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 or thick and dark at 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 down.
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.
Could you please tell me what these symptoms are? How can I improve this condition? Thank you.

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

Dr. Li Jiaxuan reply Otolaryngology

Nasal discharge flowing backward may indicate acute or chronic sinusitis.
It is recommended to seek examination and medication treatment at a medical facility.
If there is a history of COVID-19 exposure, you may also go to a testing center for screening.
Wishing you good health.

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 known medically as "globus sensation." This condition can be associated with various underlying causes, and understanding these can help in managing the symptoms effectively.

From your description, it seems that you are experiencing a combination of nasal congestion, phlegm production, and a persistent sensation of something in your throat, particularly when lying down. These symptoms can be linked to several factors:
1. Postnasal Drip: This occurs when mucus from the nasal passages drips down the back of the throat, which can lead to irritation and a sensation of fullness or a foreign body feeling. This is often exacerbated by lying down, as gravity can cause more mucus to accumulate in the throat.

2. Allergies or Sinusitis: Chronic nasal congestion and phlegm can be indicative of allergies or sinusitis. Allergens can cause inflammation in the nasal passages, leading to increased mucus production and postnasal drip.

3. Gastroesophageal Reflux Disease (GERD): GERD can cause stomach acid to flow back into the esophagus, leading to irritation and a sensation of a lump in the throat. This is often worse when lying down, as the horizontal position can facilitate reflux.

4. Throat Irritation or Inflammation: Conditions such as pharyngitis or laryngitis can cause swelling and discomfort in the throat, leading to a sensation of a foreign body. This can be due to infections, irritants, or even excessive coughing.

5. Anxiety and Stress: Psychological factors can also contribute to the sensation of a lump in the throat. Anxiety can lead to muscle tension in the throat, making it feel constricted or tight.

To address your symptoms, consider the following approaches:
- Hydration: Continue to drink plenty of fluids to keep the throat moist and help thin mucus. Warm teas or broths can be soothing.

- Humidifier: Using a humidifier in your bedroom can help maintain moisture in the air, which may alleviate throat dryness and congestion.

- Nasal Irrigation: Saline nasal sprays or rinses can help clear mucus from the nasal passages and reduce postnasal drip.

- Elevate Your Head While Sleeping: Using extra pillows to elevate your head can help reduce the sensation of a foreign body in your throat by minimizing postnasal drip and reflux.

- Avoid Irritants: Stay away from smoke, strong odors, and allergens that can exacerbate nasal congestion and throat irritation.

- Consult a Healthcare Professional: If symptoms persist or worsen, it is crucial to seek medical advice. A healthcare provider can perform a thorough examination, possibly including a laryngoscopy or imaging studies, to determine the underlying cause of your symptoms. They may also recommend treatments such as antihistamines for allergies, proton pump inhibitors for GERD, or other medications based on the diagnosis.

In summary, the sensation of a foreign body in the throat can stem from various causes, including postnasal drip, allergies, GERD, throat irritation, or even anxiety. By addressing the underlying factors and implementing some self-care strategies, you may find relief from your symptoms. However, it is essential to consult with a healthcare professional for a proper diagnosis and tailored treatment plan.

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