What could cause a feeling of something getting stuck in the throat and uneasiness while swallowing?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The most common reason for having this irritation in the throat with a feeling of a lump or something obstructing while swallowing saliva can be a feature of chronic silent GERD with LPR (gastroesophageal reflux with laryngopharyngeal reflux). Even though you might be asymptomatic or never had gastric issues in between, the inflammation in the throat often exists in the hidden form and can resurface when adequate care is not taken. As you know the stomach usually has cells that release hydrochloric acid and thus keep the gastric environment acidic. Your entire mucosal lining from the mouth throat and food pipe (esophagus) is not meant to handle anything acidic. Of the three structures, the throat is the most sensitive due to its rich nerve supply. If in a given situation, your mouth, throat, or food pipe chronically comes in contact with acidic contents, an inflammation starts which the body initially takes care of, but once this compensation wears out, you start developing symptoms that you have mentioned.

I suggest the following,

1. Maintain a strict diet, eating on time.

2. Avoid spicy, oily, and cold food and drinks.

3. Keep a gap of two hours between meals and going to bed.

4. Do not overeat, rather keep your stomach half empty and have regular intermittent light food like fresh-cut fruits in between major meals.

5. Salt water gargling 8 to 10 times a day for 15 days.

6. Avoid alcohol and smoking as it can potentiate reflux.

7. Try to maintain a left lateral position while sleeping to reduce the chance of reflux.

I suggest the following treatment plan. Consult your doctor and take the medicines only with their consent.

1. Tablet Pan D (Pantoprazole and Domperidone) 40 mg (or its equivalent) once in the morning before breakfast for one month.
2. Syrup Mucaine gel (or its equivalent) 1 tsp three times a day 20 mins before meals for one month.

Make sure you follow the precautionary measures as much as possible as medications cannot fetch long-term relief. Please understand that this typically takes 4 to 6 weeks for things to normalize and for symptoms to subside and chiefly depends on how much you have been able to follow the precautions mentioned above as 80 percent of the treatment lies there. There is absolutely nothing that you need to worry about as this is a treatable entity and things will be fine.

I hope I have answered your query in detail.

Thank you.