the Sensation of a Foreign Body in the Throat

Foreign body sensation in the upper throat?

Hello Doctor, I often experience mild nasal congestion and wake up in the morning with phlegm, which can be colorless at times and thick and dark at other times.
However, about a month ago, I suddenly felt a sensation of a foreign body in my throat, and it feels particularly dry.
Despite continuously drinking water, there has been no improvement.
At night, when I lie down, the sensation of the foreign body becomes more intense, and my breathing feels somewhat obstructed as if the foreign body is pressing against me.
I feel like phlegm is constantly flowing and I want to swallow, but sitting up helps a lot.
When I lie down again, I continue to have difficulty relaxing and falling asleep.
Doctor, what symptoms could this be? How can I improve this condition? Thank you.

Jane, 30~39 year old female. Ask Date: 2021/08/03

Dr. Li Jiaxuan reply Otolaryngology

Please provide the content you would like me to translate into English

Reply Date: 2021/08/03

More Info

The sensation of a foreign body in the throat, often described as a feeling of something lodged or stuck, can be quite distressing and is commonly referred to as "globus sensation" or "globus pharyngeus." This condition can arise from various underlying causes, and understanding these can help in managing the symptoms effectively.

Possible Causes
1. Postnasal Drip: Given your history of nasal congestion and phlegm production, postnasal drip could be a significant contributor. Mucus from the nasal passages can drip down the back of the throat, leading to irritation and a sensation of fullness or a foreign body feeling.

2. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause irritation in the throat and esophagus, leading to a sensation of something being stuck. This is often accompanied by other symptoms such as heartburn or regurgitation.

3. Allergies or Sinusitis: Allergic reactions or sinus infections can lead to inflammation and mucus production, which may contribute to the sensation of a foreign body in the throat.

4. Anxiety and Stress: Psychological factors can also play a role. Anxiety can manifest physically, leading to muscle tension in the throat and a heightened awareness of sensations that might otherwise go unnoticed.

5. Throat Infections or Inflammation: Conditions such as pharyngitis or tonsillitis can cause swelling and discomfort in the throat, contributing to the sensation of a foreign body.

6. Muscle Tension: Chronic tension in the muscles of the throat can lead to discomfort and a sensation of tightness or fullness.

Recommendations for Management
1. Hydration: Continue to drink plenty of water to keep the throat moist and help thin mucus. Warm teas or broths can also be soothing.

2. Humidifier: Using a humidifier in your bedroom can help keep the air moist, which may alleviate dryness in the throat and reduce irritation.

3. Nasal Irrigation: Consider using saline nasal sprays or a neti pot to help clear nasal congestion and reduce postnasal drip.

4. Dietary Adjustments: If GERD is a concern, avoiding spicy, acidic, or fatty foods, especially before bedtime, can help minimize symptoms. Eating smaller, more frequent meals may also be beneficial.

5. Relaxation Techniques: If anxiety is contributing to your symptoms, practices such as deep breathing exercises, meditation, or yoga may help reduce tension in the throat and improve overall relaxation.

6. Consultation with a Specialist: If symptoms persist, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly including a laryngoscopy, to rule out any structural issues or infections.

7. Medication: Depending on the underlying cause, medications such as antihistamines for allergies, proton pump inhibitors for GERD, or even muscle relaxants may be prescribed by your healthcare provider.

Conclusion
The sensation of a foreign body in the throat can be multifactorial, often stemming from a combination of physical and psychological factors. By addressing the potential causes and implementing some of the recommended strategies, you may find relief from your symptoms. However, persistent or worsening symptoms warrant a professional evaluation to ensure appropriate treatment and management. Always consult with a healthcare provider for personalized advice and treatment options tailored to your specific situation.

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