Throat Discomfort: When to Seek ENT Evaluation - Otolaryngology

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My throat feels strange?


Hello Doctor: Recently, I have been experiencing a sensation of a foreign body in my throat, but there is no pain or swelling.
I would like to know if I need to undergo an endoscopy to examine the deeper parts of my throat.
The sensation of a foreign body comes and goes; sometimes I can feel it, and sometimes I cannot.
Could this be related to stomach acid or stress?

QQQ, 20~29 year old female. Ask Date: 2020/05/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: Chronic pharyngitis is common and is associated with smoking, gastroesophageal reflux, or postnasal drip.
If symptoms persist without improvement, you may consider visiting an otolaryngologist or a gastroenterologist 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: 2020/05/13

More Info


When experiencing throat discomfort, particularly an unusual sensation of a foreign body without pain or swelling, it is essential to consider various factors that could contribute to this feeling. Your inquiry raises important points regarding the need for an ENT (Ear, Nose, and Throat) evaluation and the potential causes of your symptoms.

Firstly, the sensation of a lump or foreign body in the throat, often referred to as "globus sensation," can arise from several conditions. While it is common for individuals to experience this sensation intermittently, it is crucial to understand the underlying causes. One potential cause is gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, leading to irritation and discomfort in the throat. Stress and anxiety can also exacerbate this sensation, as they may lead to muscle tension in the throat area.

Regarding your question about the necessity of an endoscopy (gastroscopy) to visualize the deeper structures of the throat, it is not always required. An ENT specialist can perform a thorough examination of your throat using a laryngoscope, a tool that allows them to see the throat and vocal cords without the need for a more invasive procedure. This examination can help identify any abnormalities, such as inflammation, lesions, or signs of reflux.

If your symptoms persist or worsen, it is advisable to seek an ENT evaluation. The specialist may recommend additional tests, including a laryngoscopy, to assess the throat's condition more accurately. In some cases, they might suggest a referral to a gastroenterologist if they suspect that GERD or another gastrointestinal issue is contributing to your symptoms.

In the meantime, there are several self-care strategies you can employ to alleviate throat discomfort. Staying hydrated by drinking plenty of water can help soothe the throat. Avoiding irritants such as smoke, strong odors, and spicy foods may also reduce discomfort. If you suspect that stress is a contributing factor, practicing relaxation techniques such as deep breathing, meditation, or yoga can be beneficial.

In summary, while the sensation of a foreign body in the throat can be concerning, it is often manageable and may not require invasive procedures like a gastroscopy initially. However, if symptoms persist, an ENT evaluation is warranted to rule out any serious underlying conditions. Remember, early intervention can lead to better outcomes, so do not hesitate to seek medical advice if your discomfort continues.

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