Throat Sensations: Causes and When to Seek Help

Sensation of cold and heat in the throat?

Hello, Doctor! Recently, for the past three days, I have been experiencing a warm sensation in my left throat while breathing through my nose.
In the past five days, I have minimized exposure to irritants, swallowing is normal, and I don't have any significant discomfort.
After researching related information, I found that most cases are associated with chronic pharyngitis or gastroesophageal reflux, but my situation seems to be quite rare.
How should I address this? Is there any preparation needed for invasive examinations like a laryngoscopy or esophagogastroduodenoscopy? Thank you!

Puppy, 20~29 year old female. Ask Date: 2022/01/04

Dr. Ji Zhaoyun reply Otolaryngology

Hello, it is recommended to first visit an otolaryngology clinic that offers endoscopic examinations for a nasopharyngoscopy.
This procedure does not require fasting or any special preparation beforehand.

Reply Date: 2022/01/04

More Info

When experiencing unusual sensations in the throat, such as a persistent warm feeling, it can be concerning and may lead to questions about potential underlying causes. Based on your description, it seems you have been experiencing this sensation for about three days, primarily when breathing through your nose. You also mentioned that you have not been exposed to irritants, swallowing is normal, and you do not have significant discomfort.
The sensations you are experiencing could be attributed to several factors. One common cause is chronic pharyngitis, which can occur due to various reasons, including allergies, dry air, or even post-nasal drip. Allergies can lead to inflammation in the throat, causing a warm or irritated sensation. Another possibility is gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, leading to irritation of the throat. This condition can sometimes manifest without the classic symptoms of heartburn, making it less obvious.

Given that you have ruled out significant discomfort and irritants, it may be beneficial to monitor your symptoms closely. If the sensation persists or worsens, or if you begin to experience additional symptoms such as pain, difficulty swallowing, or changes in voice, it would be wise to seek medical attention.
Regarding the invasive procedures you mentioned, such as a throat endoscopy or esophagogastroduodenoscopy (EGD), these are typically performed to visualize the throat and esophagus to identify any abnormalities. Preparation for these procedures usually involves fasting for a certain period before the examination, as well as possibly avoiding certain medications that could affect the results. Your healthcare provider will give you specific instructions tailored to your situation.

In summary, while your symptoms may not currently indicate a serious condition, it is essential to remain vigilant. If you notice any changes or if the sensation does not resolve, consulting with a healthcare professional is advisable. They can provide a thorough evaluation, possibly including imaging or endoscopic procedures, to ensure that any underlying issues are addressed appropriately. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help if needed.

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