Throat Discomfort and Swallowing Difficulties: Causes and Solutions

Sensation of a foreign body in the throat, difficulty swallowing?

Since June 11, I have been experiencing tightness in my neck, a sensation of something stuck in my throat, frequent burping, and difficulty swallowing, making me feel like I could easily choke.
On June 15, I visited a nearby otolaryngologist, who diagnosed me with gastroesophageal reflux disease (GERD) and allergy symptoms, but noted that there was no significant inflammation in my throat.
After taking the medication prescribed by the doctor, my symptoms have improved somewhat, but I still feel tightness in my neck and have a sensation of something stuck while eating, requiring more effort to swallow.
On the evening of June 17, after dinner, I felt a persistent itch in my throat and coughed slightly, but even after coughing, the itchiness remained.
I would like to ask the doctor if my situation indicates choking, as I am very concerned about food entering my airway and causing aspiration pneumonia.
Additionally, how long does it typically take for gastroesophageal reflux to improve? If I tend to feel anxious and tense, does that hinder recovery? I have a habit of wearing a smartwatch, and my heart rate has been consistently between 80-90 bpm.
Recently, I have also been doing some stretching and aerobic exercises to alleviate my anxiety, but it seems to have little effect.

lian, 20~29 year old female. Ask Date: 2022/06/17

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the situation you described may be indicative of chronic pharyngitis.
It is advisable to undergo laryngoscopy to rule out any masses, as well as to consider pharmacological treatment.
In addition to medication, please pay attention to the following lifestyle recommendations: avoid lying down for two hours after eating, and refrain from consuming coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.

Additionally, if food accidentally enters the trachea, it can lead to aspiration pneumonia, which commonly presents with symptoms such as fever and shortness of breath.
If symptoms persist, it is best to seek medical evaluation.
Wishing you safety and good health.

Reply Date: 2022/06/17

More Info

Throat discomfort and swallowing difficulties can be distressing symptoms that significantly impact your quality of life. Based on your description, it seems you are experiencing a combination of gastroesophageal reflux disease (GERD) and possibly some allergic reactions, which can lead to throat irritation and a sensation of tightness or discomfort in the neck area.

Understanding Your Symptoms
1. Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and difficulty swallowing (dysphagia). The sensation of food being stuck in your throat or the need to swallow harder can be attributed to the irritation caused by acid reflux. It’s common for individuals with GERD to experience throat discomfort, especially after meals.

2. Allergic Reactions: Allergies can cause inflammation in the throat, leading to symptoms such as itching, coughing, and difficulty swallowing. If you have been exposed to allergens, this could exacerbate your throat discomfort.

3. Muscle Tension: The tightness in your neck could be related to muscle tension, which can occur due to stress or anxiety. This tension can contribute to the sensation of discomfort in the throat and make swallowing feel more laborious.

Addressing Your Concerns
1. Swallowing Difficulties: It’s understandable to be concerned about choking or aspiration, especially if you feel food is getting stuck. While it’s important to be cautious, it’s also essential to manage your anxiety around these symptoms. If you are consistently experiencing difficulty swallowing, it may be beneficial to consult a speech therapist who specializes in swallowing disorders. They can provide exercises and techniques to improve your swallowing function.

2. Recovery from GERD: Recovery from GERD can vary from person to person. With appropriate treatment, including lifestyle modifications (such as dietary changes, weight management, and avoiding triggers), many individuals see improvement within a few weeks. However, chronic cases may require ongoing management. It’s crucial to follow your doctor’s advice regarding medication and lifestyle changes.

3. Managing Anxiety: Anxiety can exacerbate physical symptoms, including those related to GERD and throat discomfort. Engaging in regular physical activity, such as aerobic exercises and stretching, can help reduce anxiety levels. Mindfulness practices, such as meditation or deep breathing exercises, may also be beneficial. If you find that your anxiety is significantly impacting your daily life, consider seeking support from a mental health professional.

4. Follow-Up with Your Doctor: Since you have already seen an ENT specialist, it’s important to keep them updated on your symptoms. If your throat discomfort persists or worsens, or if you experience new symptoms such as severe pain, difficulty breathing, or significant changes in your swallowing ability, seek medical attention promptly.

Conclusion
In summary, your symptoms of throat discomfort and swallowing difficulties are likely related to GERD and possibly allergies, compounded by anxiety. It’s essential to manage your GERD through medication and lifestyle changes while also addressing any underlying anxiety. Regular follow-ups with your healthcare provider will ensure that you receive the appropriate care and support. Remember, you are not alone in this, and with the right strategies, you can find relief from your symptoms.

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