Persistent Throat Discomfort After Tonsil Surgery

Oral issues

Hello Doctor, I would like to ask for your advice.
I have been experiencing a sensation of a foreign body for over three months.
In early April, I underwent a bilateral tonsillectomy and uvulopalatopharyngoplasty.
Prior to the surgery, I already had a mild sensation of a foreign body, and now, three months post-operation, the sensation has worsened.
I often feel like there is something in the pharyngeal wall just below the nasopharynx, and it can be painful.
Sometimes, it feels like it is in a different location, making it difficult to pinpoint.
I have touched the pharyngeal wall, and I am wondering if the tissue inside feels hard or if there is bone, as it feels round and firm with slight protrusion.
I am concerned that there might be something abnormal growing inside.
What kind of examination would be appropriate? I have already followed up with the surgical hospital, but it is located in the southern part of Taiwan, making it difficult to return immediately for any issues.
During my follow-up on June 28, the doctor suggested that it might be caused by gastroesophageal reflux, and I have been taking medication for two weeks without improvement.
My next follow-up is at the end of the month, but the sensation of a foreign body and the pain are quite distressing.
Additionally, I feel like there is a constant inflammation in a certain area inside my mouth when it is closed, but I cannot identify the exact location.
This ongoing worry is affecting my daily life, and I am particularly concerned about the possibility of something abnormal developing in the floor of my mouth.
If I opt for a self-paid MRI of the head and neck, will it provide a clear view of all areas? Please help me analyze this situation.
Thank you.

Miss Lin, 40~49 year old female. Ask Date: 2021/07/10

Dr. Zeng Guanghui reply Dentistry

It is recommended to return for a follow-up appointment with an otolaryngologist to check for any signs of inflammation or infection at the surgical site.
Director Tseng Guang-hui from the Dental Department of Nantou Hospital.

Reply Date: 2021/07/10

More Info

Persistent throat discomfort after tonsil surgery can be a challenging issue to navigate, especially when it has been ongoing for several months. Your symptoms, including the sensation of a foreign body, pain, and discomfort in the throat, are not uncommon following tonsillectomy and uvulopalatoplasty. Here’s a comprehensive overview of what might be happening and how you can approach this situation.

Understanding Your Symptoms
1. Post-Surgical Healing: After tonsil surgery, the throat undergoes significant healing. The tissues in the throat can be sensitive and inflamed for an extended period. This healing process can lead to sensations of tightness, discomfort, or the feeling of something being stuck in the throat.

2. Nerve Sensitivity: Surgical procedures can sometimes lead to increased sensitivity in the nerves of the throat. This can manifest as pain or discomfort that feels like a foreign body sensation.
3. Gastroesophageal Reflux Disease (GERD): As your doctor suggested, acid reflux can contribute to throat discomfort. Stomach acid can irritate the lining of the throat, leading to sensations of pain or a lump in the throat. If you have not noticed improvement with proton pump inhibitors or other reflux medications, it may be worth discussing alternative treatments or further evaluation with your healthcare provider.

4. Scar Tissue Formation: Following surgery, scar tissue can develop, which may cause a sensation of tightness or discomfort. This is particularly true if the surgery involved significant manipulation of the tissues in the throat.

5. Infection or Inflammation: Although it has been three months since your surgery, there is still a possibility of residual inflammation or even a low-grade infection that could be contributing to your symptoms.

Diagnostic Considerations
Given your concerns about the hardness you feel in your throat, it is essential to have a thorough examination. Here are some steps you can take:
1. Follow-Up with Your Surgeon: Since you have a scheduled follow-up appointment, it is crucial to communicate all your symptoms clearly. If possible, keep a diary of your symptoms, noting when they occur and any potential triggers.

2. Imaging Studies: If your symptoms persist and your doctor suspects structural issues, imaging studies such as an MRI or CT scan of the neck may be warranted. These can help visualize any abnormalities in the soft tissues of the throat.

3. Endoscopy: A laryngoscopy or flexible endoscopy can provide direct visualization of the throat and larynx. This procedure allows the doctor to assess for any abnormalities, such as lesions or signs of inflammation.

4. Allergy Testing: Sometimes, allergies can exacerbate throat discomfort. If you suspect this might be a factor, discussing allergy testing with your doctor could be beneficial.

Management Strategies
1. Medications: Continue any prescribed medications for reflux and discuss with your doctor if adjustments are needed. Over-the-counter antihistamines may help if allergies are suspected.

2. Hydration and Humidification: Keeping your throat moist can alleviate discomfort. Consider using a humidifier in your home and drinking plenty of fluids.

3. Dietary Adjustments: Avoiding spicy, acidic, or irritating foods may help reduce symptoms related to reflux or throat irritation.

4. Relaxation Techniques: Stress and anxiety can exacerbate the perception of pain. Techniques such as deep breathing, meditation, or gentle yoga may help manage stress levels.

5. Physical Therapy: In some cases, physical therapy focused on the neck and throat can help alleviate discomfort and improve function.

Conclusion
Persistent throat discomfort after tonsil surgery can stem from various factors, including healing processes, nerve sensitivity, and potential reflux issues. It is essential to maintain open communication with your healthcare provider, follow up on your symptoms, and consider further diagnostic evaluations if necessary. Your quality of life is paramount, and addressing these concerns with a comprehensive approach will help you find relief.

Similar Q&A

Understanding Persistent Throat Pain After Tonsillectomy: Causes and Solutions

Hello Doctor, I have been suffering from chronic inflammation of the left tonsil and underwent a bilateral tonsillectomy on April 1st. It has been over a month and a half since the surgery, but I still experience pain in the area where the left tonsil used to be. Additionally, ab...

Dr. Zheng Jueyi reply Otolaryngology
Hello, 1. Currently, there are no significant abnormal findings in the photographs. 2. There are many factors that can cause a sensation of a foreign body in the throat, including postoperative effects, post-nasal drip, gastroesophageal reflux, or sensitivity to air pollution....

Understanding Post-Tonsillectomy Throat Discomfort and Concerns

Hello Doctor, I apologize for bothering you again. I would like to ask for your help regarding my condition. It has been four months since I underwent a bilateral tonsillectomy, and during this time, I have been experiencing discomfort, particularly in the left palatoglossal arch...

Dr. Zheng Jueyi reply Otolaryngology
Hello, if the clinical physician has examined you and found no obvious issues, you can generally feel reassured. However, if you still have concerns about other abnormalities, you may consider opting for a self-paid health check, including an MRI of the head and neck and a whole-...

Post-Tonsillectomy Concerns: Pain and Recovery Insights

Hello, doctor. I was hospitalized in May of this year due to tonsillitis with purulent infection and high fever, and I received antibiotic treatment. Afterward, I switched to oral Augmentin 1g twice a day, but every time I stopped the medication, the symptoms would recur. This si...

Dr. Zheng Jueyi reply Otolaryngology
Hello: If there is no obvious fever and the pain is gradually improving, it is generally considered a normal phenomenon. However, if the pain continues to worsen, it is advisable to return for an earlier check-up. Before the wound is completely healed, it is recommended to rinse ...

Understanding Symptoms of Throat Discomfort After Tonsillitis

Hello, Doctor. The discomfort in my throat has improved significantly, but I still feel a slight unease. After visiting my physician again and discussing my condition, the doctor mentioned that my previous tonsillitis caused swelling that affected the lymphatic tissue. Since reco...

Dr. Zheng Jueyi reply Otolaryngology
Hello, 1. This is indeed possible, and it will take some time. 2. If you are not feeling very uncomfortable, medication may not be necessary. Maintaining a regular routine, avoiding irritating foods, and drinking plenty of water should help the inflammation gradually improve. ...