Throat Foreign Body Sensation: Causes and Solutions - Otolaryngology

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Foreign body sensation in the throat?


Since around Wednesday or Thursday, I have been experiencing a dry sensation in my throat, but it doesn't hurt.
When I eat, it feels somewhat difficult, as if I need to swallow several times for the food to go down.
Additionally, while eating, I keep producing saliva, which makes it even harder to swallow the food.
As a result, I often spit out the saliva while eating.
Now, I can only take a few bites and can't eat much.
I do have an appetite; it's just that I can't seem to get the food down, so I often go hungry.
However, drinking water is still manageable and doesn't feel too difficult.
Otherwise, my throat often feels like there's something in it, which is uncomfortable, and I also feel bloated in my stomach.

Xiao Ya, 10~19 year old female. Ask Date: 2023/05/22

Dr. Zheng Jueyi reply Otolaryngology


If you continue to feel unwell, it is recommended to visit an otolaryngologist or a gastroenterologist for examination.

Reply Date: 2023/05/22

More Info


The sensation of a foreign body in the throat, often described as a feeling of dryness or discomfort, can be quite distressing. This condition, known as globus sensation, can arise from various causes, and understanding these can help in finding effective solutions.


Possible Causes
1. Gastroesophageal Reflux Disease (GERD): One of the most common causes of throat discomfort is GERD, where stomach acid flows back into the esophagus, leading to irritation. This can cause a sensation of tightness or a lump in the throat, especially after eating.

2. Anxiety and Stress: Psychological factors can also contribute to the sensation of a foreign body in the throat. Anxiety can lead to muscle tension in the throat, making it feel constricted or uncomfortable.

3. Allergies or Postnasal Drip: Allergies can cause mucus to drip down the back of the throat, leading to irritation and a feeling of something being stuck. This can also result in increased salivation as the body attempts to clear the irritant.

4. Throat Infections: Infections such as pharyngitis or tonsillitis can cause swelling and discomfort in the throat, leading to difficulty swallowing.

5. Muscle Tension: Overuse of the throat muscles, perhaps due to excessive talking or shouting, can lead to a feeling of tightness or discomfort.

6. Structural Issues: In rare cases, structural abnormalities in the throat or esophagus, such as strictures or tumors, can cause similar sensations.


Solutions and Recommendations
1. Hydration: Keeping well-hydrated can help alleviate dryness in the throat. Drinking warm fluids, such as herbal teas, can be soothing.

2. Dietary Adjustments: If GERD is suspected, avoiding spicy, acidic, or fatty foods can help reduce symptoms. Eating smaller, more frequent meals rather than large ones may also be beneficial.

3. Relaxation Techniques: If anxiety is contributing to your symptoms, practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce muscle tension in the throat.

4. Over-the-Counter Remedies: Antacids or medications that reduce stomach acid can be helpful if GERD is the underlying cause. Additionally, throat lozenges can soothe irritation.

5. Consultation with a Specialist: If symptoms persist, it is advisable to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, possibly including an endoscopy, to rule out any structural issues or infections.

6. Speech Therapy: If muscle tension is a significant factor, working with a speech therapist can help you learn techniques to relax the throat muscles and improve swallowing.

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


Conclusion
The sensation of having a foreign body in the throat can be caused by a variety of factors, ranging from gastrointestinal issues to psychological stress. Identifying the underlying cause is crucial for effective treatment. If your symptoms are persistent or worsening, seeking medical advice is essential to ensure that any serious conditions are ruled out and to receive appropriate care. Remember, you are not alone in this experience, and with the right approach, relief is possible.

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