Persistent Throat Irritation: Causes and Solutions

There is a persistent sensation of throat irritation (not actual choking)?

Hello, Dr.
Chi: For the past two weeks, I have been experiencing a sensation in my throat that feels like I am choking, although I am not actually choking.
It’s just that lingering feeling.
Sometimes I try to cough to clear that sensation, but it doesn’t help much.
My throat also feels dry (sometimes I feel the urge to cough, but it’s not overwhelming; I have to consciously cough it out).
When I eat or drink, I feel like I easily swallow air, which makes me want to burp to release the air.
Occasionally, I also feel a sensation of trapped air in my chest that I can’t expel, but when I lie down to sleep, everything feels normal and I don’t have any discomfort.
Currently, I do not have any other cold symptoms (I previously visited a clinic for a cold).
I would like to know what these symptoms might indicate or if you have any recommendations for which clinic I should visit for further examination.
Thank you very much.

Xuen, 30~39 year old female. Ask Date: 2020/05/08

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the situation you mentioned may be indicative of chronic pharyngitis.
It is recommended to seek medical attention for a laryngoscopy to rule out any masses, as well as to consider pharmacological treatment.
In addition to medication, please pay attention to the following lifestyle recommendations: avoid lying down for two hours after eating, and refrain from consuming coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you peace and good health.

Reply Date: 2020/05/08

More Info

Persistent throat irritation can be a frustrating and uncomfortable experience, and it can arise from various causes. Based on your description, it seems that you are experiencing a sensation of throat irritation, dryness, and occasional difficulty swallowing, which may be accompanied by the feeling of air being trapped in your chest. Here are some potential causes and solutions for your symptoms.

Possible Causes
1. Gastroesophageal Reflux Disease (GERD): One of the most common causes of throat irritation is GERD, where stomach acid flows back into the esophagus, leading to irritation and a sensation of something stuck in the throat. This can also cause a dry throat and the feeling of needing to cough.

2. Postnasal Drip: Allergies or sinus infections can lead to postnasal drip, where mucus drips down the back of the throat, causing irritation and a cough reflex. This can also lead to a dry throat sensation.

3. Allergies: Seasonal allergies or reactions to environmental irritants (like dust, smoke, or strong odors) can lead to throat irritation and dryness.

4. Dehydration or Dry Air: Insufficient hydration or exposure to dry air, especially in winter months or in air-conditioned environments, can lead to a dry throat.

5. Muscle Tension: Stress and anxiety can lead to muscle tension in the throat area, causing discomfort and the sensation of tightness or irritation.

6. Infections: While you mentioned not having any cold symptoms, viral infections can sometimes cause lingering throat irritation even after other symptoms have resolved.

Suggested Solutions
1. Hydration: Ensure you are drinking plenty of fluids throughout the day. Warm teas with honey can be soothing for the throat.

2. Humidifier: Using a humidifier in your home can help add moisture to the air, which may alleviate dryness in your throat.

3. Avoid Irritants: Try to avoid smoke, strong odors, and allergens that may exacerbate your symptoms. If you have known allergies, consider using antihistamines.

4. Dietary Changes: If GERD is suspected, consider avoiding spicy, acidic, or fatty foods that may trigger reflux. Eating smaller, more frequent meals can also help.

5. Throat Lozenges: Over-the-counter throat lozenges can provide temporary relief from irritation.

6. Consult a Specialist: If your symptoms persist, it may be beneficial to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination and may recommend tests such as a laryngoscopy to visualize your throat and vocal cords.

7. Gastroenterologist Referral: If GERD is suspected, a referral to a gastroenterologist may be warranted for further evaluation and management, which could include lifestyle modifications and medications.

8. Stress Management: If muscle tension is a concern, consider stress-reduction techniques such as yoga, meditation, or deep-breathing exercises.

Conclusion
Persistent throat irritation can stem from a variety of causes, and understanding the underlying issue is crucial for effective treatment. It is advisable to monitor your symptoms closely and consult a healthcare professional if they persist or worsen. They can provide a tailored approach to your situation, ensuring that any underlying conditions are addressed appropriately.

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