[18F] Experiencing throat discomfort and respiratory symptoms

Patient Description

An 18-year-old female presents with a sensation of a foreign body in the throat described as a food particle and pressure, persisting for approximately 4 hours in a fixed position. She reports concurrent symptoms of a dry cough that exacerbates with physical activity and is associated with chest pain and moderate difficulty breathing. The patient also notes wheezing but no fever, chills, or voice changes. There is no significant past medical history, known allergies, or current medication use.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause a sensation of a foreign body in the throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.
  • Esophagitis: This is inflammation that may damage tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach. Esophagitis can cause painful, difficult swallowing and chest pain.

    • Treatment typically involves medications to decrease stomach acid and lifestyle changes.
  • Asthma: A condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

    • Treatment typically involves long-term control and quick-relief medications, as well as tracking your breathing to make sure your daily asthma medications are keeping symptoms under control.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms more thoroughly.

What you can do

In the meantime, here are some steps you can take:

  1. Try to stay calm. Anxiety can sometimes make symptoms like difficulty breathing and chest pain worse.
  2. Avoid eating large meals or foods that you know can trigger your symptoms.
  3. Try to avoid lying down or going to bed soon after eating, as this can exacerbate symptoms of GERD.
  4. Avoid physical exertion as it seems to worsen your cough.
  5. Stay hydrated and try to rest as much as possible.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve.
  • You have difficulty swallowing.
  • You experience severe chest pain or pressure, especially if it radiates to your arm, jaw or back.
  • You have difficulty breathing or shortness of breath that is new or worsening.

Remember, it's important to consult with a healthcare professional who can evaluate your symptoms more thoroughly.

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11 mo ago

People Also Ask


What is the sensation of a foreign body in the throat, and what could be causing it?

The sensation of a foreign body in the throat, often described as a lump or something stuck, can be caused by conditions like GERD, where acid reflux irritates the esophagus, or esophagitis, which is inflammation of the esophagus.


How can GERD lead to symptoms like chest pain and difficulty breathing?

GERD can cause chest pain and difficulty breathing because the acid reflux can irritate the esophagus and even the airways, leading to symptoms like coughing, wheezing, and chest discomfort.


What are the common symptoms of asthma, and how is it typically managed?

Common symptoms of asthma include wheezing, coughing, shortness of breath, and chest tightness. Management typically involves using long-term control medications to prevent symptoms and quick-relief inhalers for sudden attacks.


When should someone seek immediate medical attention for these symptoms?

Immediate medical attention should be sought if symptoms worsen, if there is severe chest pain or pressure, especially if it radiates to other parts of the body, or if there is new or worsening difficulty breathing.


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