source of concern for many individuals. In your case, given your history of allergic rhinitis, it’s important to consider both allergic reactions and the possibility of a physical obstruction.

Firstly, let’s discuss the symptoms you’re experiencing. The feeling of an obstruction in the throat can be attributed to several factors. One common cause is post-nasal drip, which occurs when mucus from the nasal passages drips down the back of the throat. This can happen more frequently in individuals with allergic rhinitis, especially after consuming certain foods, such as fruits, which may trigger an allergic response. Symptoms of post-nasal drip can include a persistent cough, throat clearing, and the sensation of a lump in the throat.

Another possibility is that you may be experiencing a mild allergic reaction to the fruit you consumed. Allergic reactions can manifest in various ways, including swelling of the throat or tongue, which might create a feeling of tightness or obstruction. If you notice any additional symptoms such as hives, difficulty breathing, or swelling, it is crucial to seek medical attention immediately, as these could indicate a more severe allergic reaction known as anaphylaxis.

On the other hand, if you suspect that you may have "stuck" something in your throat, such as a piece of fruit, it’s essential to consider the nature of the discomfort. If the sensation persists and is accompanied by pain, difficulty swallowing, or a feeling of choking, it may be advisable to consult a healthcare professional. They can perform a physical examination and, if necessary, imaging studies to rule out any physical obstruction or injury to the throat.

In some cases, anxiety can also exacerbate the sensation of something being stuck in the throat. This is often referred to as "globus sensation," where individuals feel a lump or tightness in the throat without any physical obstruction. Stress and anxiety can lead to muscle tension in the throat, which may contribute to this sensation.

To address your concerns, it would be beneficial to monitor your symptoms closely. If the sensation of discomfort continues or worsens, or if you develop any new symptoms, it would be wise to consult with an ear, nose, and throat (ENT) specialist or your primary care physician. They can provide a thorough evaluation and determine the appropriate course of action, which may include allergy testing or other diagnostic procedures.

In summary, throat discomfort can arise from various causes, including allergic reactions, post-nasal drip, or even anxiety-related sensations. Given your history of allergic rhinitis, it is plausible that your symptoms could be related to allergies. However, if you have concerns about a possible obstruction or if your symptoms persist, seeking medical advice is the best course of action. Remember, it’s always better to err on the side of caution when it comes to your health.

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