[22F] Experiencing garlicky phlegm and foreign body sensation in throat

Patient Description

A 22-year-old female has been experiencing a garlicky taste in her phlegm for approximately one month, which is particularly noticeable when clearing her throat. She also feels as if there is something in her throat, a sensation that has been present for one to two weeks. The patient has been dealing with heartburn and has consumed foods that could potentially cause heartburn or acid reflux. She has not noticed any changes in her voice, persistent cough, weight loss, or difficulty swallowing. The patient is currently on birth control pills, taken 7 days each month, and reports no known allergies or adverse reactions to medications. There are no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you provided, the most likely causes of your symptoms include:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This can lead to heartburn and the sensation of a lump in your throat. The garlicky taste could be due to regurgitation of stomach acid or food.

    • Treatment typically involves lifestyle changes, such as avoiding foods that trigger symptoms, and medications to reduce stomach acid.
  • Postnasal Drip: This is when excess mucus from your nose goes down the back of your throat. This can cause a bad taste in your mouth and a sensation of something in your throat.

    • Treatment typically involves treating the underlying cause, such as allergies or a sinus infection.
  • Oral Health Problems: Issues with your oral health, such as gum disease or tooth infections, can cause a bad taste in your mouth.

    • Treatment typically involves improving oral hygiene and possibly dental procedures.

Please note that these are potential causes based on the information you provided. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do:

  1. Avoid foods that trigger your heartburn.
  2. Maintain good oral hygiene by brushing and flossing regularly.
  3. Stay hydrated to help clear mucus from your throat.
  4. Try over-the-counter antacids to see if they help with your heartburn.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty swallowing or breathing
  • Severe chest pain
  • Vomiting blood or black material
  • Black stools
  • Unexplained weight loss

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What causes a garlicky taste in phlegm?

A garlicky taste in phlegm can be caused by regurgitation of stomach acid or food due to conditions like GERD, or it could be related to postnasal drip where mucus from the nose goes down the throat.


How can GERD lead to a sensation of something in the throat?

GERD can cause a sensation of something in the throat, known as globus sensation, due to irritation from stomach acid that affects the esophagus and throat.


What lifestyle changes can help manage heartburn symptoms?

To manage heartburn symptoms, avoid foods and drinks that trigger symptoms, eat smaller meals, avoid lying down immediately after eating, and maintain a healthy weight.


When should I seek medical attention for throat-related symptoms?

Seek medical attention if you experience difficulty swallowing or breathing, severe chest pain, vomiting blood, black stools, or unexplained weight loss.

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