Throat Discomfort: Could It Be Acid Reflux? - Otolaryngology

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Sticky throat?


Hello, doctor.
Recently, I often feel a sticky sensation in my throat after eating, and my mouth is very dry.
Occasionally, I also experience tinnitus when I go out.
Could this be related to gastroesophageal reflux disease (GERD)? How can I improve this issue? It has started to affect my appetite.
Thank you, doctor.

751, 20~29 year old female. Ask Date: 2023/05/23

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the situation you described may be indicative of chronic pharyngitis.
It is recommended to undergo laryngoscopy to rule out any masses, as well as to consider medication treatment.
If necessary, an upper gastrointestinal endoscopy can also be considered, as it can diagnose not only gastroesophageal reflux but also other esophageal issues.
In addition to medication, daily lifestyle precautions include avoiding lying down for two hours after eating and steering clear of coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and good health.

Reply Date: 2023/05/23

More Info


Throat discomfort, especially when accompanied by symptoms such as a sticky feeling in the throat, dry mouth, and occasional tinnitus (ear ringing), can indeed be indicative of gastroesophageal reflux disease (GERD). GERD occurs when stomach acid frequently flows back into the esophagus, leading to irritation and discomfort. This backflow can cause a variety of symptoms, including heartburn, regurgitation, and throat discomfort, which may manifest as a sensation of mucus or a lump in the throat.

The sticky feeling in your throat could be due to the irritation caused by the acid reflux. When stomach acid comes into contact with the lining of the esophagus and throat, it can lead to inflammation and increased mucus production, resulting in that uncomfortable sensation. Additionally, the dry mouth you are experiencing could be related to several factors, including dehydration, medication side effects, or even the body's response to chronic throat irritation.

Tinnitus, or ear ringing, can sometimes be associated with GERD, although it is less common. The connection may stem from the shared nerve pathways between the throat and the ears. When the throat is irritated, it can lead to sensations in the ear, including ringing or fullness.

To address these symptoms and improve your condition, consider the following recommendations:
1. Dietary Modifications: Avoid foods and beverages that can trigger acid reflux. Common culprits include spicy foods, citrus fruits, tomatoes, chocolate, caffeine, and alcohol. Instead, focus on a diet rich in whole grains, lean proteins, and vegetables. Eating smaller, more frequent meals can also help reduce the pressure on your stomach.

2. Lifestyle Changes: Elevate the head of your bed by 6 to 8 inches to prevent nighttime reflux. Avoid lying down immediately after eating; instead, wait at least two to three hours before reclining. Maintaining a healthy weight can also reduce the risk of reflux.

3. Hydration: Ensure you are adequately hydrated throughout the day. Drinking water can help alleviate dry mouth and may assist in flushing out excess acid.

4. Over-the-Counter Medications: Antacids or medications that reduce stomach acid production, such as proton pump inhibitors (PPIs) or H2 blockers, may provide relief. However, it is essential to consult with a healthcare provider before starting any new medication to ensure it is appropriate for your situation.

5. Consult a Healthcare Professional: Since your symptoms are affecting your appetite and overall well-being, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include an endoscopy or pH monitoring, to assess the severity of your reflux and recommend appropriate treatment options.

6. Stress Management: Stress can exacerbate GERD symptoms. Consider incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise into your routine.

In summary, your symptoms could indeed be related to acid reflux, and there are several strategies you can implement to alleviate discomfort. However, given that your symptoms are impacting your appetite, it is crucial to consult with a healthcare professional for a comprehensive evaluation and tailored treatment plan. Early intervention can help prevent complications and improve your quality of life.

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