Persistent Throat Foreign Body Sensation: Causes and Next Steps - Otolaryngology

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Persistent sensation of a foreign body in the throat?


I have frequently felt a foreign body sensation in my throat for the past six months.
I visited an ENT specialist who examined me with a mirror and found nothing wrong.
I have a history of nasal allergies, and my condition has persisted.
In May, I underwent an upper gastrointestinal endoscopy, which showed no significant issues.
In early June, I consulted another ENT specialist who used an endoscope and mentioned that I have post-nasal drip.
I also had an ultrasound of my thyroid, which was normal.
Recently, I have been feeling pressure in my left ear.
Should I undergo another endoscopy or any other tests? What else can I do? I am feeling quite distressed.

Aydan, 40~49 year old female. Ask Date: 2021/09/01

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you have already undergone nasopharyngoscopy and gastroscopy without any significant abnormalities, it is commonly diagnosed as chronic pharyngitis.
In addition to medication to control gastroesophageal reflux, it is recommended to enhance lifestyle adjustments, such as avoiding smoking and reducing the intake of coffee, tea, or desserts.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/01

More Info


The sensation of a persistent foreign body in the throat, often described as a feeling of something stuck or lodged, can be quite distressing and may have various underlying causes. Given your history of nasal allergies and the recent evaluations you've undergone, it’s important to consider a few potential explanations for your symptoms.

1. Postnasal Drip: This is a common condition where excess mucus accumulates in the back of the throat, often due to allergies or sinus issues. The sensation of mucus dripping down can create a feeling of a lump or foreign body in the throat. Since you mentioned having nasal allergies, this could be a significant contributor to your symptoms.

2. Gastroesophageal Reflux Disease (GERD): Even though your recent endoscopy did not reveal significant issues, GERD can sometimes cause a sensation of a lump in the throat (globus sensation) due to acid irritating the esophagus. It might be worth discussing with your healthcare provider whether lifestyle modifications or medications to manage reflux could help alleviate your symptoms.

3. Throat Muscle Tension: Anxiety and stress can lead to muscle tension in the throat, which may create a sensation of tightness or discomfort. If you find that your symptoms worsen during stressful periods, this could be a contributing factor.

4. Thyroid Issues: While your ultrasound results were normal, it’s still important to consider that thyroid conditions can sometimes present with throat discomfort. If you have a family history of thyroid disease or other symptoms, it may be worth discussing further testing with your doctor.

5. Esophageal Disorders: Conditions such as esophageal motility disorders can lead to sensations of obstruction or discomfort in the throat. If your symptoms persist, further evaluation by a gastroenterologist may be warranted.

6. Psychogenic Factors: Sometimes, the sensation of a foreign body in the throat can be linked to psychological factors, including anxiety or somatic symptom disorders. If you feel that stress or anxiety is playing a role in your symptoms, it may be beneficial to explore this with a mental health professional.

Given that you have already undergone several evaluations, including endoscopy and imaging, it may be beneficial to follow up with an ENT specialist for further assessment. They may recommend additional tests, such as a barium swallow study, to evaluate how food and liquids move through your esophagus, or they may suggest a repeat endoscopy if they feel it is necessary.

In the meantime, consider the following self-care strategies:
- Stay Hydrated: Drink plenty of water to help thin mucus and keep your throat moist.

- Humidify Your Environment: Using a humidifier can help alleviate dryness in the throat, especially in dry climates or during winter months.

- Avoid Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate your symptoms.

- Manage Allergies: If you have not already, consider discussing allergy management strategies with your healthcare provider, which may include antihistamines or nasal corticosteroids.

In conclusion, while your symptoms are understandably concerning, there are several potential explanations, and further evaluation may help clarify the cause. It’s essential to maintain open communication with your healthcare providers and advocate for your health until you find relief from your symptoms.

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