Feeling of Foreign Body in Throat: Discomfort While Swallowing - Gastroenterology and Hepatology

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Esophageal foreign body sensation, discomfort while swallowing?


Hello Doctor, last Saturday, February 20th, I had a sore throat and visited a clinic.
After taking the first pack of medication, I felt much better, but three days later, after finishing the medication, my throat started to feel slightly painful again.
Additionally, yesterday, February 24th, I ate a chocolate pastry, and I'm not sure if I ate too quickly, but since the morning, I've felt a sensation of something stuck in my throat extending to my esophagus.
Eating and drinking have been uncomfortable, and today it has worsened; even without eating, I feel a tight and uncomfortable sensation.
I can still eat, but swallowing is very uncomfortable, with a choking feeling.
Could this be caused by a cold? Yesterday, I went back to the clinic and received the same prescription as before for my cold, but now swallowing is uncomfortable, and taking the medication is painful.
What should I do? If I'm hesitant about getting an endoscopy, are there any alternative options?

Aibi, 20~29 year old female. Ask Date: 2016/02/25

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Cold medications or swallowing too quickly may be factors.
If an endoscopy is not performed, medication treatment may be initiated first.

Reply Date: 2016/02/25

More Info


The sensation of a foreign body in the throat, often described as a feeling of discomfort while swallowing, can be quite distressing. This symptom can arise from various causes, including infections, allergies, gastroesophageal reflux disease (GERD), or even anxiety. Given your recent history of throat pain and the subsequent development of this sensation, it is plausible that your symptoms are related to a lingering infection or inflammation in the throat.

When you initially experienced throat pain, it is likely that you had some form of pharyngitis or tonsillitis, which can cause swelling and discomfort. After taking medication, you noticed an improvement, but the return of symptoms after finishing the medication suggests that the underlying issue may not have been fully resolved. The discomfort you are now experiencing while swallowing, especially after eating, could be due to residual inflammation or irritation in the throat or esophagus.

Eating too quickly, as you mentioned with the chocolate bread, can also exacerbate this sensation. When food is swallowed hastily, it may not go down smoothly, leading to a feeling of something being stuck in the throat. This can be particularly uncomfortable if there is already inflammation present. Additionally, if you are experiencing anxiety about your symptoms, this can further heighten your awareness of sensations in your throat, creating a cycle of discomfort.

In terms of management, here are some recommendations:
1. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated can help soothe the throat and may alleviate some discomfort while swallowing.

2. Soft Foods: Opt for softer foods that are easier to swallow. Avoiding hard, crunchy, or spicy foods can help minimize irritation.

3. Warm Salt Water Gargle: Gargling with warm salt water can provide temporary relief from throat discomfort and may help reduce inflammation.

4. Over-the-Counter Remedies: Consider using over-the-counter throat lozenges or sprays that can numb the throat and provide temporary relief.

5. Monitor Symptoms: Keep track of your symptoms. If the sensation persists or worsens, or if you develop additional symptoms such as fever, difficulty breathing, or severe pain, it is important to seek medical attention promptly.

6. Discuss with Your Doctor: Since you have already consulted with your doctor and received a similar prescription to your previous treatment, it may be beneficial to discuss your ongoing symptoms in detail. If your discomfort continues, your doctor may consider alternative treatments or further investigations, such as an endoscopy, to rule out any structural issues.

If you are hesitant about undergoing an endoscopy, communicate this with your healthcare provider. They may be able to suggest alternative diagnostic methods, such as imaging studies or a trial of medications to see if your symptoms improve before proceeding with more invasive procedures.

In conclusion, while the sensation of a foreign body in the throat can be alarming, it is often manageable with appropriate care and attention. Continue to monitor your symptoms, maintain open communication with your healthcare provider, and do not hesitate to seek further evaluation if necessary. Your comfort and health are paramount, and addressing these symptoms early can lead to better outcomes.

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