Throat Pain and Swallowing Sensations After a Cold - Otolaryngology

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Throat and eating issues?


Hello, Doctor.
Before the long holiday, I had a lot of nasal discharge and visited an ENT specialist.
The doctor said I had a mild cold and allergic rhinitis, but my throat did not show signs of inflammation.
However, I experienced pain near the base of my tongue, which made me feel like my throat was sore.
The doctor prescribed an oral ointment and advised me to get plenty of rest.
I am a bit curious—could it be that the nerves in that area are connected, which is why I mistakenly thought I had throat inflammation? Now that I've finished the medication, the pain has subsided, but sometimes I still feel a sudden dryness in my throat, and when I swallow apples, I can feel them passing through my esophagus.
Is this normal? I usually don't pay attention to the sensations while swallowing, but recently, after coming home from school and watching the news, my throat felt a bit strange, which made me anxious.
I asked my family, and they said I was overthinking it; swallowing is a normal process.
So, I would like to ask you, Doctor, is it normal to feel sensations in my throat or esophagus while swallowing? Or is it possible that my cold hasn't fully resolved? The last time the doctor said I wouldn't need a follow-up after finishing the medication since the pain would be gone.
Thank you.

Chen, 10~19 year old female. Ask Date: 2020/04/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no obvious pain, it should be a normal physiological phenomenon.
You can start by drinking more water and there is no need to overly focus on the swallowing sensation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/06

More Info


Hello! Thank you for your detailed description of your symptoms. It sounds like you've been experiencing some discomfort in your throat and swallowing sensations following a recent cold and allergy-related issues. Let's break down your concerns and provide some clarity.

Firstly, it's not uncommon for individuals recovering from a cold or experiencing allergic rhinitis to have lingering sensations in the throat. The throat and the nasal passages are interconnected, and inflammation or irritation in one area can often lead to sensations in another. In your case, the pain near the base of your tongue could be due to several factors, including irritation from post-nasal drip, which is common during colds and allergies. This can lead to a sore throat or a feeling of discomfort that may mimic throat inflammation.

The fact that your doctor did not observe any inflammation in your throat is a positive sign. It suggests that while you may have experienced discomfort, there may not be a significant underlying infection. The "holes" or ulcers you mentioned at the base of your tongue could be a result of irritation or even minor trauma, which can occur if you've been coughing or clearing your throat frequently.

Regarding the sensations of your throat feeling "tight" or "dry," this can also be attributed to post-nasal drip or even anxiety about your symptoms. When we become more aware of our bodies, especially after experiencing discomfort, we may start to notice sensations that we previously overlooked. The feeling of something "sticking" in your throat when swallowing, particularly with certain foods like apples, can be a normal sensation, especially if the food is dry or if you're feeling anxious about swallowing.
It's important to note that the esophagus and throat are designed to handle the passage of food, and unless you are experiencing significant pain, difficulty swallowing, or other alarming symptoms (like persistent pain, fever, or weight loss), it is likely that what you are experiencing is within the realm of normal post-viral recovery.

If your symptoms have improved with the medication prescribed by your doctor and you are no longer experiencing pain, that is a good indication that your body is healing. However, if you continue to feel discomfort or if new symptoms arise, it would be wise to follow up with your healthcare provider for further evaluation. They may consider additional tests or examinations to rule out any other conditions, such as gastroesophageal reflux disease (GERD), which can also cause similar sensations.

In summary, while your throat sensations may feel concerning, they are likely related to your recent cold and allergies. As your body continues to recover, these sensations should diminish. Staying hydrated, avoiding irritants, and practicing good throat care (like warm salt water gargles) can help soothe any lingering discomfort. If you have any further concerns or if symptoms persist, don't hesitate to reach out to your healthcare provider for reassurance and guidance. Take care!

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