Throat Issues After Endoscopy: Causes and Next Steps

Throat issues

In February of this year, I felt some stomach pain, so I went to Shutian Clinic for an endoscopy.
I had been taking a PPI for two weeks, and my stomach pain was almost gone.
However, since I had already scheduled the endoscopy, I decided to go through with it.
To my surprise, after the procedure, I started feeling like my throat was being constricted that very night.
Taking the PPI seems to make it feel worse...
Now my voice is even hoarse.
I have developed a fear of endoscopy since then.
Doctor, could this be due to the endoscopy injuring my throat? Which specialist should I see for this issue?

Yang, 30~39 year old female. Ask Date: 2019/04/12

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the situation you described may be indicative of chronic pharyngitis or other lesions in the throat.
It is recommended to consult an otolaryngologist for a laryngoscopy examination (to rule out any masses) and to receive medication treatment.
In addition to medication, please pay attention to the following daily living tips: 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 good health.

Reply Date: 2019/04/12

More Info

Experiencing throat issues after an endoscopy can be concerning, especially if you notice symptoms like a sensation of tightness in the throat, hoarseness, or worsening discomfort after the procedure. Let's break down the potential causes and the next steps you should consider.

Causes of Throat Issues After Endoscopy
1. Irritation from the Procedure: During an endoscopy, a flexible tube with a camera is inserted through the mouth and down the esophagus. This can cause temporary irritation or trauma to the throat and esophagus, leading to discomfort or a sensation of tightness. This is often a common and expected side effect, especially if the procedure was prolonged or if there was difficulty in navigating the anatomy.

2. Anesthesia Effects: If sedation or local anesthesia was used during the procedure, it could lead to temporary changes in sensation or muscle control in the throat. This might contribute to feelings of tightness or difficulty swallowing.

3. Gastroesophageal Reflux Disease (GERD): If you have a history of GERD, the endoscopy might have exacerbated your symptoms. The procedure can sometimes provoke acid reflux, leading to throat irritation and hoarseness.

4. Infection or Inflammation: Although less common, there is a possibility of developing an infection or inflammation in the throat after an endoscopy, particularly if there were any complications during the procedure.

5. Psychological Factors: Anxiety or fear related to the procedure itself can manifest as physical symptoms, including throat tightness or changes in voice.

Next Steps
1. Consult an Ear, Nose, and Throat (ENT) Specialist: Given your symptoms of throat tightness and hoarseness, it would be prudent to see an ENT specialist. They can perform a thorough examination of your throat and vocal cords to determine if there is any significant injury, inflammation, or other underlying issues.

2. Follow-Up with Your Gastroenterologist: Since you had the endoscopy for gastrointestinal issues, it’s also important to follow up with your gastroenterologist. They can assess whether your symptoms are related to the procedure or if they are a continuation of your underlying gastrointestinal condition.

3. Symptom Management: In the meantime, consider using throat lozenges, staying hydrated, and avoiding irritants such as smoke or strong odors. If you have been prescribed PPIs (proton pump inhibitors) for gastric issues, discuss with your doctor whether you should continue them, especially if you feel they are exacerbating your throat symptoms.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in voice, swallowing difficulties, or the sensation of tightness. If symptoms worsen or new symptoms arise, seek medical attention promptly.

5. Consider Speech Therapy: If hoarseness persists, a speech therapist can help you with vocal exercises and techniques to reduce strain on your vocal cords.

Conclusion
While throat discomfort after an endoscopy can be a common occurrence, it’s essential to monitor your symptoms and seek appropriate medical advice. An ENT specialist can provide insights into any potential injuries or conditions affecting your throat, while your gastroenterologist can help manage your underlying gastrointestinal issues. Don’t hesitate to reach out for help, as timely intervention can lead to better outcomes and peace of mind.

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