Throat Sensitivity and Aspiration Risks in ENT Health - Otolaryngology

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About the throat?


Recently, I have been experiencing throat sensitivity due to eating spicy food, which causes irritation.
I'm not sure why this is happening.
Additionally, I would like to ask what happens if liquids enter the lungs and trachea? I have not experienced coughing, fever, phlegm, shortness of breath, or a foreign body sensation.
I also tried using a treadmill for 15 minutes and did not feel out of breath, only noticed my breathing rate.

Wanfu, 30~39 year old female. Ask Date: 2020/09/21

Dr. Zheng Jueyi reply Otolaryngology


Hello: Chronic pharyngitis is common and may be related to gastroesophageal reflux, smoking, or a diet that is too spicy.
It is recommended to drink plenty of water and adjust your lifestyle.
If symptoms persist without improvement, it is advisable to seek medical evaluation.
Wishing you peace and health.
Dr.
Cheng Jue-Yi, Head of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/09/21

More Info


Throat sensitivity, especially after consuming spicy foods, can be attributed to several factors. Spicy foods often contain compounds like capsaicin, which can irritate the mucous membranes in the throat, leading to a heightened sensitivity or discomfort. This irritation can manifest as a burning sensation, a feeling of tightness, or even a sensation of something being stuck in the throat. In some cases, individuals may experience a reflexive cough or a sensation of needing to clear their throat, which can be exacerbated by the spiciness of the food.

When it comes to the risk of aspiration, which refers to the inhalation of food, liquid, or other substances into the lungs, it is essential to understand the body's response. If a small amount of liquid, such as soup or water, enters the trachea (the windpipe), the body's natural reflex is to cough. This reflex is a protective mechanism designed to expel foreign materials from the airway. In your case, since you mentioned not experiencing any cough, fever, phlegm, or shortness of breath, it is likely that the liquid did not enter your lungs significantly or that your body effectively managed to clear it.

However, if aspiration occurs, it can lead to several potential complications. The most common immediate reaction is a cough, which helps to clear the airway. If the aspiration is significant or if the aspirated material is particularly irritating (like spicy soup), it can lead to aspiration pneumonia, a condition where the lungs become inflamed due to the presence of foreign material. Symptoms of aspiration pneumonia may include coughing, fever, difficulty breathing, and chest pain.
In your case, since you have not experienced any of these symptoms, it is a positive sign. However, it is important to remain vigilant. If you ever experience persistent coughing, fever, or difficulty breathing after an incident of aspiration, it is crucial to seek medical attention promptly.

Additionally, if you find that certain foods consistently cause throat sensitivity or discomfort, it may be wise to limit their intake or consult with a healthcare professional, such as an ENT specialist. They can assess your throat and provide recommendations tailored to your specific situation.
In summary, throat sensitivity after consuming spicy foods can be a common issue due to irritation of the mucous membranes. Aspiration risks exist, but your body's reflexes typically manage small amounts of liquid effectively. If you have concerns about throat sensitivity or aspiration, consulting with a healthcare provider can provide clarity and guidance.

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