Sore throat
Hello doctor, four days ago I started experiencing a sharp pain in my throat when drinking water.
Yesterday, I visited a nearby family medicine clinic and found that there was a white sore behind my tonsils.
The doctor suggested it might be caused by food.
I recalled that I ate fish four days ago and might have been pricked by a bone.
However, I have been taking medication since then, and there has been no improvement.
Is it possible that a fish bone got lodged in the wound, causing it to be undetectable by the doctor?
Huang Zhanghan, 10~19 year old female. Ask Date: 2021/07/23
Dr. Zheng Jueyi reply Otolaryngology
Hello, if your sore throat does not improve after completing the medication, or if the sore throat continues to worsen and is accompanied by a fever, it is recommended that you visit an otolaryngologist for further examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/07/23
More Info
It sounds like you are experiencing significant discomfort in your throat, and your concern about a fish bone being stuck is quite valid. When you consume fish, especially those with small, sharp bones, there is a risk of these bones getting lodged in the throat or esophagus. This can lead to pain, irritation, and even infection if not addressed promptly.
Based on your description, the pain you felt when drinking water and the presence of a white sore behind your tonsils could indicate a few possibilities. One common scenario is that a fish bone may have indeed lodged itself in your throat, causing localized irritation and potentially leading to a secondary infection or inflammation. The white area you mentioned could be a sign of tissue irritation or a small ulcer that has developed due to the trauma from the bone.
However, it is also possible that the pain is due to a different cause, such as viral or bacterial pharyngitis, especially if you have been experiencing other symptoms like fever or swollen lymph nodes. The fact that you have been taking medication without improvement raises the concern that there may be a foreign body (like a fish bone) that is not easily visible or has not been adequately addressed.
To answer your question directly: Yes, it is possible that a fish bone could be lodged in your throat and not visible during a routine examination. Fish bones can sometimes be difficult to detect, especially if they are small or if they have caused minimal damage to the surrounding tissues. If the bone is still present, it could lead to ongoing pain and discomfort, and it may require further intervention.
Given your symptoms and the lack of improvement with medication, I recommend that you seek further medical evaluation. An otolaryngologist (ear, nose, and throat specialist) would be the most appropriate specialist to consult in this case. They can perform a more thorough examination, potentially using imaging techniques such as X-rays or a flexible endoscopy, which allows for a direct view of the throat and esophagus. This can help determine if a fish bone is indeed present and if any further treatment is necessary.
In the meantime, avoid consuming any hard or sharp foods that could exacerbate the irritation in your throat. Staying hydrated and using warm salt water gargles may provide some temporary relief. If you experience worsening symptoms, such as difficulty swallowing, increased pain, or fever, seek immediate medical attention.
In summary, while it is possible that a fish bone is causing your symptoms, a thorough evaluation by a specialist is essential to confirm the diagnosis and determine the appropriate course of action. Your health and comfort are paramount, so do not hesitate to pursue further medical care.
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