Do Endoscopies Check the Throat? Your Concerns - Otolaryngology

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When it comes to endoscopic procedures, particularly upper gastrointestinal endoscopy (commonly known as gastroscopy), it is important to clarify what areas are typically examined during the procedure. A gastroscopy primarily focuses on the esophagus, stomach, and the first part of the small intestine (duodenum). However, it does indeed involve passing the endoscope through the throat, which means that the lower part of the throat (hypopharynx) is visualized as the endoscope is inserted.
In your case, since you have a history of smoking and are experiencing a sensation of something being stuck in your throat (often described as a "lump" sensation), it is understandable to have concerns about potential throat issues, including the fear of throat cancer. However, it is important to note that the endoscopy performed during your health check would have provided a view of the lower throat, and any significant abnormalities would typically be noted in the report.

If your previous endoscopy report did not mention any findings related to the throat, it is likely that the examining physician did not observe any concerning lesions or abnormalities at that time. However, it is also crucial to understand that the absence of findings in a report does not completely rule out the possibility of issues developing later, especially given your smoking history. Smoking is a known risk factor for various throat and esophageal conditions, including cancer.

If you continue to experience symptoms such as a persistent sensation of something in your throat, it would be wise to follow up with your healthcare provider. They may recommend further evaluation, which could include a laryngoscopy, a procedure that allows direct visualization of the throat and voice box (larynx) using a flexible tube with a camera. This would provide a more detailed assessment of the throat area and help rule out any potential issues.

Additionally, it is important to consider other factors that could contribute to your symptoms. Conditions such as gastroesophageal reflux disease (GERD) can cause a sensation of a lump in the throat and may be exacerbated by smoking. Allergies, post-nasal drip, or even anxiety can also manifest as throat discomfort or a feeling of something being stuck.

In summary, while a gastroscopy does involve passing through the throat, it primarily focuses on the esophagus and stomach. If you have concerns about your throat, especially given your smoking history, it is advisable to consult with your healthcare provider for a thorough evaluation. They can guide you on the appropriate next steps, which may include additional diagnostic procedures to ensure your throat health is adequately assessed. Remember, early detection and intervention are key in managing any potential health issues effectively.