Throat Discomfort: Symptoms, Causes, and When to Seek Help

Feeling a lump in the throat?

Hello, doctor.
A while ago, around November, I visited the ENT department at the hospital due to a sudden sensation of something stuck in my throat.
I can clearly feel this sensation when eating or drinking.
During my visit, I underwent an X-ray and an endoscopy.
The doctor mentioned that there was a growth in my throat and diagnosed me with pharyngitis.
I specifically asked if it could be a tumor or esophageal cancer, and the doctor assured me it was not, just pharyngitis.
I was prescribed medication, but after finishing it, the symptoms remain the same, and I occasionally still feel the sensation in my throat.
I initially planned to return for a follow-up, but since I had already scheduled a colonoscopy for mid-December, I haven't gone back yet.
I'm quite worried about the sensation in my throat and fear it might be something serious.
Should I have another endoscopy during my follow-up? Are these symptoms typical of pharyngitis? By the way, I have a habit of smoking, drink about 1-2 cups of coffee a day, and I have quit spicy foods.
Could this affect my condition? Thank you.

Kandi, 40~49 year old female. Ask Date: 2021/12/22

Dr. Zheng Jueyi reply Otolaryngology

Hello, a sensation of something stuck in the throat is commonly associated with chronic pharyngitis, which is related to smoking and gastroesophageal reflux disease (GERD).
It is advisable to quit smoking, avoid coffee, tea, and sugary foods.
If symptoms persist and do not improve, it is recommended to return for a medical 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: 2021/12/22

More Info

Hello! It sounds like you’ve been experiencing some persistent throat discomfort that has understandably caused you concern. Based on your description, it seems that you were diagnosed with pharyngitis, which is an inflammation of the throat. This condition can indeed cause a sensation of something being stuck in the throat, often described as a "lump" or "tightness."

Symptoms of Pharyngitis
Common symptoms of pharyngitis include:
- Sore throat
- Difficulty swallowing
- A sensation of a lump in the throat
- Swollen lymph nodes
- Redness or swelling in the throat
- Coughing or hoarseness

Causes of Throat Discomfort
Pharyngitis can be caused by various factors, including:
- Viral infections: Most cases of pharyngitis are caused by viruses, such as the common cold or flu.

- Bacterial infections: Streptococcus bacteria can cause strep throat, which is a more severe form of pharyngitis.

- Allergies: Allergens can irritate the throat, leading to discomfort.

- Environmental factors: Smoking, exposure to secondhand smoke, and pollution can also contribute to throat irritation.

- Gastroesophageal reflux disease (GERD): Acid reflux can cause throat discomfort and a sensation of a lump.

When to Seek Help
Given that you have already seen a doctor and received a diagnosis, it’s important to monitor your symptoms. If your throat discomfort persists despite treatment, or if you experience any of the following, you should definitely consider seeking further medical evaluation:
- Difficulty breathing or swallowing
- Severe pain that doesn’t improve with over-the-counter medications
- A high fever
- Blood in your saliva or phlegm
- Symptoms that last longer than a week

Follow-Up and Further Evaluation
Since you mentioned that your symptoms have not improved after completing the prescribed medication, it would be wise to follow up with your ENT specialist. A repeat endoscopy may be warranted to further evaluate the condition of your throat and rule out any other underlying issues, especially given your concerns about potential tumors or esophageal cancer.

Lifestyle Factors
You also mentioned smoking and your coffee consumption. Smoking can significantly irritate the throat and exacerbate symptoms of pharyngitis. It’s advisable to consider quitting smoking, as it can lead to chronic throat issues and increase the risk of more serious conditions, including cancer. Caffeine can also contribute to dehydration, which may worsen throat discomfort. Staying well-hydrated and avoiding irritants like smoke and excessive caffeine can help alleviate symptoms.

Conclusion
In summary, while your symptoms may be consistent with pharyngitis, the persistence of your discomfort warrants further evaluation. Don’t hesitate to reach out to your healthcare provider for a follow-up appointment. They can provide you with the best guidance tailored to your specific situation. Remember, your health is paramount, and addressing these symptoms early can lead to better outcomes. Take care!

Similar Q&A

Understanding Throat Tightness: Causes and When to Seek Help

Hello, Doctor. I am about to enter my second year of high school, and I have been feeling increasingly uncomfortable in my throat for about two years now. It feels tight, as if my neck is being pulled down, and there is a slight swelling, but it doesn't hurt, and I'm no...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy to rule out any masses, as well as to consider medication treatment. In addition to medication, please pay attention to the following daily living tips: a...

Understanding the Discomfort of a Tight Throat: Causes and Solutions

Hello doctor, recently I have been feeling a tightness in my throat, as if something is pressing against it, which is quite uncomfortable. It eases slightly when I sleep, but when I am awake, including while eating, I feel a blockage in my throat that makes swallowing difficult. ...

Dr. Zheng Jueyi reply Otolaryngology
Hello: Chronic pharyngitis is commonly associated with post-nasal drip, gastroesophageal reflux, smoking, irregular eating habits, or anxiety. If discomfort persists, it is advisable to consult an otolaryngologist or a gastroenterologist for examination. Wishing you peace and hea...

Understanding Throat Discomfort: Causes and When to Seek Help

Hello, doctor. For the past few days, I've been experiencing a sensation of a foreign body in my throat, along with a sharp pain. The pain is consistently located just above the line of my collarbone. Swallowing saliva provides slight relief, but the discomfort returns short...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy to rule out the presence of any masses, as well as to consider pharmacological treatment. In addition to medication, please keep the followi...

Understanding Throat Discomfort: Causes and When to Seek Help

Hello, doctor. I would like to ask about a throat issue. Sometimes after clearing my throat, I experience an inexplicable pain when swallowing saliva, and I feel like something is displaced in my throat. When I press with my thumb, I can push it back to its original position, and...

Dr. Zheng Jueyi reply Otolaryngology
Hello: If you continue to feel unwell, it is advisable to seek medical examination for diagnosis. Wishing you safety and health. Sincerely, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.