Feeling like something is stuck in my throat after throwing up

 

If you are one of those people who chronically feel that something is stuck in your throat with or without vomiting or throwing up,

If you think something is chronically stuck in your throat,

If you need to clear your throat frequently,

If you are looking for something to get rid of this annoying feeling,

Continue to read, I will tell you more about the main causes for this type of feelings and some remedies to treat the above experiences.

 

https://www.marsoclinic.com/Fa/main/feeling_like_something_is_stuck_in_my_throat_after_throwing_up

 

What is the cause of this feeling?

How to diagnose the exact cause

How to get rid of this annoying feeling

Can anxiety and stress cause this feeling?

When to see a doctor

 

What is the cause of this feeling?

  • Stomach acid irritation

When the gastric acid reach throat through vomiting or throwing up, the chemical properties of this liquid damage the pharynx tissue and cause “chemical pharyngitis”.

This condition can happen when some acidic chemical liquid is drunk suddenly. For example, you may experience the same feeling when drink lemon juice or other acidic or sour drinks.

The severity of this chemical burn and obviously the amount of discomfort that it may cause, depends on the PH of the liquid and the volume of it.

As the PH decreases and the amount of the fluid increases, one should expect sever chemical pharyngitis.

The factors that may be related to sever chemical pharyngitis caused by gastric acid are:

  • Stress
  • Smoking
  • Faty food
  • Acidic or sour beverage
  • High body weight
  • Some medication
  • Spicy foods

In other hand some other factors are associated with mild chemical pharyngitis:

The fluid contains milk or other alkaline food like soybeans or nuts.

Vomiting happens in standing or sitting position rather than sleeping.

Some medications increase the PH of gastric acid. As the PH increases the severity of chemical pharyngitis decreases.

You can find some easy ways to help this condition to heal as fast as possible under the section “How to get rid of this annoying feeling”.

 

  • Globus pharynx

Definition:

There are many reasons why some people feel that something is stuck in their throat but when it comes to causes that associated with vomiting or throwing up, Globus pharyngitis should be considered as an etiologic factor.

Doctors call the feeling of something stuck in the throat Globus pharyngitis. It is generally caused by the restless mental state of the person.

Some medical references use globus when there is no physical etiology for this sensation as I will do through this article.

For example, sometimes a bite may get stuck in your throat and not move with repeated swallowing of saliva or water. This condition is called “Dysphagia”.

 

What causes globus?

Why do people feel that something is stuck in their throat after vomiting or without any incident?

Globus or the sensation of a sticky body in the throat is caused by some psychological or mental problems and this is the main reason that treating this condition is very difficult.

Sometimes this underlying psychological condition may cause gastric acid to come back into the esophagus and reaching the throat and larynx, causing chemical pharyngitis.

Therefore, it is very important to distinguish between globus sensation that is caused by psychological factors alone or with combination of chemical pharyngitis.

 

Epidemiology

Everyone in all age groups can experience the globus. Both children and adults can have this experience, but it is more common in adults than in children.

In adults, the prevalence of globus sensation increases in middle age group.

The globus sensation in much more common in female rather than male.

Again, I like to emphasis that here when I use globus terminology I mean globus sensations that have no known causes. Scientists believe that most of these are caused by psychological factors.

 

Who are at risk for developing globus sensation?

People who are more sensitive to stress and people who experience chronic anxiety experience Globus sensation more than others.

Stress stimulates the stomach nerves and increases the secretion of gastric juice. Following these events, gastritis and indigestion occur more than others.

This group suffers more from the return of gastric acid to the esophagus than others.

Contact of gastric fluid, which contains digestive enzymes and stomach acid with the throat and larynx, will irritate, inflame and chemically burn their tissue and cause chemical pharyngitis. This is why you may feel that something sticks in your throat almost all the time.

 

Treatment of Globus pharyngitis

The basis of treatment will be the control of daily stress and mental disorders if presents.

Psychological rehabilitation and regular psychologist visit will play an important role in treatment and prevention of progress of disease.

 

Stress management consists both family and work intervention and needs strict cooperation.

It is better to avoid eating salty and sour foods because these substances slow down the emptying of the stomach and may worsen the globus sensation.

 

  • Gastroesophageal reflux disease

 

https://www.marsoclinic.com/Fa/main/feeling_like_something_is_stuck_in_my_throat_after_throwing_up

 

Sometimes gastroesophageal reflux disease (GERD) is accompanied by nausea and vomiting because of increased food intake.

GERD can cause globus sensation through different mechanisms. This feeling can be happened with or without vomiting, therefore, if you experience the feeling like something stuck in your throat and does not relief easily after vomiting, it may be caused by GERD.

The most common clinical sign for gastroesophageal reflux disease is heartburn.

Other less common symptoms would be:

  • Existence of a lump in the throat
  • Bad breath smell
  • bad smell of mouth
  • The feeling of having something stuck in the throat
  • Nausea
  • Vomit
  • Flatulent
  • Belching
  • Damage to the teeth
  • Change in voice
  • Chronic cough

 

https://www.marsoclinic.com/Fa/main/feeling_like_something_is_stuck_in_my_throat_after_throwing_up

 

 

  • Gastric ulcer disease

The gastric ulcer disease refers to conditions in which there is breakage in the protective layer of stomach against gastric acid because of many different factors.

The ulcer itself cause heartburn and many different symptoms like vomiting, nausea and especially the globus sensation which can be seen before or after vomiting.

If the globus sensation that is occurred after vomiting dose not resolve thoroughly after couple of hours, there may be some serious underlying condition that need special considerations.

If you have had history of serious heartburn, be sure to schedule your medical visit as soon as possible.

The globus sensation in these patients after vomiting arise from gastric acid which irritate the pharynx and common nerves that are responsible for stomach and pharynx sensation.

When these nerves become stimulated by gastric ulcer, someone may experience globus sensation in the throat without any underlying pathology in pharynx. These types of pains are called referral pain.

 

How to diagnose the exact cause

General considerations:

If you experience the feeling of something stuck in your throat after vomiting without any history of heartburn and this feeling happens just after vomiting followed by fatty or heavy meal, the cause may be mild pharynx chemical burn because of gastric acid.

These types of pharyngitis will resolve thoroughly in couple of hours. If it begins to happen again and again and dose not resolve easily in a couple of hours, then there may be some serious problems.

If you have had history of some sort of heartburn and return of gastric acid in your throat and now after vomiting your globus sensation persists and doesn't resolve easily, then the gastroesophageal reflux disease may be the cause.

Notice the fact that these problems can be present simultaneously. For example, one can has GERD and gastric ulcer disease because of the sever stress disorder which make the diagnosis and treatment very challenging and tricky.

 

In order to make a diagnosis of Globus pharyngitis caused by stress, we must first rule out other digestive problems that may be present in the throat and esophagus. In other words, there is no specific test for definitive diagnosis of Globus pharyngitis. Eliminating other causes would be the only way to diagnose Globus pharyngitis.

 

Diagnostic tools:

  • Examination of the throat and larynx with specialized tools
  • Examination of the pharyngeal junction with stomach named lower gastroesophageal sphincter or LES with endoscopic instrument.
  • Performing radiological study of esophagus and stomach with some medical dye like barium swallowing test.
  • Blood tests to assess anemia, thyroid problems.
  • In the presence of gastric reflux into the esophagus, inflammation in the throat and sometimes inflammation, redness and swelling of the larynx and damage to the vocal cords will also be evident on direct examination of the throat and larynx.

Whan all of these tests and examination are normal, especially if the person is a female and is under a certain amount of stress, a diagnosis of Globus pharyngitis is likely the cause of repeated vomiting and all other associated problems.

 

How to get rid of this annoying feeling

Home remedies:

If the feeling of globus in your throat is followed by vomiting and gastroesophageal reflux, you can try some of the below treatments at home to lessen the discomfort feeling in the throat at early phase:

  • Try to stay in stand so sitting position rather than sleeping
  • If the vomiting is stopped and don’t have nausea at all, drink small amount of milk or water. Be cautious that if you feel breathing problems or nausea do not try to drink.
  • Try to swallow your own saliva may be the best way to reduce the sense of discomfort in your throat.
  • Avoid drinking soar or acidic drinks like lemon juice.
  • Take deep breath and try to become calm and avoid from any stresses if possible.

 

Beside the above tips, there are some ways to reduce the occurrence of vomiting and globus feeling:

  • Avoid obesity and overweight
  • Quit smoking, alcohol and stimulants such as caffeinated beverages.
  • Increase the number of meals per day to six and reduce the volume of each meal
  • Avoid overeating
  • Avoid wearing tight-fitting clothes
  • Chew food slowly and completely
  • Do not lie down for at least two hours after eating, and do not bend forward until one hour after eating.
  • Use a pillow for reflux at bedtime, or place a few bricks or bookshelves under the upper part of your bed so that the head of the bed rises so high that you do not slip on the bed while sleeping.
  • Avoid placing a few pillows just below the head. If you have to do this, the head and neck should be on the pillows at the same time.
  • Avoid high-salt, high-fat, high-spice, processed and canned foods, sweet and fatty donuts and breads, chips and fried snacks. Citrus fruits, cabbage, peppers, and tomatoes can also make your symptoms worse.

 

Medication may help your problem:

Don’t try these medications without medical consultation.

Drugs such as:

  • Antacids
  • Antihistamine such as ranitidine and famotidine
  • Drugs that limit the acid production capacity of stomach like pantoprazole or omeprazole.
  • Some medication that used for controlling stress
  • Some psychological drugs to treat underlying problems.

Sometimes it is necessary to use drugs such as metoclopramide to help increase the rate of gastric emptying. This drug should be used only with a doctor's prescription.

 

Can anxiety and stress cause this feeling?

Psychological problems in sensitive and susceptible people can be associated with the following consequences:

  • Increased gastric acid secretions
  • Return of stomach contents and acids into the esophagus and pharynx.
  • Increased sensitivity of sensory nerves located in the throat.
  • Increased contraction of the muscles above the esophagus or in other words nerve contraction of the muscles located above the esophagus and throat and creating a feeling of a mass or lump in the throat.
  • Stress can cause both globus sensation directly by contracting the pharynx muscles and indirectly through inducing GERD or gastric ulcers.

 

When to see a doctor?

Generally speaking, feeling of something stuck in throat after vomiting wouldn’t last long and will resolve easily and spontaneously.

If the underlying psychological problems cause vomiting and globus sensation, then the treatment and controlling the problem may be challenging and needs specific considerations.

Be sure to visit a physician if you experience one or some of the followings:

  • Long lasting globus feeling with or without vomiting
  • Recurrent vomiting and globus pharyngitis
  • Having difficulties in swallowing
  • History of heartburn or stomach pain
  • Having stressful life or recent stress
  • Strat taking new medication
  • See blood in your throw up

 

 

 

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