Throat Reflex Loss and Abnormal Secretions: ENT Insights - Otolaryngology

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My throat feels strange?


Hello Doctor: Thank you for taking the time to answer my questions.
I have noticed that my gag reflex seems to be absent.
For instance, during an endoscopy, when something passes through the throat, it usually triggers a vomiting response, but I have found that I no longer have this reflex.
Additionally, whenever I eat, I notice a white, shiny substance, and sometimes a brownish material emerges from the side of my throat.
Could this be related to a pink, thread-like substance I previously expelled from the side of my throat, possibly connected to small red nerves? Could that be lymphatic vessels? And is the secretion I am experiencing lymph fluid? Because this fluid is not something I coughed up; it seems to be secreted by my body.
Are there other tissues in the throat that could be involved? Furthermore, I have noticed that when swallowing on the right side of my throat, I do not feel anything there, but I can sense something flowing down towards my right lung.
Thank you for your help!

Miss Lin, 20~29 year old female. Ask Date: 2021/02/01

Dr. Ji Zhaoyun reply Otolaryngology


Hello, based on your description, it is advisable to consult an otolaryngologist for an endoscopic examination if the symptoms persist.

Reply Date: 2021/02/01

More Info


The symptoms you are experiencing, including the loss of your throat reflex and the abnormal secretions, can be concerning and warrant further investigation. The throat reflex, also known as the gag reflex, is an important protective mechanism that helps prevent choking and aspiration. Its loss can be attributed to various factors, including neurological conditions, muscle weakness, or damage to the nerves that control this reflex.
The presence of abnormal secretions, particularly the white and brownish substances you mentioned, could indicate several underlying issues. These secretions might be mucus, which can be produced in excess due to inflammation or irritation of the throat, possibly from infections, allergies, or other irritants. The fact that you have noticed these secretions alongside the loss of your gag reflex suggests that there may be an underlying condition affecting your throat and its normal function.

Regarding the pinkish and red strands you described, it is essential to differentiate between various types of tissue. The presence of red or pink strands could be indicative of bleeding or inflammation in the throat, which might be related to the lymphatic system, as you suggested. However, without a thorough examination, it is difficult to ascertain the exact nature of these strands. They could be related to the mucosal lining of the throat or even small blood vessels that have ruptured due to irritation or trauma.

The sensation of something flowing down into your right lung could be a sign of aspiration, which occurs when food, liquid, or secretions enter the airway instead of the esophagus. This can lead to serious complications, including aspiration pneumonia. It is crucial to address this symptom promptly, as it can pose significant health risks.

In terms of the lymphatic system, it is important to note that lymphatic fluid is typically not secreted from the throat in the manner you described. Instead, lymphatic fluid is part of the immune system and helps transport white blood cells and remove waste products. If you are experiencing unusual secretions, it is more likely related to mucus production or other secretions from the throat or respiratory tract.

Given the complexity of your symptoms, I strongly recommend that you consult with an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, which may include a laryngoscopy to visualize the throat and assess for any abnormalities. Additionally, they may recommend imaging studies or other diagnostic tests to determine the underlying cause of your symptoms.

In the meantime, it may be helpful to keep track of any additional symptoms you experience, such as pain, difficulty swallowing, or changes in your voice. This information can be valuable for your healthcare provider in diagnosing and treating your condition effectively.

Overall, while some of your symptoms may be benign, the combination of a lost gag reflex and abnormal secretions should not be overlooked. Seeking medical attention is the best course of action to ensure your health and safety.

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