Does the sensation of a foreign body in the throat require follow-up?
Three months ago, I suddenly experienced a severe sensation of a foreign body in my throat (esophagus) that made me feel like I couldn't swallow and caused discomfort for over two weeks.
I felt as if my entire esophagus was blocked.
I went to see a gastroenterologist, who initially examined me and suggested that I might have post-nasal drip.
The doctor prescribed medication and mentioned that if my symptoms did not improve, I would need to undergo an endoscopy.
After taking the medication for less than a week, the sensation of a foreign body in my esophagus completely resolved.
My question is, what could this issue have been? Since I have not experienced a recurrence, is there a need to investigate the cause further?
Lin, 30~39 year old female. Ask Date: 2024/07/22
Dr. Zheng Jueyi reply Otolaryngology
If you are asymptomatic, you can start with self-monitoring.
However, if symptoms recur, it is advisable to return to the gastroenterology and otolaryngology departments for further examination and follow-up.
Reply Date: 2024/07/22
More Info
It sounds like you've experienced a significant and distressing sensation in your throat, which was severe enough to affect your ability to eat and prompted you to seek medical attention. Based on your description, it seems that the initial diagnosis was related to post-nasal drip, which can often lead to sensations of discomfort in the throat or esophagus. This condition occurs when mucus from the nasal passages drips down the back of the throat, leading to irritation and the sensation of a lump or obstruction.
The fact that your symptoms resolved after taking the prescribed medication is a positive sign. It suggests that the underlying issue may have been effectively addressed, and the absence of recurrence over the past few months is encouraging. However, it's important to consider a few factors when deciding whether to follow up with your healthcare provider.
1. Duration and Severity of Symptoms: Your symptoms were quite severe initially, lasting for over two weeks. While they have resolved, the intensity of the experience might warrant further investigation, especially if there are any lingering concerns.
2. Underlying Conditions: Conditions such as gastroesophageal reflux disease (GERD), allergies, or even esophageal motility disorders can cause similar symptoms. If you have a history of such conditions or if you experience any new symptoms (like heartburn, regurgitation, or difficulty swallowing), it would be wise to consult your doctor.
3. Peace of Mind: If you find yourself worrying about the possibility of a more serious underlying condition, it may be beneficial to have a follow-up appointment. Discussing your concerns with a healthcare professional can provide reassurance and help you understand whether further testing, such as an endoscopy, is necessary.
4. Changes in Symptoms: If you notice any changes in your symptoms, such as a return of the sensation, difficulty swallowing, or any other new symptoms, you should definitely seek medical advice. These could indicate a need for further evaluation.
5. Preventive Measures: If your symptoms were related to post-nasal drip, it might be helpful to discuss preventive measures with your doctor. This could include managing allergies, dietary changes, or lifestyle modifications to reduce the risk of recurrence.
In conclusion, while your symptoms have resolved and you have not experienced a recurrence, it is always prudent to stay vigilant about your health. If you have any lingering concerns or if new symptoms arise, following up with your healthcare provider is advisable. They can help determine if further investigation is necessary and provide guidance on managing any potential underlying issues. Remember, your health and peace of mind are paramount, and it's always better to err on the side of caution when it comes to your well-being.
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