Persistent Throat Sensation: Causes and Solutions for Discomfort - Otolaryngology

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Sensation of a foreign body in the throat?


I have been feeling like something is stuck in my throat for the past few days.
I have a sensation of needing to cough but can't, and swallowing is uncomfortable.
I don't feel anything significant when eating or drinking, but the sensation of a foreign body becomes very noticeable and somewhat painful when I attempt to swallow without anything in my mouth.
Initially, I thought it was a bone from fried chicken that got lodged, but after visiting an otolaryngologist and undergoing a nasopharyngoscopy, nothing was found, and I was advised to monitor the situation at home.
Since then, the pain has lessened, but the sensation of a foreign body remains.
What should I do?

Niming, 10~19 year old female. Ask Date: 2021/11/18

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if this has occurred within the past few days, it is important to rule out esophageal issues such as esophageal foreign body, esophagitis, or esophageal ulcers.
Besides that, the situation you described could be chronic pharyngitis.
However, I recommend seeking medical attention for a laryngoscopy to rule out any masses and to consider medication treatment.
In addition to medication, please keep in mind the following lifestyle recommendations: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and good health.

Reply Date: 2021/11/18

More Info


The sensation of having something stuck in your throat, often referred to as "globus sensation," can be quite distressing. This feeling can be caused by a variety of factors, and understanding these can help you find effective solutions to alleviate your discomfort.


Possible Causes
1. Muscle Tension: Stress and anxiety can lead to muscle tension in the throat, which may create a sensation of tightness or the feeling of something being lodged in the throat. This is particularly common in individuals who experience high levels of stress or anxiety.

2. Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the lining of the throat, leading to inflammation and a sensation of something being stuck. Even if you do not experience heartburn, GERD can manifest as throat discomfort.

3. Postnasal Drip: Allergies or sinus infections can cause mucus to drip down the back of the throat, leading to irritation and a sensation of fullness or obstruction.

4. Throat Inflammation: Conditions such as pharyngitis or tonsillitis can cause swelling and discomfort in the throat, contributing to the feeling of something being stuck.

5. Esophageal Disorders: Conditions affecting the esophagus, such as esophageal spasms or strictures, can also lead to a sensation of obstruction.

6. Psychological Factors: Sometimes, the sensation can be linked to psychological factors, where the mind perceives a physical sensation without a clear physiological cause.


Solutions and Management
1. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated can help soothe the throat and reduce irritation.

2. Warm Salt Water Gargle: Gargling with warm salt water can help reduce inflammation and soothe the throat. This may provide temporary relief from discomfort.

3. Humidifier: Using a humidifier in your living space can help keep the air moist, which may alleviate throat irritation, especially in dry environments.

4. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate throat discomfort.

5. Dietary Adjustments: If you suspect GERD, consider dietary changes such as avoiding spicy foods, caffeine, and acidic foods. Eating smaller, more frequent meals can also help.

6. Stress Management: If stress or anxiety is contributing to your symptoms, consider relaxation techniques such as deep breathing exercises, meditation, or yoga.

7. Follow-Up with a Specialist: Since you have already consulted an ENT specialist, it may be beneficial to follow up if symptoms persist. They may recommend further evaluation, such as a barium swallow study or esophageal manometry, to assess for any underlying esophageal issues.

8. Medication: If GERD or allergies are suspected, over-the-counter medications such as antacids or antihistamines may provide relief. However, consult with a healthcare provider before starting any new medication.

9. Speech Therapy: In some cases, working with a speech therapist can help address muscle tension and improve swallowing techniques.


When to Seek Further Help
If the sensation persists despite trying these measures, or if you experience additional symptoms such as difficulty swallowing, significant pain, or weight loss, it is crucial to seek further medical evaluation. Persistent symptoms may indicate an underlying condition that requires more targeted treatment.

In conclusion, while the sensation of having something stuck in your throat can be uncomfortable and concerning, there are various strategies you can employ to manage your symptoms. By addressing potential causes and making lifestyle adjustments, you can work towards alleviating this discomfort. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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