Throat Foreign Body Sensation: Causes and Solutions

Sensation of a foreign body in the throat?

Hello Doctor, I currently have a sensation of a foreign body in my throat, along with pressure and strong halitosis, which is very distressing for me.
I have a sensitive throat, and my first reaction to any foreign sensation is to gag.
Initially, this sensation would occur in the afternoon, and I would immediately go to the restroom to prepare to vomit.
After vomiting, I wouldn't feel relieved; instead, my throat would feel stuck and uncomfortable.
For the past four days, I have been waking up with this sensation, which persists throughout the day, making it difficult for me to concentrate at work.
As a result, I have been leaving work early.
I have seen a gastroenterologist who prescribed antacids and gastrointestinal medications, but after more than a month, there has been no improvement, and my symptoms are worsening day by day.
I would like to know which specialty I should consult and what kind of examinations I need.
I have an upper endoscopy scheduled for April 2nd; aside from this examination, what other tests should I consider? I am in a lot of pain, and I feel pressure in various areas, making it difficult for me to breathe.
Please help me understand which specialty I should see and what tests I should undergo.
Thank you.

Long, 30~39 year old female. Ask Date: 2009/03/27

Dr. Yang Wenda reply Pulmonology

Hello, if the gastroscopy does not reveal any significant abnormalities (such as ulcers or esophagitis), the likelihood of gastrointestinal issues is low.
It is recommended to consult an otolaryngologist.
Make sure to brush your teeth and rinse your mouth after each meal.
If you have seen specialists in Western medicine and no major issues were found, you might consider consulting a traditional Chinese medicine practitioner to adjust your constitution.
More importantly, maintaining a regular routine is essential; excessive stress, busyness, and tension can also be major contributors to the sensation of a foreign body in the throat.
Best wishes!

Reply Date: 2009/03/27

More Info

The sensation of a foreign body in the throat, often accompanied by pressure and bad breath, can be quite distressing and may stem from various underlying causes. Given your symptoms, it’s essential to explore potential reasons and appropriate 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 and a sensation of a lump in the throat (often referred to as "globus sensation"). This can also cause bad breath due to the presence of stomach acid and digestive enzymes.

2. Esophageal Disorders: Conditions such as esophagitis (inflammation of the esophagus), esophageal strictures (narrowing of the esophagus), or even motility disorders can lead to sensations of obstruction or discomfort in the throat.

3. Allergies or Post-Nasal Drip: Allergic reactions can cause swelling in the throat or post-nasal drip, where mucus accumulates in the throat, leading to irritation and a sensation of fullness.

4. Infections: Throat infections, such as pharyngitis or tonsillitis, can cause swelling and discomfort, leading to the feeling of a foreign body. Additionally, chronic sinus infections can contribute to post-nasal drip.

5. Anxiety and Stress: Psychological factors can also play a role. Anxiety can manifest physically, leading to sensations of tightness or discomfort in the throat.

6. Throat Tumors: Although less common, tumors in the throat or esophagus can lead to similar sensations. It’s crucial to rule this out, especially if symptoms persist.

Recommended Actions
1. Consult an Ear, Nose, and Throat (ENT) Specialist: Given your symptoms, an ENT specialist can perform a thorough examination of your throat and esophagus. They may use a laryngoscope to visualize the throat and check for any abnormalities.

2. Gastroenterology Evaluation: Since you have already seen a gastroenterologist, it’s good that you are scheduled for an upper endoscopy (EGD). This procedure allows direct visualization of the esophagus and stomach, helping to identify any inflammation, strictures, or other abnormalities.

3. Allergy Testing: If allergies are suspected, consider seeing an allergist for testing. Managing allergies can significantly alleviate throat discomfort.

4. Lifestyle Modifications: If GERD is a contributing factor, lifestyle changes can help. These include avoiding trigger foods (spicy, fatty, or acidic foods), eating smaller meals, not lying down immediately after eating, and elevating the head while sleeping.

5. Hydration and Humidification: Keeping well-hydrated and using a humidifier can help soothe throat irritation, especially if dryness is a contributing factor.

6. Stress Management: If anxiety is a factor, consider techniques such as mindfulness, meditation, or cognitive behavioral therapy (CBT) to help manage stress and its physical manifestations.

Conclusion
Your symptoms are concerning and warrant thorough investigation. It’s crucial to follow through with your scheduled endoscopy and consult with both an ENT and a gastroenterologist. They can work together to determine the underlying cause of your throat discomfort and develop an appropriate treatment plan. In the meantime, consider the lifestyle modifications mentioned above to help alleviate your symptoms. Remember, persistent symptoms should never be ignored, and seeking medical advice is always the best course of action.

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