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I always have some food particles stuck in my throat after a meal. Is it a sign of mouth cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 24, 2021
Reviewed AtJune 7, 2021

Patient's Query

Hi doctor,

I am a 39-year-old male. At the beginning of this year, I started to have a feeling of something stuck in my throat after having meals. During that time, I consulted an ENT specialist and gastroenterologist. They did an endoscopy. I was diagnosed with silent GERD with LPR. I took medications, lifestyle changes, and dietary changes to resolve my symptoms. I have attached my endoscopy report. But now, I keep getting it on and off. While having dinner or lunch, I have a feeling of food particles getting accumulated in my throat. I can chew and swallow my food. But I have a mild sense of food getting accumulated in the throat and then I need to clear my throat. While clearing my throat, I get some food particles back that are swallowed while eating. It is caused by some foods only. They are watermelon and cucumber. I chew food properly and slowly. I get a loud burp after having a meal. I do not have throat pain, discomfort, nausea, vomiting. I do not smoke or drink. I was tested positive for COVID-19 a month back and now, I am fully recovered. I would like to know the cause. Does my throat passage get narrow due to burping? Is this an early sign of throat or mouth cancer? Is there a treatment for this issue? Kindly suggest.

Hi,

Welcome to icliniq.com.

You have attached only upper gastrointestinal endoscopy reports (attachment removed to protect patient identity). Kindly attach your laryngoscopy reports. Your condition takes some time to get resolved completely. You can have occasional relapses. Mostly your problem is laryngopharyngeal reflux. Please mention whether you have any differences in the throat while taking solid, semi-solid, and liquid foods. Usually, throat passage gets narrowed due to reflux. Burping is a symptom of reflux or acidity. It causes posterior larynx and cricopharynx to get swelled and narrowed. Your symptoms are not an early sign of cancer. Your endoscopy report does not show anything serious. Please mention your diet, sleep habits, and bowel movements. If feasible, I advise you to do a laryngoscopy and barium swallow again. Before doing these tests, I would like to know your thorough history and medicines taken for your problem. Considering your age and non-smoker status, there is nothing to be worried about cancer.

Patient's Query

Thank you doctor,

I have not done a laryngoscopy. My doctor advised me to do only endoscopy. I do not face any issues while eating white bread or banana, drinking milk or tea, and while taking ragi balls. I take rice and dal for my lunch and dinner. Right now, I am noticing some issues only during dinner. It occurs only after finishing my dinner. Initially, I took Nexpro 40 mg in the morning. I do salt water gargling thrice daily and take small and frequent meals. I sleep a little later after taking my food. I still follow these steps. Due to COVID-19 issues, I do not want to go to hospital. Currently, I am taking Liv 52 in the morning and tablet Ceeplus in the afternoon as a part of COVID-19 recovery medications. Kindly suggest.

Hi,

Welcome back to icliniq.com.

Please mention whether you have any mucus dripping from the nose into your throat. Please mention you have any recurrent clearing of the throat or mild cough even before having COVID-19. Please mention whether you have any sense of nose block or runny nose. A barium swallow can be done in scan centers with an X-ray machine. It is essentially an X-ray and you do not require to go to the hospital.

Treatment plan

You need conservative medical management.

Patient's Query

Thank you doctor,

I do not have any nasal symptoms. I do not have a cough before having COVID-19. Now, I do not have a cough. I do not have a feeling of clearing my throat during regular times. I do not know how to check whether I have mucus dripping from my nose. My throat remains normal at regular times. After finishing dinner, I have a feeling of food particles getting accumulated, and then I clear my throat. After drinking some water, it gets cleared. For now, I am taking medications and I will report back after ten days. Do I need to take Nexpro 40 mg continuously?

Hi,

Welcome back to icliniq.com.

Continue taking Nexpro 40 mg (Esmoprazole) before breakfast for ten days. Take tablet Allegra M (Montelukast with Fexofenadine) in the evening for ten days. Take syrup Gaviscon two teaspoons thrice daily after meals. Have a follow-up after ten days.

Patient's Query

Thank you doctor,

I have completed my ten days course of medication. Still, I have mild symptoms while eating rice and curry items. I do not have this feeling while I take chapati or bread or cereals. I also notice that I am not focusing on eating while taking my food. I keep on watching television while taking food. Will this affect my chewing and swallowing synchronization? I am anxious about this issue. KIndly advice. I took Nexpro 40 mg in the morning before breakfast, Allegra M in the evening, and syrup Gaviscon thrice daily after taking food.

Hi,

Welcome back to icliniq.com.

For now, continue taking same medications. Please mention whether you are taking precautions, lifestyle and dietary changes.

Patient's Query

Thank you doctor,

I will continue taking it.

Hi,

Welcome back to icliniq.com.

Continue taking medicines for another ten days. Please mention whether you have problems after taking curry during lunch even after taking syrup Gaviscon. Try to avoid taking curries and masala for lunch or dinner. Please mention whehter you exercise daily. Kindly mention your height and weight.

Patient's Query

Thank you doctor,

I am in a height of five feet and weight of 63 kilograms. I do exercise for 45 minutes. I use to go to the gym daily before lockdown. Due to it, I am doing workouts at home. Can I continue taking Allegra M for another ten days? I searched online about my symptoms and it showed about globus sensation. Do my symptoms indicate it? I want to know whether this will not turn into major issues in the future.

Hi,

Welcome back to icliniq.com.

Continue taking the same medications for another ten days. Globus sensation is a sensation of something stuck inside the throat. It occurs in a variety of conditions. It is necessary to do a laryngoscopy. We need to know whether you have any pooling while swallowing. If there is an absence of an identifiable cause, then you need to take some anti-anxiety medicines. It will not turn into a major issue in the future. Try to follow the precautions, lifestyle changes, and medications.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N
Dr. Shyam Kalyan. N

Otolaryngology (E.N.T)

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