Throat Issues: When to Seek Medical Advice - Otolaryngology

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Throat issues


Hello Doctor: I apologize for asking again after our previous consultation.
Four days ago, I underwent an upper gastrointestinal endoscopy, and my throat feels a bit injured.
Here are the photos I took tonight (the white areas are remnants of food): https://i.imgur.com/0X2jdVv.jpg https://i.imgur.com/si4kOE4.jpg https://i.imgur.com/ZzQChs9.jpg.
From the photos, it seems that there has been some improvement over the past four days, but I still have persistent pain on both sides, with the left side (right side of the image) being more severe.
It's not at the level where I need to take pain medication, but it is uncomfortable.
I would like to ask the doctor if there are any issues with my throat based on tonight's photos (such as inflammation, infection, tumors, abscesses, follicular hyperplasia, etc.).
I want to avoid wasting medical resources and taking unnecessary medications, so I would like to ask online first and observe.
If there are any issues, I will seek in-person consultation.
Thank you, Doctor!

Hua, 30~39 year old female. Ask Date: 2019/05/01

Dr. Zheng Jueyi reply Otolaryngology


Hello: After examination, mild throat inflammation is a normal finding, and there are currently no obvious tumors.
If you have no discomfort, you may observe it on your own.
If you are concerned, it is advisable to visit a clinic for further evaluation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/05/01

More Info


When it comes to throat issues, particularly after a procedure like an endoscopy, it is essential to be vigilant about any symptoms that may arise. Based on your description and the images you provided, it seems that you are experiencing persistent pain in your throat, especially on the left side, four days post-procedure. While it is encouraging that the condition appears to have improved somewhat, the ongoing discomfort warrants careful consideration.

Firstly, it is important to understand that after an endoscopy, some degree of soreness or discomfort in the throat is common due to the instruments used during the procedure. However, if the pain persists or worsens, it could indicate a more serious issue, such as inflammation, infection, or even complications like a hematoma or abscess.

In your case, the fact that you are experiencing significant pain on one side could suggest localized inflammation or irritation. The presence of white residue in your throat, as seen in your images, could be food particles or mucus, but it could also indicate a potential infection or other underlying issues. Here are some key points to consider:
1. Signs of Infection: If you notice symptoms such as fever, increased swelling, difficulty swallowing, or the development of a foul taste or odor, these could be signs of an infection that requires medical attention.

2. Duration of Symptoms: Since it has been four days and you are still experiencing discomfort, it may be prudent to consult a healthcare professional. While some soreness is expected, persistent pain that does not improve could necessitate further evaluation.

3. Self-Care Measures: In the meantime, you can try some self-care measures to alleviate discomfort. Gargling with warm salt water, staying hydrated, and avoiding irritants such as smoking or strong spices can help soothe your throat.

4. When to Seek Medical Attention: If your symptoms worsen, or if you develop new symptoms such as difficulty breathing, severe pain, or swelling, you should seek medical attention immediately. Additionally, if the pain becomes unbearable or if you are unable to eat or drink due to discomfort, it is advisable to consult a healthcare provider sooner rather than later.

5. Follow-Up Care: If you are still uncertain about the need for further medical evaluation, consider reaching out to your healthcare provider for advice. They may recommend a follow-up appointment to assess your throat and ensure that there are no complications from the endoscopy.

In conclusion, while some discomfort after an endoscopy is normal, persistent pain, especially if localized, should not be ignored. Monitoring your symptoms closely and being proactive about seeking medical advice when necessary is crucial for your health. If you have any doubts or concerns, it is always better to err on the side of caution and consult a medical professional for a thorough evaluation.

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