the Sensation of a Foreign Body in the Throat - Otolaryngology

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Foreign body sensation in the throat?


Hello doctor, three weeks ago I noticed a sensation of something being stuck in my throat, which is not painful.
Sometimes I feel this sensation, and sometimes I don't.
When I do feel it, swallowing saliva makes the sensation more pronounced, but I do not have any difficulty swallowing food.
I had an HPV infection in my genital area last December, which has been treated and resolved after six months.
I am concerned that the sensation in my throat might also be caused by HPV, as it has been almost a year and I did not have any issues before.

Xiao An, 20~29 year old female. Ask Date: 2015/11/14

Dr. Zheng Jueyi reply Otolaryngology


Hello, the most common condition is still chronic pharyngitis, which is often related to post-nasal drip, gastroesophageal reflux, or other chronic irritants.
It is recommended to drink plenty of water and reduce the intake of coffee, tea, desserts, or spicy foods.
If symptoms persist without improvement, a follow-up medical examination is necessary.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/14

More Info


The sensation of a foreign body in the throat, often described as a feeling of something stuck or an obstruction, can be quite distressing. This sensation, known medically as "globus sensation," is typically not associated with pain but can be exacerbated by swallowing, as you've noted. There are several potential causes for this sensation, and understanding them can help alleviate your concerns.

1. Muscle Tension and Stress: One of the most common causes of globus sensation is muscle tension in the throat area. Stress and anxiety can lead to muscle tightness, which may create the feeling of something being lodged in the throat. If you have been experiencing increased stress or anxiety, this could be a contributing factor.

2. Postnasal Drip: Conditions such as allergies or sinus infections can lead to postnasal drip, where mucus accumulates in the throat. This can create a sensation of fullness or the feeling of a foreign body. If you have had any recent upper respiratory symptoms, this could be a possibility.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the throat and esophagus, leading to sensations of discomfort or a foreign body feeling. If you have a history of gastroesophageal reflux, this could be a contributing factor.

4. Infections or Inflammation: While you mentioned a previous HPV infection, it is important to note that HPV primarily affects the genital area and is less commonly associated with throat symptoms unless there is a specific oral manifestation. However, other infections, such as viral or bacterial pharyngitis, can cause inflammation and lead to sensations of discomfort in the throat.

5. Structural Issues: In some cases, structural abnormalities such as a deviated septum, enlarged tonsils, or even a thyroid issue can contribute to the sensation of a foreign body.
6. Neurological Factors: Sometimes, neurological conditions can affect the way sensations are perceived in the throat, leading to feelings of discomfort without any physical obstruction.

Given that you have experienced this sensation intermittently for three weeks without swallowing difficulties or pain, it is less likely to be a serious condition. However, if the sensation persists, worsens, or is accompanied by other symptoms such as difficulty swallowing, pain, or changes in voice, it would be prudent to seek medical evaluation.


Recommendations:
- Stay Hydrated: Drinking plenty of water can help keep the throat moist and may alleviate the sensation.

- Manage Stress: Engaging in relaxation techniques such as deep breathing, meditation, or yoga can help reduce muscle tension.

- Monitor Symptoms: Keep track of when the sensation occurs and any associated symptoms. This information can be helpful for your healthcare provider.

- Consult a Specialist: If the sensation continues or if you have concerns about HPV or other infections, consider consulting an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend further tests if necessary.

In summary, while the sensation of a foreign body in the throat can be concerning, it is often related to benign causes such as muscle tension, postnasal drip, or reflux. Monitoring your symptoms and seeking medical advice if they persist is the best course of action.

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