Feeling of foreign body in the nasal cavity near the throat?
I would like to consult a physician.
I have a sensation of foreign body in my nasal cavity, feeling like something is stuck near my throat, and I feel a thick mucus trapped there.
I visited a hospital and consulted an otolaryngologist, who prescribed medication to alleviate the mucus (a pink, oval-shaped pill) and a nasal spray, but neither has been effective.
This symptom has persisted for six months and seems to be worsening.
I now feel that it is starting to affect my swallowing and breathing.
Which specialty should I consult, and what tests should I undergo?
Hong, 30~39 year old female. Ask Date: 2020/10/06
Dr. Zheng Jueyi reply Otolaryngology
Hello, it is recommended to continue visiting an otolaryngologist for examination.
If the oral medication combined with the nasal spray does not yield satisfactory results, saline nasal irrigation may be necessary.
Additionally, discomfort in the nasopharynx may be related to gastroesophageal reflux, so it is advisable to enhance dietary control or consult a gastroenterologist for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2020/10/06
More Info
Persistent nasal obstruction and the sensation of an obstruction in the throat can be quite distressing and may indicate underlying issues that need to be addressed. Given your symptoms, it is essential to approach this situation methodically to identify the root cause and find an effective treatment.
Recommended Medical Specialties
1. Otolaryngology (ENT): Since you have already consulted an ENT specialist, it is advisable to follow up with them, especially if your symptoms have worsened. An ENT doctor specializes in conditions related to the ear, nose, and throat, and they can provide a comprehensive evaluation of your nasal and throat issues.
2. Allergy and Immunology: If your symptoms are related to allergies, seeing an allergist might be beneficial. They can perform tests to determine if allergens are contributing to your nasal obstruction and throat discomfort.
3. Pulmonology: If you are experiencing significant breathing difficulties, a pulmonologist may be necessary to evaluate your respiratory function and rule out any underlying lung conditions.
Suggested Diagnostic Tests
1. Nasal Endoscopy: This procedure allows the doctor to visualize the nasal passages and throat directly. It can help identify any obstructions, polyps, or other abnormalities that may be causing your symptoms.
2. CT Scan of the Sinuses: A CT scan can provide detailed images of your sinuses and nasal passages, helping to identify any structural issues, such as sinusitis or nasal polyps.
3. Allergy Testing: If allergies are suspected, skin or blood tests can help identify specific allergens that may be causing your symptoms.
4. Pulmonary Function Tests: If you are experiencing breathing difficulties, these tests can assess how well your lungs are functioning.
Potential Causes of Your Symptoms
1. Chronic Sinusitis: This condition can lead to persistent nasal obstruction and post-nasal drip, which may cause discomfort in the throat. Symptoms often include facial pain, nasal congestion, and thick nasal discharge.
2. Nasal Polyps: These are non-cancerous growths in the nasal passages that can obstruct airflow and lead to a sensation of fullness or obstruction.
3. Allergic Rhinitis: Allergies can cause inflammation in the nasal passages, leading to congestion and a feeling of mucus accumulation.
4. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can cause throat discomfort and a sensation of mucus in the throat, which may be mistaken for nasal issues.
Management Strategies
1. Medications: If you have not found relief with the medications prescribed, discuss alternative options with your doctor. This may include stronger antihistamines, corticosteroids, or even leukotriene inhibitors if allergies are involved.
2. Nasal Irrigation: Using saline nasal sprays or a neti pot can help clear mucus and allergens from the nasal passages, providing relief from obstruction.
3. Avoiding Irritants: Identify and avoid potential irritants such as smoke, strong odors, or allergens that may exacerbate your symptoms.
4. Hydration: Staying well-hydrated can help thin mucus, making it easier to clear from your nasal passages and throat.
5. Follow-Up: Given that your symptoms have persisted for six months and are worsening, it is crucial to follow up with your healthcare provider promptly. They may need to reassess your condition and consider more aggressive treatment options.
In summary, persistent nasal obstruction and throat discomfort can stem from various causes, and a thorough evaluation by an ENT specialist is essential. Diagnostic tests can help pinpoint the issue, and appropriate management strategies can lead to significant improvement in your symptoms. Don't hesitate to seek further medical advice, especially if your condition continues to affect your quality of life.
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