Persistent Throat Discomfort: When to See an ENT Specialist? - Otolaryngology

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Sensation of a foreign body in the throat?


Hello Doctor: Over two months ago, I underwent an endoscopy due to discomfort in my stomach and a sensation of a foreign body in my throat.
The results indicated gastroesophageal reflux disease (GERD) and a duodenal ulcer.
The doctor mentioned that the endoscopy revealed swollen lymph nodes in my throat, suggesting that the sensation of something being stuck in my throat is likely due to chronic inflammation caused by long-term acid reflux, which has led to the lymph nodes swelling.
However, after taking acid-reducing medication for over two months, I have not seen any improvement.
I do not experience pain when drinking water or eating, but I feel discomfort when swallowing if I haven't eaten.
Should I see an otolaryngologist for a detailed examination?

Yaling, 40~49 year old female. Ask Date: 2021/02/23

Dr. Zheng Jueyi reply Otolaryngology


Hello: You can visit the Otolaryngology department to check if there are any other issues with your throat and hypopharynx.
If no significant abnormalities are found, it is often related to gastroesophageal reflux disease (GERD).
In addition to medication management, dietary modifications should be emphasized, such as reducing the intake of sweets, coffee, tea, and so on, to gradually improve the condition.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/02/23

More Info


Persistent throat discomfort can be quite distressing, especially when it is linked to underlying conditions such as gastroesophageal reflux disease (GERD) and chronic inflammation. Given your situation, where you have already been diagnosed with GERD and a duodenal ulcer, it is understandable that you are concerned about the ongoing discomfort in your throat.

When it comes to throat discomfort, particularly when it persists despite treatment, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist. Here are several reasons why seeing an ENT may be beneficial for you:
1. Specialized Examination: ENT specialists are trained to examine the throat, larynx, and surrounding structures in detail. They can perform a laryngoscopy, which involves using a small camera to visualize the throat and vocal cords directly. This can help identify any abnormalities that may not be visible through other examinations.

2. Assessment of Lymphoid Tissue: Since your previous examination indicated swollen lymph nodes in your throat, an ENT can evaluate these more thoroughly. Swollen lymphoid tissue can be a sign of chronic inflammation or infection, and it is essential to determine the cause of this swelling.

3. Differentiating Causes: While GERD can cause throat discomfort due to acid irritation, other conditions such as allergies, infections, or even more serious issues like tumors can also lead to similar symptoms. An ENT can help differentiate between these potential causes and guide appropriate treatment.

4. Management of Chronic Conditions: If your throat discomfort is indeed related to GERD, an ENT can work in conjunction with your gastroenterologist to develop a comprehensive management plan. This may include lifestyle modifications, dietary changes, or additional medications that can help alleviate your symptoms.

5. Evaluation of Swallowing Issues: You mentioned discomfort when swallowing, especially when not eating. This symptom warrants further investigation, as it could indicate esophageal motility issues or other complications related to GERD. An ENT can assess your swallowing function and recommend appropriate tests if necessary.

6. Potential Referral for Additional Testing: If the ENT specialist suspects that your symptoms may be related to other conditions, they can refer you for additional testing, such as imaging studies or allergy testing, to get a clearer picture of what might be causing your throat discomfort.

In summary, given that your throat discomfort has persisted despite treatment for GERD, it would be prudent to see an ENT specialist. They can provide a thorough evaluation and help determine the best course of action for your symptoms. It is essential to address these issues promptly, as early intervention can lead to better outcomes and improved quality of life.
Remember to keep track of your symptoms, including when they occur and any potential triggers, as this information can be valuable for your healthcare provider. Additionally, if you experience any new symptoms such as difficulty breathing, severe pain, or significant changes in your voice, seek medical attention immediately.

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