Feeling of a Foreign Body in Throat: Causes and Concerns Explained

Q: Feeling of a Foreign Body in Throat: Causes and Concerns Explained

Hello： The most common cause is chronic pharyngitis resulting from an infection. <br>It is advisable to drink plenty of water and avoid irritating foods, as well as secondhand smoke. <br>Additionally, if there are symptoms of gastroesophageal reflux, it is recommended to limit co

There is a sensation of a foreign body in the throat, but little discomfort is felt during swallowing?

Hello Dr.
Zheng: About six months ago, I had a cold and have been coughing for about four to five months.
After that, I started to feel something unusual in my throat.
It seems like I have little sensation when swallowing, sometimes I feel like there is a fishbone stuck, and at other times it feels like there is a small blister in my throat.
The discomfort is mostly on the left side of my throat, and occasionally I feel discomfort in the center, while the right side feels fine.
This situation is more pronounced when my throat is very dry, and the symptoms tend to ease somewhat at night while I sleep.
I previously visited an ENT clinic, and the doctor said it was throat inflammation and prescribed medication, but the symptoms do not seem to have improved.
Could you please tell me what might be the cause? Is it an issue with my tonsils or my pharynx? I am very worried that it might be something serious!

Chen, 40~49 year old female. Ask Date: 2015/08/10

Dr. Zheng Jueyi reply Otolaryngology

Hello: The most common cause is chronic pharyngitis resulting from an infection.
It is advisable to drink plenty of water and avoid irritating foods, as well as secondhand smoke.
Additionally, if there are symptoms of gastroesophageal reflux, it is recommended to limit coffee, tea, and sweets.
If there is no improvement, further medical treatment is necessary.
Wishing you safety and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Jing.

Reply Date: 2015/08/10

More Info

The sensation of a foreign body in the throat, often described as a feeling of something stuck or a lump, can be quite distressing and is commonly associated with various underlying conditions. Given your history of prolonged cough and throat discomfort following a respiratory infection, it is essential to explore several potential causes for your symptoms.

1. Postnasal Drip: After a respiratory infection, it is common for mucus to accumulate in the throat, leading to irritation and a sensation of something being stuck. This can be exacerbated by dry air, allergies, or sinus issues. The feeling may be more pronounced when your throat is dry, as you mentioned.

2. Pharyngitis or Laryngitis: Inflammation of the throat (pharyngitis) or the voice box (laryngitis) can result from viral infections, bacterial infections, or irritants such as smoke or pollution. This inflammation can cause discomfort, a sensation of tightness, or a foreign body feeling.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can lead to irritation of the throat and esophagus, causing symptoms like a lump sensation, especially when lying down or after eating. This could explain why your symptoms seem to improve at night when you are in a different position.

4. Tonsillitis or Enlarged Tonsils: If your tonsils are inflamed or enlarged, they can create a sensation of obstruction in the throat. This is particularly relevant if you have had recurrent throat infections.

5. Muscle Tension: Anxiety or stress can lead to muscle tension in the throat, which may create a sensation of tightness or a lump. This is often referred to as "globus sensation."
6. Esophageal Disorders: Conditions such as esophageal spasms or strictures can lead to difficulty swallowing and a sensation of something being stuck in the throat.
7. Throat Lesions or Growths: While it is less common, persistent symptoms warrant consideration of potential lesions or growths in the throat, including benign or malignant conditions. Your concern about "not good things" growing in your throat is understandable, especially given the duration of your symptoms.

Given that your symptoms have persisted despite treatment and that they are causing you significant concern, it is advisable to seek further evaluation. Here are some steps you can take:
- Follow-Up with an ENT Specialist: If you haven't already, consider seeing an ear, nose, and throat (ENT) specialist for a thorough examination. They may perform a laryngoscopy to visualize your throat and assess for any abnormalities.

- Consider Allergy Testing: If postnasal drip or allergies are suspected, allergy testing may help identify triggers that could be contributing to your symptoms.

- Gastroenterology Consultation: If GERD is suspected, a gastroenterologist can provide further evaluation and management options, including lifestyle modifications and medications.

- Speech or Swallowing Therapy: If muscle tension or swallowing difficulties are contributing to your symptoms, a speech therapist specializing in swallowing disorders may be beneficial.

In conclusion, while your symptoms may stem from common and treatable conditions, it is essential to pursue further medical evaluation to rule out any serious underlying issues. Your health and peace of mind are paramount, and addressing these concerns with a healthcare professional will help you find the relief you seek.

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