Feeling of a Foreign Object in the Throat: Causes and Concerns - Otolaryngology

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There is a persistent sensation of a foreign body stuck in the throat?


Hello, Doctor.
On Monday, while eating a chicken leg, I felt like I swallowed a bone.
Since then, I've experienced a sore throat and a prickling sensation when swallowing.
I came to ask for advice, and the doctor replied that if something was truly lodged, the pain would worsen over the next few days, along with difficulty breathing, swallowing difficulties, fever, etc.
However, I haven't experienced any of those symptoms.
Over the past few days, I've felt like the location of the suspected lodged bone has changed, moving from the left side near my jaw to the left side of my neck, and then yesterday it shifted to the right side of my neck.
This morning, I initially felt that all the discomfort had alleviated, but when I had edamame at noon, I suddenly felt a foreign body sensation again.
Later, that sensation subsided, but during dinner, I felt a prickling sensation with every bite I swallowed.
Now, the sensation of a foreign body feels very strong.
I searched online and found no cases of edamame shells getting lodged in the throat.
Is it possible for an edamame shell to get stuck in the throat? What would happen if it did? I still feel uncomfortable, as if something is stuck there, and I can't tell if it's the original bone or if I actually got an edamame shell stuck.
I am sure I chewed everything thoroughly before swallowing.
Is there something wrong with my throat, or could it be that I've been under a lot of stress lately, leading to anxiety and overthinking? Sorry for the lengthy explanation, and thank you, Doctor.

Teresawu, 20~29 year old female. Ask Date: 2021/06/04

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the situation you described may be due to esophageal ulcers, foreign bodies, or chronic pharyngitis, among other conditions.
It is recommended to undergo an endoscopic examination to rule out the presence of masses or foreign objects, as well as to receive appropriate medication treatment.
In addition to medication, please pay attention to the following daily living precautions: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and good health.

Reply Date: 2021/06/04

More Info


Feeling a sensation of a foreign object in the throat can be quite distressing and is often referred to as "globus sensation." This feeling can arise from various causes, and understanding these can help alleviate your concerns.


Possible Causes
1. Physical Obstruction: The most immediate concern is the possibility of a physical obstruction, such as a piece of food or bone. In your case, you mentioned feeling as if you swallowed a chicken bone, which could potentially cause irritation or injury to the throat. If a bone were to become lodged, it could lead to pain, difficulty swallowing, and even infection if not addressed. However, you noted that you have not experienced severe symptoms like difficulty breathing or swallowing, which is a positive sign.

2. Irritation or Inflammation: Eating sharp or hard foods can irritate the lining of the throat. This irritation can lead to a sensation of something being stuck, even if there is nothing physically lodged. The throat can also become inflamed due to allergies, infections, or gastroesophageal reflux disease (GERD), which can contribute to this sensation.

3. Muscle Tension: Stress and anxiety can lead to muscle tension in the throat, which may create a feeling of tightness or discomfort. If you are experiencing increased stress, this could be a contributing factor to your symptoms. The mind-body connection is powerful, and anxiety can manifest physically in various ways, including the sensation of a lump in the throat.

4. Psychological Factors: Sometimes, the sensation of a foreign object can be linked to psychological factors. If you are preoccupied with the idea of having something stuck in your throat, this can exacerbate the feeling, leading to a cycle of anxiety and discomfort.


What to Do
1. Monitor Symptoms: Keep track of your symptoms. If they worsen or if you develop new symptoms such as severe pain, difficulty swallowing, or fever, it is essential to seek medical attention promptly.

2. Stay Hydrated: Drinking plenty of fluids can help soothe the throat and may assist in clearing any minor irritations.

3. Relaxation Techniques: If stress is a contributing factor, consider practicing relaxation techniques such as deep breathing, meditation, or gentle neck stretches to relieve tension.

4. Avoid Irritants: Try to avoid foods that are sharp or hard until your throat feels better. Soft foods may be easier to swallow and less likely to irritate the throat.

5. Consult a Healthcare Provider: If the sensation persists or if you have concerns about a possible obstruction, it is advisable to consult a healthcare provider. They may perform a physical examination or recommend imaging studies to rule out any serious issues.


Conclusion
While the sensation of a foreign object in the throat can be alarming, it is often related to irritation, muscle tension, or psychological factors rather than a serious obstruction. However, it is crucial to listen to your body and seek medical advice if your symptoms do not improve or if you have any concerns. Taking proactive steps to manage stress and monitor your symptoms can help you feel more in control and alleviate discomfort.

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