The list of diseases characterized by obstruction of food in the larynx is quite extensive. The impression of the presence of foreign bodies (food remains) often develops from the accumulation of mucus in the nasopharynx due to tonsillitis, pharyngitis, other viral and bacterial infections, as well as due to allergies and obstructions of the respiratory system. The cause of food obstruction can be the development of inflammatory processes in the tonsils, the formation of purulent plugs in the tonsils, and swelling of the larynx. In addition, factors that cause the feeling that food is stuck on the way to the stomach - in the throat, are sometimes nervous disorders, endocrine disorders, neoplasms and diseases of the esophagus. What to do if there is such an obstruction? Urgently undergo an examination at the clinic to determine the cause of the discomfort, do not self-medicate.
If the cause is sore throat
Chronic as well as acute tonsillitis are characterized by inflammation of the tonsils, often with the formation of plugs in the tonsils. Inside, the lacunae are filled with pathogenic microorganisms and dead leukocytes, which cannot be released from the body on their own. It seems that food seems to be stuck in the throat, pieces remain, but in fact the passage of food is hampered by caseous or purulent plugs, the size of which can exceed 40 grams. This leads to a significant narrowing of the openings in the throat.
Accumulation of mucus in the nasopharynx as a cause of food obstruction
To irritation of the mucous membranes due to diseases of the respiratory system, digestion, hormonal disorders, allergies, as well as tumors in the throat, the body reacts with increased formation of protective mucus that accumulates in the affected areas. There is a feeling of a lump appearing that interferes with the passage of food; when swallowing, food seems to get stuck in the throat.
Signs
The following symptoms indicate excessive mucus formation and insufficient transport:
burning, sore throat;- difficulty swallowing;
- sensation of a foreign object appearing on the tonsils;
- pain, discomfort in the form of sore throat or suffocation;
- rhinitis;
- unpleasant odor when breathing;
- bad taste.
In infectious diseases of viral, bacterial, fungal etiology, the general condition of a person worsens, temperature, fever, weakness appear, and the mucus acquires a greenish tint. What should you do if pieces get stuck in your throat with an accompanying runny nose, cough, or sore throat from excess mucus?
First of all, a consultation with an otolaryngologist is required to establish the nature of the disease. If necessary, an examination by an infectious disease specialist, allergist, gastroenterologist, or pulmonologist is scheduled.
Diagnosis and treatment
Therapy for dysphagia consists of special medications and diet
There are many reasons why food can get stuck in a person's throat. Treatment of this pathology is carried out using different methods and means, and there is a certain algorithm for combating the disease:
- nutrition correction
- review of eating habits
- conservative treatment
- surgery
Diet correction is simply necessary for all patients whose cause of food accumulation in the throat is an esophageal ulcer, esophagitis and sideropenia. The diet must be balanced, and dishes can be prepared by stewing, boiling or baking. In addition, you will have to completely eliminate alcohol and foods that irritate the throat mucosa from your diet.
Elimination of pathology can be carried out using gargling and physical treatment. Most often, conservative treatment is combined with surgical intervention, which allows achieving positive results.
What to do if food is stuck in your throat? Experts recommend, first of all, drinking some warm water, changing your body position and trying to introduce air into the esophagus by taking an empty sip. If conservative treatment does not help the patient, then they resort to surgery. Elimination of pathology can be carried out using fundoplication, laparoscopy or gastrostomy.
In order to establish the true cause that caused the feeling of constriction in the throat, you need to consult a therapist. After an examination, the doctor can make a diagnosis, but often consultation with other specialists, for example, a neurologist, oncologist, surgeon, gastroenterologist, endocrinologist and others will be required. In addition to a general examination, it is often necessary to carry out a number of additional diagnostic procedures:
- take a clinical blood and urine test, a hormone test;
- ultrasound examination of the thyroid gland and esophagus;
- X-ray, magnetic resonance and computed tomography of the cervical vertebra.
Only after a thorough examination will the doctor be able to make the correct diagnosis and prescribe effective treatment.
What can be done to help a person get rid of the feeling of a foreign object in the throat? The correct solution would be to eliminate the cause that caused the unpleasant symptom.
If the cause of the unpleasant feeling is an infectious disease, then you should immediately begin drug treatment aimed at combating the virus that caused the disease. In case of bacterial infections, complex treatment is prescribed using:
- antibiotics;
- medications to reduce fever, usually based on ibuprofen or paracetamol;
- rinsing with antiseptic agents: furatsilin solution, soda-salt solution, chamomile decoction.
Treatment of neurological disorders is based on:
- normalization of sleep and wakefulness;
- eliminating situations that provoke stress;
- drug therapy using antidepressants.
When problems with the thyroid gland are detected, a feeling of constriction in the throat may be a consequence of a lack of iodine in the body. In this case, hormonal therapy is used to normalize the functioning of the gland, as well as iodine preparations to replenish its deficiency.
Osteochondrosis of the cervical spine also requires drug treatment, but usually therapy is not limited to this. This is the case when the patient needs to undergo a number of additional procedures, for example, acupuncture, massage.
If the patient experiences an illusory sensation of the presence of a foreign body in the throat, the symptom can only be eliminated by eliminating the cause that caused it. However, if you cannot tolerate it at all, you can use distracting procedures, such as rinsing with decoctions of medicinal herbs (chamomile, calendula), warm drinks (mint tea, motherwort decoction), and irrigating the throat with antiseptic sprays.
Chronic throat inflammation
Why does almost all inflammatory processes in the larynx create a feeling as if food debris is stuck there?
- With catarrhal inflammation, thickening of the mucous membrane occurs, causing the vocal cords to swell, become torn by mucus, and do not close. Hard food passes through with difficulty.
- With a hypertrophic inflammatory process, swelling occurs in tissues located more deeply, in particular muscles. This leads to a narrowing of the glottis, as well as the esophagus, hoarseness and difficulty swallowing even viscous food.
- With atrophic inflammation, the tissues of the throat dry out, crusts of mucus may form, and obstruction occurs due to lack of moisture.
Similar phenomena occur with almost all viral and bacterial infections; in order to get rid of the unpleasant symptoms of difficulty swallowing, it is important to identify and treat the disease in connection with which such symptoms began.
Swelling of 1 mm already narrows the lumen of the throat by almost half. As soon as the cause of inflammation is eliminated, the obstruction will stop.
If food gets stuck in the throat of a child under 3–5 years old, an urgent medical examination is required. This sign may indicate the development of croup, diphtheria or laryngospasm. In addition, the cause of throat swelling may be the initial stage of epiglottis, as well as retropharyngeal abscess in children and adults. A feeling is formed that the food does not pass through, but stays in the throat.
Remains of food in the tonsils
Girls, I have had a problem for a very long time, a big problem that makes me just go crazy, but I can’t do anything. As a child, I often had a sore throat, apparently from this sore throat, “pockets” formed in my tonsils, that’s what the doctor told me, and in general, now food gets into these pockets or holes, it rots there, and every day I have this pus, I rinse , it doesn’t come out, and as a result, every day I put my fingers in there and pick everything out, a lot comes out, it makes my throat sore, it hurts, the bad breath is killing me, and what about the doctor, I went to several times, we can’t treat it in any way, only rinse, but rinsing doesn't help. Help, what can I do??????????????????????What is this coming from? Maybe remove the tonsils, otherwise I see, all my tonsils are in holes(((((((((((((((((((((((((((((((I can't) live with this. It’s been a long time, I’ve been struggling with this for 5-6 years
Plugs in the tonsils (tonsilloliths) are pieces of calcified substance that accumulate in the recesses of the tonsils, which can be caseous (curdled), soft, and also quite dense due to the presence of calcium salts in them.
Caseous plugs consist of food debris, dead oral epithelial cells and bacteria that decompose organic matter. In some cases, magnesium, phosphorus, carbonates and ammonia are present in the plugs.
Tonsilloliths are usually whitish-yellow in color, but gray, brown or red formations are also found (depending on the predominant substance in the plugs).
The formation of plugs in the tonsils is one of the main signs of chronic tonsillitis.
General information
Chronic tonsillitis, according to WHO, is the second most common disease after dental caries, so white plugs in the tonsils are quite common.
It has been established that tonsillitis occurs in men 2 times more often than in women, and is observed in all age groups with the exception of young children.
There are no exact statistical data on the frequency of spread, since only forms of complicated or frequently exacerbating chronic tonsillitis are recorded. At the same time, many researchers have noted that tonsils without pathological changes are observed only in newborns, so plugs in the tonsils can occur even in healthy people.
The plug sizes range from 300 mg. up to 42 gr.
Kinds
Depending on the contents of tonsilloliths, plugs can be:
Purulent. Observed in acute tonsillitis (angina), which occurs in lacunar or follicular form. Caseous. They are observed with wide lacunae of the tonsils in healthy people and with chronic tonsillitis. Reasons for development
The reasons for the formation of plugs in the tonsils are currently not fully established. In 1921, Fine, considering the concept of chronic tonsillitis, suggested that the disease develops as a result of a disruption in the process of emptying lacunae.
L. T. Levin and other authors noted that the appearance of signs of chronic tonsillitis is accompanied by a frequent history of tonsillitis.
The appearance of plugs is associated with the structure of the tonsils - each tonsil has lacunae (depressions), the depth and size of which are individual.
Purulent plugs in the tonsils occur with the development of acute inflammation caused by the penetration of pathogenic microorganisms (bacteria, viruses or fungi) into the tonsil tissue against the background of decreased immunity, hypothermia (both general and local), the presence of caries, chronic rhinitis or adenoids.
Caseous plugs in most cases are observed in the presence of chronic tonsillitis, which can be caused by:
An acute form of the disease that has not been completely cured. An interrupted course of antibiotic therapy or self-medication allows pathogenic microorganisms to settle in the tonsils and provoke an exacerbation of the disease when the body's defenses are weakened (with any infection, overwork, etc.) Caries and periodontal diseases. The presence of a constant source of infection in the oral cavity provokes an inflammatory process in the tonsils. Difficulty in nasal breathing, which is associated with a deviated nasal septum, hyperplasia of the nasal turbinates and other disorders.
Also, the reasons causing the formation of caseous plugs include:
frequent ARVI; smoking; environmental factors.
Any inflammatory processes in the throat contribute to an increase in the size of the plugs.
Pathogenesis
The mechanism of formation of plugs in the tonsils has not been fully studied, but it has been established that plugs in the tonsils are associated with the structural features of the tonsils and their participation in the formation of normal immune mechanisms of the body.
The structure and location at the intersection of the digestive and respiratory tracts allows the tonsils to perform a protective function, as well as participate in metabolism and hematopoiesis.
The palatine tonsils are dotted with small depressions that penetrate deep into the tissue, thanks to which the total surface of this organ increases. The walls of the crypts (branched recesses of the lacuna) are covered with epithelium in 3-4 layers, but there are also areas of physiological angization where the epithelium is absent. It is in the area of these areas that microorganisms that have penetrated the lacuna come into contact with the cells of the tonsil. Due to the limited penetration of pathogenic microorganisms in the parietal region of the lacunae, physiological inflammation is formed, stimulating the production of antibodies.
In the tonsil tissue itself there are lymphoid cells - follicles, which take part in the fight against various infections.
The accumulation of living microorganisms, their dead bodies and exfoliated epithelium in the crypts of the tonsils leads to the formation of plugs.
Blockages in the tonsils irritate the nerve endings, cause a feeling of mild pain in the throat, provoke pain in the heart area, cough and cause bad breath.
When infected with pathogenic microorganisms (often an adenovirus-streptococcal association), under the influence of factors that weaken the immune system, limited inflammation in the crypts is activated and becomes pathological, spreading to the lymphadenoid tissue (parenchyma) of the tonsil, and purulent plugs form in the lacunae.
The bacterial flora that is constantly present in the tonsils includes streptococci (especially group A hemolytic streptococcus), staphylococci, pneumococci, etc.
Symptoms
A caseous plug on the tonsil may not manifest itself in any way, but may be accompanied by:
bad breath, which occurs when food debris and other elements of the cork decompose due to hydrogen sulfide bacteria; sensation of a foreign body in the throat (if the plug is large); soreness; unpleasant sensations at the location of the plug.
Such plugs in themselves do not pose a great danger to the body.
Purulent plugs are accompanied by:
Foul odor from the mouth. Throat irritation. Pain when swallowing. Swelling of the tonsils. White spots on the tonsils. Since the plugs themselves are often located deep in the lacunae, only a specialist can see them during examination, but they, like white spots, can be visible to the patient himself.
Since purulent plugs form in the acute form of tonsillitis, the disease is accompanied by general intoxication and elevated temperature.
Diagnostics
The diagnosis is based on:
Anamnesis data. The otolaryngologist clarifies the patient’s complaints, the frequency of previous sore throats and acute respiratory viral infections, and the presence of concomitant diseases. A general examination to identify enlarged lymph nodes in the affected area. Pain on palpation indicates the presence of a toxic-allergic process. Instrumental studies (pharyngoscopy). In chronic tonsillitis, it allows you to identify white plugs on the tonsils in a child, which are located on large pink or red loose tonsils, and plugs on medium or small smooth tonsils in adults. In acute tonsillitis, swelling, hyperemia, expansion of lacunae and purulent plugs in them are detected (with follicular tonsillitis, a “starry sky” picture is observed). Laboratory tests, including a blood test and a smear to determine the microflora of the tonsils.
To confirm the diagnosis of chronic tonsillitis, in some cases, radiography of the paranasal sinuses and an ECG are prescribed.
Treatment
Caseous plugs in the tonsils, which do not cause discomfort, do not require treatment, since the tonsils are capable of self-cleaning.
If there is a feeling of tickling, discomfort when swallowing and the presence of bad breath, plugs on the tonsils in children and adults are treated with a conservative method.
Conservative treatment includes:
Gargling with a medicinal solution. Thanks to rinsing, the general condition of the patient with chronic tonsillitis improves. Removal of plugs, for which vacuum suction or washing of the tonsils with antiseptic solutions is used.
Cleaning of tonsils from plugs should be carried out exclusively by an otolaryngologist, since with incorrect methods of removing plugs located deep in the lacunae, they can become deeper into the tonsil tissue and injure it.
The presence of purulent plugs requires the use of antibiotics to prevent the spread of purulent infection.
Ampicillin or other systemic penicillin antibiotics are usually prescribed. It is possible to use azithromycin, sumamed, ceftriaxone and other drugs from the group of macrolides or broad-spectrum cephalosporins.
General immunity is strengthened with the help of interferon preparations, echinacea tincture, amixin, tactivin or immunal, and local immunity with the help of IRS-19 aerosol, lysozyme and Isofra nasal drops.
Vitamin C, B vitamins, and vitamin PP are also prescribed.
Gargle:
infusions of sage, oak bark, chamomile or eucalyptus; saline-soda solution; propolis tincture; antiseptics.
Treatment with the Tonsilor device is successfully used to remove plugs.
If necessary, physiotherapy procedures are prescribed, including phonophoresis, UHF, microcurrents. Laser lacunotomy is also used, in which the washed lacunae are partially sealed with a laser.
If conservative treatment is ineffective and plugs constantly form against the background of chronic tonsillitis, surgical intervention (tonsillectomy) is used.
Treating tonsil plugs at home
Removing tonsil plugs at home is not recommended; it is rarely possible to remove them completely on your own. But in the treatment of chronic tonsillitis and in the fight against the formation of plugs, folk methods are widely used to boost immunity, soften surface plugs and facilitate their gradual rejection. For this use:
Gargling with a solution that requires honey, lemon and beet juice in equal proportions (1 l), and 200 ml. water. The solution should be kept in the mouth for at least 2 minutes, rinsed about 7 times a day every day until the congestion and disturbing symptoms disappear. Using tincture of pollen and propolis. The use of a collection that consists of rose hips, sweet grass, calamus and peony root (20 grams each), Leuzea root, wild rosemary and St. John's wort (15 grams each), licorice, elecampane root and horsetail grass (10 grams each). The collection is brewed in 250 ml. boiling water and drink throughout the day. Prevention
Preventive measures include:
daily hygiene procedures relating to the oral cavity; treatment of caries and other oral diseases; treatment of diseases associated with the sinuses; rational nutrition and, if necessary, additional intake of vitamins; strengthening general and local immunity; timely vaccination and compliance with rules to avoid infection during epidemic periods; warning of hypothermia.
When you cough, small dense lumps fly out of your mouth. I thought it was leftover food... And today I gave birth to a large, smelly lump. Is this pus really that thick? Or some mysterious polyps? He looked down his throat in horror. White “fluffy” lumps are located on the tonsils. He took the toothbrush and pressed. Gray-yellow worms appeared from the depths, which, I apologize, stank so much that it was simply terrible! I almost threw up... I'm in a panic! Novel
WELCOME to the “Yellow-White Lumps Club”
All people have lumps in the lacunae of the tonsils. This is NOT rotten sour cream! People make up stories about seeds, nuts, cottage cheese!!! A piece of raw carrot would have ended up in there in the same way, but no! Like earwax, secretion is constantly being formed in the lacunae of the tonsils. Healthy tonsils cleanse themselves. Chronic tonsillitis is similar to constipation. The unpleasant smell is because the lumps remain in the gaps for a long time. Fresh lumps do not have an unpleasant odor. Wide gaps are for life. You'll have to take care of your throat the same way you take care of your teeth - every day. If you see something loose, remove it and gargle. The gaps will clear and everything will be fine.
You can remove plugs using an ear stick, spoon, hairpin, index finger, rinsing with a syringe or dental irrigator. To avoid gagging, you need to chew 2 falimint tablets 30 minutes before the procedure - this is a light local anesthesia.
Video. A 12-year-old girl removes plugs from her tonsils with an ear stick.
Important!!! When the tonsils are injured, bacteria enter the bloodstream. Therefore, after removing the plugs, the temperature may rise, aches, headaches, and sore throat may appear. Paracetamol or Nurofen helps.
Rinsing helps with blockages in the tonsils
Important!!! You need to gargle for 2-3 weeks at least 3 times a day (more is possible). NOT effective: IRS 19, lozenges (Imudon, Tonsilgon, Lizobakt, Septolete), as well as any sprays (Hexoral, Tantum Verde, Ingalipt).
Herbal gargles : oak bark, chamomile, sage, calendula, plantain, calamus root, chlorophyllipt alcohol solution 1% (dilute with water to taste), stomatophyte, malavit, rotokan, vegetable oil, birch tar.
Chemicals for gargling : miramistin, octinisept (diluted 1:6), chlorhexidine, dioxidine (1 ampoule per glass of water), furatsilin (2 tablets per glass of water), kerosene, vodka, mouth rinses (Listerine), 3% peroxide hydrogen (diluted 1:1).
Dr. House's solution for gargling : 0.5 liters of boiled water + 3 tablespoons of table salt + 1 tablespoon of soda + 1 drop of iodine - it burns strongly, but sometimes it helps.
How Dr. Erisman treats: Take 1 teaspoon of pumpkin seed oil in the morning on an empty stomach. After eating, gargle with sea water or furatsilin solution. Rinse like this: put a small amount of rinse solution in your mouth; slightly tilting your head to the right and left, pronounce the vowels “O”, “A”, “Y”. In the evening, take 1 teaspoon of pumpkin seed oil. Before going to bed, gargle with astringents. For example, oak bark or eucalyptus leaf. You should spit it out as if you were coughing up phlegm. The course of treatment is 14-21 days.
“Knowledge-intensive” methods are expensive and no guarantee
Throat smear for flora and fungi with determination of sensitivity to antibiotics. 100% of the time some kind of crap is sown. Most often staphylococci or streptococci. Less often mushrooms. You will be offered two treatment options ANTIBIOTICS or BACTERIOPHAGES . The results are disappointingly short-lived. Most likely, in 1-3 months you will again become a member of the “Yellow-White Lumps Club”.
The tonsils “give” to the head, heart, joints, kidneys
From the point of view of official medicine, the grounds for removing tonsils are: sore throat more than 4 times a year, complications in the heart, joints, kidneys and other organs.
Folks, rinsing, picking and washing is not the answer. During the year I had a sore throat 11 times. All these lumps, constant sore throat! The tonsils act as an immune organ when healthy. If a pathological process has begun in them, that’s it, smoke cocoa! Doctors don’t care, they prescribe all sorts of crap. And you suffer three times a day, picking out and rinsing with all possible nasty things, swallowing antibiotics, setting your stomach... TOMORROW I'M GOING TO REMOVE THEM FINALLY, HURRAY!!! It’s a little scary, but compared to everything that they are doing to my body now, this is complete garbage!!! Olga
I am not for unconditional cutting of the tonsils. We need to try treatment. But, for more than two years, masturbating your body with all kinds of medications and plantain infusions is stupid. Don't force yourself. If it doesn’t help, decide to have surgery. I did it and don't regret it. Now I can communicate normally with people and not breathe into my hand. Alexei
See details: How to remove tonsils in a modern way, What is the best way to remove tonsils: under local or general anesthesia
Video. Tonsils are removed using an electrocoagulator
Unfortunately, tonsil removal is not a panacea. These stinking lumps lack any moral principles. There are not 2 tonsils, but six, and they are also in the pharynx, we don’t see them! Sometimes parasitic stink bugs nest there.
The tonsils have been removed. When they were, the same crap with lumps and their regular removal and stench. I got so fed up that I went and deleted it. It didn't end there! The lumps stink and come out anyway! And they nest somewhere lower, in the mucous membrane of the larynx. Elena
Exotic treatments
Tonsils remove toxins from the body. Treating pharyngitis, tonsillitis, etc. is only an attempt to eliminate the consequence. WE NEED TO GET TO THE ROOT. It is necessary to cleanse the body as a whole, removing accumulated poison from the tissues. There is only one way to completely cleanse the body - fasting. There is an opinion that the “healing” color for chronic tonsillitis is sky blue.
I want to reassure absolutely everyone: chronic tonsillitis with the most severe discipline and self-organization is not a death sentence.
We will defeat them! Your Diagnostician.
Thank you, dear commentators. A lot of interesting. And most importantly - from life.
Tags: sore throat
Throat cancer
A dangerous disease can occur for a long time with only one symptom: food does not pass, but gets stuck in the throat on the throat or tonsils.
As time passes, other signs of cancer appear:
- severe pain when swallowing;
- a persistent sensation of a foreign object, as if there were food remains in the throat;
- redness, inflammation, swelling on the tonsils or elsewhere,
- ulceration of the mucous membrane,
- enlarged, painful lymph nodes in the neck;
- purulent mucus from the nose, accumulation in the throat;
- persistent low-grade fever;
- weight loss, lack of appetite;
- weakness, malaise.
It is worth paying special attention if there is food obstruction on one side, when one of the tonsils becomes enlarged and bleeding ulcers appear on it. What to do? The sooner you start treatment, the better the prognosis will be.
Food stopper
Even on the surface of completely normal tonsils there are depressions called lacunae. Traffic jams, including food ones, can form in these recesses. They do not pose a health hazard, since the tonsils have the ability to self-cleanse. There is no specific treatment.
But due to the unpleasant odor from food lingering in the throat and on the tonsils, which, in fact, are plugs, the lacunae are washed by an ENT doctor. Vacuum suction of the contents of lacunae is also used.
A person who has such plugs is not recommended to remove them themselves, as there is a risk of worsening the situation - food will go deeper into the lacuna and cause complications.
Traffic jams can form with frequent pharyngitis and tonsillitis. In such a situation, it will be useful to rinse your mouth and throat after eating; this will help maintain oral hygiene at the proper level and wash away food debris from the surface of the tonsils.
Spasms
While eating or immediately after eating, a spasm may suddenly appear, in which food actually gets stuck in the throat. A person’s condition worsens in a matter of minutes: he turns pale, becomes covered in cold sweat, his muscles become very tense, and convulsions or blackouts may appear.
Causes
sore throat;- intolerance to drugs and chemical odors;
- irritation of the nerves of the pharynx;
- tumors.
Symptoms of dysphagia
This disease is diagnosed by the following signs:
- food after swallowing may get stuck in a certain area of the esophagus;
- pain occurs in the chest cavity after eating;
- a dry cough appears;
- a person feels a foreign body located behind the sternum;
- there is frequent heartburn;
- after eating there is profuse belching;
- partially digested food can end up back into the mouth and nasopharynx. The acid irritates these organs, resulting in inflammation.
Interesting! Positive and negative effects of baking soda on burning sensations
Factors in the formation of gastrointestinal dysphagia
Why does food get stuck inside the esophagus at the level of the pharynx? This symptom is observed in many pathologies:
- development of gastroesophageal reflux, due to the reflux of stomach contents (food and juice) into the esophagus through the cardial opening;
- with esophagitis (inflammation of the mucous membranes) of the digestive tract;
- if bulging of the esophagus (diverticula) has formed in the throat area;
- tissue dissection of the esophageal corridor;
- due to the formation of a hernia;
- Eating is difficult if there is a tumor squeezing the throat from the inside or outside.
Associated symptoms are belching, heartburn, pain, burning, and sore throat. Self-medication, as with other diseases, is unacceptable.
Medicines
Long-term conservative treatment is used in the treatment of GERD, hiatal hernia, esophageal ulcers, and chronic esophagitis. In addition to following a diet, medications are taken:
- proton pump inhibitors (Lansoprazole);
- antacids (“Almagel”);
- prokinetics (“Motilium”);
- H2 blockers (“Famotidine”);
- bismuth products (“De-nol”).
To treat achalasia cardia, diffuse spasm of the esophagus, a diet with a predominance of soft foods is used, nitrates, calcium channel blockers, local anesthetics, antispasmodics, vitamin B, and sedatives are prescribed. If the contractile activity of the esophagus is impaired, physiotherapy is effective.
For infectious esophagitis, antibacterial, antifungal, and antiviral agents are used. For scleroderma and sideropenia, treatment of the underlying disease is necessary.
Neurological diseases
The feeling that food is a little stuck in the throat may be the cause of one of the dangerous progressive diseases caused by dysfunction of the nervous system:
- In Parkinson's disease, the swallowing process is disrupted due to tremors, and food remains are retained in the throat. At the same time, the amount of sputum increases, a cough appears, as during bronchitis. The patient has difficulty swallowing food in one, two, even three doses. Corrective therapy is used for treatment.
- In Amyotrophic lateral sclerosis, one of the early symptoms is a disorder of reflex swallowing and movement of food along the esophageal tract due to a decrease in the muscle strength of the tongue. Associated symptoms: cough from a small amount of water getting into the windpipe, food getting stuck, a feeling of something stuck in the throat.
- The consequences of bulbar poliomyelitis are characterized by the feeling of food remaining in the throat, symptoms of difficulty swallowing food with a dense structure, and rapid fatigue while eating.
- In myasthenia gravis, the initial symptom of the disease is difficulty swallowing food due to muscle weakness of the pharynx or mouth. Other symptoms: hoarseness, nasal speech, unclear pronunciation.
- A sign of multiple sclerosis is also a feeling of obstruction of food, difficulty swallowing due to a delayed phase of the process. Food gets stuck due to weakened tongue and throat muscles.
Untimely treatment of any disease will end badly.
What should you do if food is difficult to pass while swallowing? And then it seems like the piece stays in your throat for a long time? Diseases are differentiated by the types of accompanying symptoms and test results. To determine the true cause of the discomfort, you need to immediately contact an otolaryngologist; the sooner treatment begins, the more successful the healing will be.
Surgical therapy
This type of treatment consists of medications and non-invasive procedures required to relieve the condition. Conservative therapy includes gargling and physiotherapy. Although these methods are more gentle, they are not always effective. They are often combined with surgical treatment.
What to do if food gets stuck in your throat? The following procedures will help if this situation occurs for the first time or the food bolus is delayed due to esophageal diverticulum:
- You need to drink some warm liquid.
- A change in body position is required.
- Air should be introduced into the esophagus with an “empty” throat.
If food constantly gets stuck in your throat, then you need to carry water, juice or another non-alcoholic drink with you. Such patients should not eat dry or solid food; if there is no drink, then even a small piece can lead to discomfort, causing pain behind the sternum.
All of these techniques are effective for spasms of the esophagus and a very large volume of swallowed food. They are not suitable for patients suffering from narrowing of the esophagus due to tumors, scarring, or systemic scleroderma. If you know about the risk of spasms of the esophagus, then you should not allow physical activity and simultaneous consumption of food, or emotional experiences during the eating period. You can ask your doctor about adding citric acid to your food to improve your swallowing reflexes.
This type of treatment is used when conservative methods do not help. If there are obstacles in the way of food movement, then the food will linger in the lumen of the digestive tract without penetrating into the underlying sections. For some people, the inability to eat food in the usual way (by mouth) leads to malnutrition because they only swallow small amounts of liquid food.
Surgical treatment is effective for:
- neoplasm;
- achalasia cardia stage 3-4;
- diverticulum, which is difficult to empty;
- esophageal stenosis.
Food retention due to swelling cannot be treated with conservative methods. The tumor is removed, but this is not always allowed due to its size and anatomical location. Therefore, surgical therapy is combined with conservative chemotherapy.
The effectiveness of the surgical method is considered in each case separately. There are many methods of surgical treatment. Only a specialist should choose a treatment option. Surgical methods include gastrostomy - the formation of a channel in the abdominal cavity, which will help feed a person without going through the esophagus.
Having food stuck in your throat is a dangerous and unpleasant sensation. If this happens frequently, and other symptoms are also observed, then you should immediately consult a doctor. Diagnosis and treatment of dysphagia is performed by an otolaryngologist, as well as abdominal surgery specialists. The first examination is usually carried out by a general practitioner.