Putrid smell and taste of pus when swallowing in the mouth: causes and treatment in adults and children.

Probably every person at least once in his life has felt an unpleasant odor from the nasopharynx. There are many reasons for this symptom, ranging from poor nutrition and oral diseases to pathologies of the lungs and liver. The symptom may be temporary or accompany the person permanently. But be that as it may, it is extremely important to find out the nature of the unpleasant symptom and use the correct therapy for the disease in order to avoid complications or the disease becoming chronic.

Why does the smell appear?

In order for a specialist to prescribe effective treatment, it is necessary to find out the cause of the smell from the nasopharynx. Doctors identify several main factors that cause this symptom:

  • infectious diseases of the nasopharynx;
  • pathologies of other organs and systems;
  • an unpleasant symptom as the main sign of the disease.

Diseases of the nasopharynx

Various viral and bacterial infections can provoke the development of an inflammatory process in the oral cavity, affecting the nasopharyngeal mucosa. In this case, diseases such as sinusitis, rhinitis, tonsillitis and others may develop. If left untreated, there is an intensive increase in the number of pathogenic microorganisms, which causes the appearance of greenish discharge from the nose and bad breath.

Often, in the final stages of rhinitis, a purulent smell may be felt, since at this stage of the disease the amount of mucus in the nose sharply decreases, and its viscosity increases.

Also, the cause of odor from the nasopharynx may be dryness in the nose, which provokes the appearance of fetid crusts, as well as an increase in the number of pathogenic microorganisms. This condition is often observed in allergic, drug-induced and atrophic rhinitis.

Important! You cannot remove the crusts that have formed on your own, as this provokes the appearance of cracks and the spread of infection.

Diseases of other organs

Oddly enough, a bad odor in the nasopharynx is often caused by problems of the gastrointestinal tract, lungs, liver, dental pathologies, diabetes (causing the aroma of acetone).

Quite often, a foreign odor causes various abnormalities that develop in the oral cavity:

  • bleeding gums, causing a metallic taste;
  • caries, accompanied by the development of a large number of bacteria, the waste products of which provoke the appearance of an intrusive aroma;
  • poor hygiene, resulting in food debris stuck between teeth or dentures that over time begins to emit an unpleasant odor.

Lack of saliva

Bad breath or bad breath may appear after a night's sleep. In this case, the cause is reduced activity of the salivary glands at night, which helps to reduce the amount of saliva. It is known that saliva plays an important role, participating not only in the process of digestion, but also in cleansing the oral cavity of bacteria that may cause odor from the nose.

Also the reason for the decrease in the functioning of the salivary glands are:

  1. A strict diet or prolonged fasting, because saliva is produced in the required quantity during sleep.
  2. Insufficient fluid intake (an adult should consume at least 1.5-2 liters of water per day).
  3. As a result of taking certain medications such as Atropine or Hyoscine.
  4. As a result of drinking alcohol.
  5. For diseases affecting the salivary glands (sialadenitis, tumor development).

Important! An insufficient amount of saliva contributes to the intensive development of bacteria, which causes the appearance of an obsessive odor.

Treatment

Sometimes people mistakenly believe that bad odor is not a serious problem and does not require special treatment. However, various odors from the nose or mouth often indicate the presence of a dangerous disease. Therefore, immediately after the patient experiences an unpleasant symptom, you should consult a doctor to find out the cause and choose an effective treatment.

Oral diseases

If it has been established that the cause of the bad odor is pathologies associated with dental diseases and bad habits, then to eliminate the symptom you should follow simple recommendations.

Infectious diseases

A foul odor from the throat appears when there are plugs in the tonsils, which occur as a result of frequent colds, rhinitis, and tonsillitis. In this case, eliminating the unpleasant symptom will be directly related to the removal of traffic jams. Treatment is carried out using procedures such as:

  • rinsing the mouth and throat with a solution of furatsilin;
  • treating the surface of the tonsils with streptocide (one tablet should be dissolved in a glass of warm boiled water) by rinsing.

Important! Treatment should be carried out for at least seven days. If the unpleasant symptom cannot be eliminated, you should look for other methods of therapy.

If the cause of fetidity from the nasopharynx is sinusitis or other purulent inflammations in the nasal cavity and sinuses, then in this case the following is used:

If the cause of rhinitis, which caused an unpleasant odor, is an allergic reaction, then in this case it is necessary to eliminate the allergen and take an antihistamine (Diazolin, Suprastin, Zodak, Loratadine).

Important! When treating foul odor from the nasopharynx caused by the formation of purulent secretions, it is important to thoroughly clean the throat and nasal cavity from purulent secretions.

Also, in the treatment of sinusitis, rinsing the nasal cavity with antiseptic solutions (Furacilin, Miramistin, Chlorhexidine) is indicated. This procedure can significantly improve the patient’s condition and reduce the severity of the inflammatory process.

Conclusion

Bad smell from the nose can be caused by a variety of reasons. However, many often mistakenly believe that a bad smell is not dangerous to health. However, in order to reduce the likelihood of complications and the disease becoming chronic, at the first sign of an unpleasant symptom you should undergo an examination and find out its cause. Only a timely and correct diagnosis will help you choose effective treatment and cope with the disease and unpleasant symptoms. It should also be remembered that a healthy lifestyle, proper nutrition and timely treatment of inflammatory processes will help to significantly strengthen the immune system and avoid the occurrence of unpleasant symptoms.

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Higher medical education, anesthesiologist.

If you have a bad smell from your nose, it could be a symptom of various diseases. This phenomenon does not occur very often, but it can cause a lot of unpleasant sensations: both for the patient himself and for those around him. In most cases, to determine the cause of bad nose, you will need to see a doctor and get tested.

In its most general form, the process of the appearance of an unpleasant odor is as follows: if the human immune system cannot cope with the effects of bacteria or other pathogens, they begin to actively multiply. The result of this is the release of large amounts of pus, which causes an unpleasant symptom. It is important to understand how bad smell occurs in the nose. to get rid of it most effectively.

Not only purulent discharge can smell bad, but also dry crusts that form on the nasal mucosa in some diseases. In addition, sometimes a strange foul odor from the nose is the result of a violation of the patient’s sense of smell: only the patient himself feels it, and those around him do not notice anything.

The appearance of an unpleasant odor from the nose can be associated with various diseases, which can be divided into several groups:

  • diseases for which a putrid “smell from the nose” is the main symptom;
  • diseases of the nasopharynx, which only sometimes cause an unpleasant odor;
  • diseases affecting other organs and systems of the body.

In addition, in some cases, this symptom does not occur as a result of infection, but due to a foreign body entering the nasal passage. This can often explain the putrid smell from the nose in a young child, so it is important to understand that the smell from the nose is not only due to respiratory diseases, but also during inflammatory processes in other body systems.

Ozena

Ozena is a disease that affects the nasal mucosa, and in more severe cases, cartilage and bone tissue. The exact causes of this disease, also called fetid coryza, have not been established. However, it is known that a predisposition to it may be associated with some congenital characteristics of the body:

  • underdevelopment of the frontal sinuses;
  • expansion of the facial part of the skull;
  • excessive width of the wings of the nose.

Moreover, the risk of ozena increases if a person constantly eats poorly or lives in unsanitary conditions, as well as in the case of degeneration of the nasal mucosa, which gradually disintegrates as a result of this process.

As a rule, conservative treatment is prescribed for ozena, for example, rinsing the nose with various medicinal solutions, using suppositories or tampons. But if this disease occurs frequently, surgery may be necessary to correct the shape of the nasal cavity.

Nasal breathing during ozena remains free, but at the same time there is a constant feeling of dryness in the nose. Often the patient feels as if a foreign body has entered the nasal passage. The surface of the mucous membrane becomes covered with dry crusts, which causes a feeling of unpleasant odor in the nose. If ozena disease is not treated, inflammation can spread to the larynx and middle ear.

Other diseases of the nasopharynx

Among other diseases that may cause an unpleasant odor in the nasopharynx, the most common are the following:

  • parosmia;
  • acute or chronic sinusitis;
  • allergy;
  • acute or chronic rhinitis.

Parosmia is a violation of the sense of smell that can develop with various diseases of the upper respiratory tract. In this case, the patient perceives the smell of acetone or other pungent odor coming from the nose, which does not actually exist.

When there is a bad smell from the nose with sinusitis, this is due to the accumulation of pus in the nasal sinuses. Moreover, unpleasant sensations can intensify with a sharp tilt of the head. In patients suffering from a chronic form of inflammation of the maxillary sinuses, such a symptom may appear during an exacerbation of the disease.

Other factors

There are other reasons that cause unpleasant odor in the nose. It may be associated with disturbances in the digestive or endocrine system. Kidney diseases and severe forms of diabetes lead to changes in metabolism, accompanied by so-called acetone breathing.

The smell of acetone from the nose can also appear during intense physical exertion, especially if it is accompanied by malnutrition or following a strict diet. This is due to the release of ammonia during the breakdown of fat deposits.

Also, the likelihood of developing a disease that causes purulent smell from the nose increases significantly if a person lives in an area with an unfavorable environment. There are other risk factors, including:

  • poor living conditions, presence of mold on the walls of the apartment;
  • frequent allergies;
  • congenital or acquired as a result of trauma deviations from the normal shape of the nasal cavity.

There are quite a few reasons that cause the smell of pus from the nose, so a visit to the doctor is a must. Typically, several types of examinations are necessary to make a diagnosis. Your doctor may recommend a CT scan of your sinuses and an endoscopic examination of your nasopharynx. In addition, a culture is usually taken from the nose to determine which infection is causing your symptom.

Giving recommendations on how to get rid of smell from the nose, the doctor may prescribe conservative or surgical treatment. Conservative therapy includes the use of deodorizing agents, various compositions for inhalation and nasal rinsing. In addition, it is imperative to prescribe medications aimed at combating the disease that caused the unpleasant odor.

In advanced cases, surgical treatment may be necessary. Surgery is sometimes inevitable in cases where inflammatory processes are caused by a deviated nasal septum. Without consulting a doctor and a thorough examination, it is impossible to determine the cause of bad smell from the nose, so if this symptom appears, you should not postpone a visit to the clinic.

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Quite a lot of people are worried. To define this phenomenon, scientists even came up with a special term - halitosis.

The diagnosis of halitosis usually refers to an unpleasant odor experienced by a person when breathing or speaking.

It usually comes from the mouth, but it can come from more than just oral problems.

What throat diseases lead to bad breath?

The causes of bad breath include both normal physiological phenomena (for example, a state of hunger or lack of fluid) and pathologies.

The following are diseases that lead to unpleasant odor in the mouth:

  1. Lung pathologies (some forms of pneumonia).
  2. Liver diseases.
  3. Pathologies in the nasal cavity (presence of polyps).
  4. (in this case you will smell acetone from your mouth).
  5. Oncological diseases of the oral cavity, the presence of malignant tumors.
  6. Caries.
  7. Bacterial diseases of the pharynx (sore throat).
  8. Throat pathologies (for example, pharyngitis).
  9. HIV infection.

How can you gargle to remove bad breath? Folk and medical remedies

From bad breath from the throat Rinsing helps a lot. You can use special medicinal solutions, for example, furatsilin or rotokan. It is recommended to rinse not only the mouth cavity with such solutions, but also the throat itself several times a day. Furacilin or rotokan must be used daily for a week.

- This is another effective remedy that eliminates inflammatory processes and a specific odor. Typically, this solution is prescribed for sore throats: it has a powerful antibacterial effect. It can be used in the form of a spray, as well as in the form of rinses.

They help get rid of unpleasant odors and folk remedies. So, you can regularly treat the oral cavity, which will not only eliminate such odor, but also relieve the inflammatory process.

Has a similar effect. To enhance the effect, it is recommended to add a few drops of tea tree essential oil to the herbal decoction, which will also perfectly disinfect the oral cavity.

Please note that with this phenomenon, you can not only gargle, but also wash out purulent plugs (if any) from the syringe, and you can use regular saline solution or Miramistin.

Rinse- This is only an auxiliary method of treatment in the presence of diseases of the oral cavity. In most cases, a specialist will prescribe you a course of antibiotics to eliminate the inflammatory process. At the same time, if you want the treatment to be successful, you need to rinse your mouth and throat regularly, several times a day. Ideally, do this every hour.

How to clearly find out the cause unpleasant odor in the throat?

Only the treating specialist can determine the exact cause of unpleasant odor from the mouth. To find out the exact disease, it is necessary, who, if necessary, will refer you to another specialized specialist (for example, an oncologist or gastroenterologist).

In addition, diagnostic tests (blood tests, throat swabs) will be prescribed, and a visual examination of the oral cavity will be performed. However, you can guess the nature of the disease yourself, even before visiting a specialist.

Thus, diseases of the oral cavity may be indicated by the presence of purulent plugs in the tonsils (this indicates tonsillitis), as well as painful sensations when swallowing. , heartburn and nausea are direct evidence of the functioning of the digestive system.

If you notice specific painless formations in your mouth, feel weak and have unreasonable weight loss, contact an oncologist as soon as possible, who will conduct all diagnostic tests to rule out a life-threatening disease.

Will removing the tonsils help with throat odor?

For frequent sore throats and reduced immunity, it is prescribed. In this case, putrefactive plugs stop accumulating in this area, which means the smell gradually disappears.

However, removal of the tonsils is a radical treatment method that is used quite rarely. Modern medicine knows many other methods for eliminating unpleasant odors. In particular, regular removal of purulent plugs by rinsing the tonsils will allow you to get rid of this trouble. Simultaneously with this measure, the patient is prescribed drugs that stimulate the immune system and prevent exacerbation of chronic tonsillitis.

How can wisdom teeth affect the smell in the throat?

A wisdom tooth that develops an infection is a common cause of foul odor. In normal condition, such a tooth does not cause much discomfort; when it appears, the patient may only feel itching and minor pain.

However, sometimes, due to insufficient hygiene or hereditary predisposition, an inflammatory process develops, which is accompanied by the accumulation of pus. In this case, dentists may recommend removing the wisdom tooth.

What can it lead to? unpleasant odor from the throat, and when do you urgently need to go to the doctor?

Bad breath- This is not a fatal phenomenon that can be easily eliminated by rinsing with herbal solutions or regular chewing gum. However, in some cases it is necessary to contact your treating specialist as soon as possible in order to avoid possible complications.

Thus, an unpleasant odor with the discharge of pus from the throat may indicate the development of an abscess due to complications after a sore throat. In this case, the patient requires emergency medical care, during which the abscess is opened, after which the patient is prescribed a course of antibiotics.

A long-lasting unpleasant odor, which is accompanied by severe pain in the stomach, is one of the symptoms of a peptic ulcer. In this case, you should not postpone a visit to the gastroenterologist, otherwise gastric bleeding may occur, which will also lead to death.

How to eliminate odor using home methods?

  1. Rinse your mouth frequently with plain, clean water; to maintain cleanliness, this should be done after every meal.
  2. Buy a special brush that cleans not only your teeth, but also your tongue. This will remove bacteria from your entire mouth.
  3. Add enough fruits and vegetables to your diet.
  4. Get rid of smoking - this is the main bad habit that leads to a constant unpleasant odor.
  5. You shouldn't skip meals. This can lead to a deficiency of saliva, which will contribute to the unpleasant odor.
  6. You can chew gum for a short time between meals.

Thus, the unpleasant odor that comes from the throat, in most cases, indicates the presence of diseases in acute or chronic form. Of course, if this phenomenon is short-term, it may also indicate a variant of the norm (insufficient oral hygiene, the period after waking up in the morning, and so on). However, if the smell is strong and bothers you constantly, and is also accompanied by other alarming symptoms, you need to contact a specialized specialist who will prescribe you medical or surgical treatment.

VIDEO Bad breath - causes and treatment

VIDEO How to get rid of bad breath?

Lumps in the throat with an unpleasant odor are a fairly common problem. Their appearance indicates the formation of purulent plugs on the tonsils. With tonsillitis and viral infections, changes in the structure of the tonsils occur. As a result, the lymphoid tissue becomes inflamed, which leads to the appearance of such plugs. So what comes out of your throat with a bad odor?

Causes of bad odor

Many people are faced with severe. The cause of these manifestations is the common cold, which provokes inflammatory damage to the larynx. As a result, swelling of the mucous membranes is observed, which causes stimulation of the nerve fibers of the diseased area. This is what leads to intense pain.

Often the pathology develops against the background of a weakened immune system. It can easily be cured on your own by rinsing with a soda solution and drinking plenty of vitamins and fluids.

However, sometimes these symptoms are caused by more serious pathologies that require medical attention. These include:

  • tonsillitis;
  • pharyngitis;
  • laryngitis.

The most common cause of the problem is chronic tonsillitis. , are called tonsilloliths. They are yellowish stones that are localized in gaps.

The structure of these formations can be soft or dense. The size may also vary - from a millimeter to several centimeters. When a problem occurs, there is an unpleasant odor from the throat, which causes serious discomfort.

If such manifestations occur, a visit to the doctor is required. This will help deal with tonsil blockages and also prevent their subsequent formation.

Symptoms

More often observed in men. However, they are sometimes found in women and children. In children, this symptom is the result of chronic tonsillitis, which can develop as early as 2 years of age.

This pathology is characterized by the following manifestations:

  • pain when swallowing;
  • the appearance of chills;
  • increased temperature - sometimes it can reach 39.5 degrees;
  • unpleasant odor from the mouth;
  • discomfort in the throat;
  • headache;
  • white or yellowish lumps;
  • weakness;
  • discharge of purulent sputum when coughing.

An unpleasant odor from the throat appears due to the fact that the plugs include many bacterial microorganisms that produce hydrogen sulfide. It's no secret that this substance has a pungent aroma.

When to see a doctor?

If lumps with an unpleasant odor come out of your throat, you should immediately consult an otolaryngologist. Additional symptoms that indicate problems may include the following:

  • pain when swallowing;
  • headache;
  • white lumps in the mouth;
  • increase in temperature;
  • decrease in physical activity;
  • unpleasant aroma.

Infection with bacterial microorganisms can provoke sepsis. This condition is characterized by headaches, persistent fever, and constant weakness. This condition is very dangerous because it can provoke infectious-toxic shock.

Before using home recipes, you should consult a doctor. Yellow lumps from the throat with an unpleasant odor can indicate not only a chronic form of tonsillitis, but also more dangerous ailments that require urgent treatment.

Methods for treating lumps in the throat with an unpleasant odor

Treatment for lumps in the throat with an unpleasant odor should be selected by an otolaryngologist. The doctor assesses the patient’s condition and performs the necessary tests to identify the causes of this symptom.

If the provoking factor is tonsillitis, attention should be paid to the state of the immune system. Most often, the use of antibiotics provokes a weakening of the body's defenses. In such a situation, a person needs long-term restoration and maintenance of body tone. Good immunity allows you to defeat the disease and gain strength after treatment.

Drug therapy

The patient's condition directly depends on the severity of the disease. Therefore, the treatment regimen must be selected by a specialist, taking into account a number of criteria. In difficult situations, the patient needs hospital treatment. If the disease develops slowly, home therapy is acceptable.

Typically, treatment for people with this diagnosis includes the following elements:

  • gargling;
  • use of physiotherapy;
  • the use of immunostimulants and vitamin complexes to restore immunity;
  • taking antibiotics.

If a person develops globules from the throat with an unpleasant odor, treatment usually lasts 5-10 days. In this situation, antibacterial agents must be used from the first day. In addition, it is important to gargle frequently with antiseptic agents.

To strengthen the immune system, the use of immunostimulants is indicated. Such means include:

  • isoprinosine,
  • levamisole,
  • Bemityl.

A mandatory element of tonsillitis therapy is the use of vitamin preparations. Additionally, doctors prescribe the use of vitamin C. Before using antibacterial agents, be sure to assess sensitivity to the ingredients of the drugs.

Until the results of the study are received, antibiotics from the cephalosporin group are most often prescribed. So, the doctor may prescribe drugs such as cefepin, ceftriaxone. Instructions for the use of antibacterial agents must be strictly followed.

When carrying out treatment in a hospital setting, physiotherapy is additionally used:

  • heating using electrophoresis;

Such measures can only be applied against a background of normal temperature. If this indicator increases, the warming effect leads to the development of bacteria and sometimes even causes sepsis.

If lumps with an unpleasant odor fly out of your throat, you should consult an ENT doctor. The main goal of therapy is to eliminate purulent plugs that contribute to the active proliferation of bacterial microorganisms. If therapy is not started in time, complications may develop that will lead to the need for surgery.

Home Remedies

To cope with pus plugs and bad breath, you can use effective home remedies:

To speed up the healing process, you should review your diet. Be sure to eat foods that contain many vitamins and microelements. You should also control the balance of proteins, fats and carbohydrates.

It is important to consider that treating tonsillitis at home is only permissible in simple cases. If folk remedies do not allow you to cope with lumps, you should definitely contact an otolaryngologist.

What not to do?

Some people, when lumps appear, try to deal with them on their own by clearing their throat mechanically. This is strictly prohibited. It will not be possible to completely remove tonsil blockages.

There is a high risk of damage to the mucous membranes. This will allow bacteria to enter the blood. As a result, they spread throughout the body and can cause the development of sepsis.

  • press on the tonsils with your fingers or any objects, trying to squeeze out the purulent contents;
  • try to clear the tonsils with matches or spoons;
  • use other cleansing methods.

What complications may arise?

Chronic tonsillitis requires proper therapy. If treatment is not started in time, the white lumps will not disappear. Moreover, this pathology can cause negative health consequences. These include the following:

  1. Dysbacteriosis, pathologies of the digestive system. Violation of the microflora in the oral cavity provokes a change in the flora of the digestive system. After entering the stomach, food carries a certain part of bacteria. Subsequently, they fill the entire gastrointestinal tract.
  2. Blood poisoning. When bacterial microorganisms multiply, the likelihood of sepsis develops. Symptoms of this condition include headaches, fever, and general weakness.

Preventive actions

If a person has been diagnosed with tonsillitis, he needs to register at the clinic. Then, twice a year, contact an otolaryngologist who will cleanse the tonsils. This is an effective preventative measure that significantly reduces the risk of re-infection.

To avoid problems, you need to follow these recommendations:

  • treat pathologies of ENT organs in a timely manner;
  • maintain voice mode;
  • maintain normal humidity levels;
  • rinse your nose with saline solution;
  • lead a healthy lifestyle.

If white lumps appear in your throat, you should immediately consult a doctor. After a detailed diagnosis, the specialist will be able to determine the causes of the disease and select adequate therapy. Any self-medication options are prohibited. Home remedies can be used as an addition to medications. Moreover, this can only be done on the recommendation of a doctor.

Attention, TODAY only!

Bad breath or throat is a delicate problem that reduces a person’s self-esteem, limits his ability to communicate, and worsens the quality of life. It is not surprising that a person strives to get rid of the smell from the throat as quickly as possible, which repels others from him. For this purpose, drugs are usually used that affect the symptom, but not the very cause of the bad aroma. And in most cases, significant results cannot be achieved, the problem returns again and again. To get rid of bad breath from the throat forever, you need to establish the exact cause of its occurrence and eliminate it or cure the underlying disease.

Possible causes of bad throat odor

Bad breath can be caused by external factors, or it can be a symptom of a wide range of diseases. In order to differentiate the cause of the pathology, you need to contact a therapist, who will refer you to the right specialist. But first, you can conduct a self-diagnosis by listening to your body and finding out whether there are additional characteristic symptoms of diseases.

External causes of bad breath and throat:

  • Smoking, including hookah smoking.
  • Drinking alcoholic beverages.
  • Insufficient oral hygiene, which contributes to the appearance of heavy plaque.
  • Eating food with a characteristic odor (onions, garlic).
  • Use of certain medications.
  • Hunger or excessive dryness of the mouth and throat.

Internal causes of bad breath:

  • Dental diseases - caries or periodontal disease. In this case, the person is worried about pain in the teeth, gums, bleeding, and gradual tooth loss.
  • Infectious and inflammatory diseases of the oral cavity. This could be stomatitis or thrush. Additional symptoms are pain in the soft tissues of the mouth, the presence of rashes, plaque, pain when swallowing and speaking.
  • Lung diseases – some types of pneumonia or tuberculosis. In this case, the person is bothered by a continuous cough, which may be accompanied by bloody clots, chest pain, and difficulty breathing.
  • Neoplasms in the area of ​​the nose and pharynx, obstructing the movement of mucus and promoting its accumulation. It is difficult for a person to breathe, weakness and deterioration in general health appear.
  • Pathological changes in the nasopharyngeal mucosa. It is painful for a person to swallow, soreness, burning, itching and other strange sensations appear in the throat.
  • Diabetes. A distinctive feature is that the breath smells of acetone.
  • Diseases of the gastrointestinal tract - gastritis, ulcers. Additional symptoms are abdominal pain, belching, heartburn, nausea, flatulence.

However, the most common cause of bad breath from the throat is a variety of infectious diseases of the ENT organs.

It can be:

  1. chronic course or. The disease is accompanied by enlarged tonsils, the appearance of purulent contents in the tissues of the tonsils, elevated temperature, symptoms of intoxication, and sore throat. Mucus and plugs in the tonsils accumulated due to the inflammatory process cause a characteristic putrid odor from the mouth.
  2. Tonsilloliths. There are no main symptoms, but there are plugs in the tonsils, causing a feeling of a lump in the throat, pain when swallowing and an unpleasant odor from the throat.
  3. Chronic rhinitis or sinusitis. A person is worried about difficulty breathing, discomfort in the nose, and the release of foul-smelling mucus.
  4. Other throat diseases, such as pharyngitis, laryngitis, can also cause bad odor. Having established the cause of this unpleasant symptom, you can proceed to therapy, because only a complete cure will get rid of the unpleasant odor.

Treatment for bad breath

To eliminate gastrointestinal diseases, dental diseases, tumor and endocrine pathologies, you need to contact the appropriate specialists. An otolaryngologist deals with infectious and inflammatory diseases of the nasopharynx, but you can also consult a therapist or pediatrician. The attending physician will prescribe drugs from different pharmacological groups so that the therapy is versatile, comprehensive and cure occurs as quickly as possible:

  • Antibiotics.
  • Antiseptics for treating the throat.
  • Anti-inflammatory drugs.
  • Immunostimulants.
  • Azithromycin is an antibacterial drug belonging to the macrolide group. The main active ingredient is called similarly. It has a wide spectrum of action and is active against various gram-positive and gram-negative agents, some types of anaerobic microorganisms.
  • Augmentin is a semi-synthetic drug belonging to the penicillin group. It is active against most pathogenic microorganisms: staphylococci, streptococci, enterococci, etc. The active ingredient is amoxicillin.

Antiseptic and anti-inflammatory agents for gargling and lubricating the throat:

  • Furacilin. The main active ingredient is nitrofural. Available in the form of tablets, ointments, and alcohol solution. To gargle, use tablets that have been previously crushed and dissolved in water. The drug has high biological activity against pathogenic microorganisms and its use for several days in a row helps stop inflammation. It has a minimum of contraindications; throat treatment is allowed for children and pregnant women.
  • Dioxidine. ODV – hydroxymethylquinoxyline dioxide. The drug is available in the form of ointment or powder (ampoules). It can be used for instillation into the nose for rhinitis, rinsing the throat, and inhalation with a nebulizer. Dioxidin is considered a potent drug that is effective in reducing the activity of pathogenic microflora.
  • Chlorhexidine is one of the best antiseptics used to destroy pathogenic microflora in infectious diseases of the larynx and nose. EDV – chlorhexidine bigluconate. Available in the form of an aqueous solution of varying concentrations. It is prescribed for gargling with caution in children because it should not be swallowed. After several days of rinsing, there is a significant decrease in the severity of clinical symptoms - pain, swelling, inflammation and unpleasant odor.
  • . Natural antiseptic, organic antibiotic. Made from eucalyptus chlorophylls. Effective in the treatment of all throat diseases, quickly eliminates inflammation and putrid odor. It has no contraindications other than individual intolerance and is approved for the treatment of children, pregnant women and the elderly.

Preparations to strengthen the immune system:

  • Levamisole is an effective immunostimulating, immunomodulating and anthelmintic agent. Available in tablet form. Prescribed as part of complex therapy for a wide range of infectious and inflammatory diseases. Not prescribed for children under 7 years of age and pregnant women; it may cause side effects from the gastrointestinal tract.
  • Isoprinosine. The active substance is inosine pranobex. Available in tablet form. The drug has immunostimulating properties and a nonspecific antiviral effect. Not prescribed for children under 3 years of age, may cause side effects from the gastrointestinal tract and central nervous system.

In some cases, conservative treatment does not help. For example, with chronic decompensated tonsillitis, or with the occurrence of tonsillitis. In the case of tonsillitis, surgical removal of the tonsils will be required to eliminate the bad odor. And if a person has tonsillitis, he should contact an ENT specialist, who will rinse the tonsils using a special apparatus and remove foul-smelling plugs.

Conclusion

Bad breath is an unpleasant phenomenon that can occur due to throat diseases. In this case, you need to undergo diagnostics, determine which disease is causing such a symptom and undergo appropriate treatment. If the disease has not become chronic, the unpleasant smell from the throat will disappear along with it.

The feeling that a foreign body is stuck in the throat, which makes it difficult to swallow even saliva, and after swallowing returns to its place again, is called a “lump in the throat.” The causes of this symptom can be different: from Quincke's edema, which occurs when eating unusual foods (the introduction of a new drug, an insect bite) to diseases of the esophagus and thyroid gland, which actually block the lumen of the throat. In all cases, only medical diagnosis will help.

The main thing is, don’t worry that you won’t be able to breathe: dangerous diseases, in which the throat can actually be blocked, develop gradually, not in 1 day (except for Quincke’s edema, but you will see it in the mirror). In addition, by “turning on” panic, you can only harm yourself by increasing the feeling of lack of air. Therefore, if you have a feeling of a lump, carefully examine your neck, look into your throat. If there is no sharp increase in the volume of the neck, and the tonsils have not closed together, calmly contact a therapist. And below we will tell you what reasons could cause the sensation of a lump.

Causes

The causes of a lump in the throat are varied - from “nervous soil”, when no narrowing of the respiratory or digestive tract actually occurs, to throat abscesses, which can cause asphyxia. Most often, such a symptom occurs in pathological processes localized in the nasopharynx, oropharynx, and the initial parts of the esophagus.

The main pathologies that cause the feeling of a lump in the throat are as follows:

  • chronic inflammation of the tonsils, mucous membrane of the throat or vocal cords;
  • flow of mucus from the inflamed sinuses or nasal cavity into the throat;
  • inflammation of the mucous membrane of the throat;
  • diseases of the pharyngeal muscles or disruption of the signal going to them along the nerves (with a stroke, spinal injury, multiple sclerosis);
  • esophageal tumors (benign or malignant);
  • diseases of the thyroid gland, accompanied by its enlargement;
  • reflux of stomach contents into the esophagus and higher (gastro-esophageal reflux);
  • scleroderma with damage to the esophagus;
  • dermatomyositis with damage to the esophagus;
  • esophageal diverticulum;
  • throat abscesses: accumulation of pus above the epiglottis, in the tissue near the tonsils or in the tissue between the pharyngeal muscles;
  • esophageal spasm;
  • neuroses, panic attacks, hysteria;

Can a “lump” cause suffocation?

Sometimes it can, and it depends on the area in which the pathological process is located. To do this, let's look at how the human throat and underlying organs work - those structures whose disease can cause the sensation of a lump.

The oral and nasal cavities are “tubes” of not quite regular shape. They flow into one large “pipe” - the pharynx. The latter is quite long (11-12 cm) and ends in a kind of “fork”:

  1. on one side it passes into the larynx - the initial section of the respiratory tract, the place where the vocal cords that form sounds are located;
  2. on the other hand, behind the larynx, the pharynx ends in the esophagus - a muscular tube that leads directly to the stomach.

Before the nasal cavity passes into the pharynx, at the mouth of the auditory tube - the formation that communicates the ear and pharynx, in the area of ​​​​the root of the tongue and on both sides of it there are tonsils - large accumulations of lymphoid tissue. The same tissue is scattered in the form of small “peas” in different places of the back wall of the pharynx.

The task of lymphoid tissue is to “inspect” the air flow and bolus of food for microbes and agents potentially dangerous to the body. If any are found, the tonsils and separate areas to fight germs increase in size. They may then feel like a lump in the throat.

If a person inhales air that contains a certain number of microorganisms, usually both the palatine tonsils (which are what we see in the mirror when we open our mouth) and the pharyngeal tonsil, which lies on the border of the nose and pharynx, immediately enlarge. If they increase significantly (due to the simultaneous exposure of a large number of microbes to the air or the constant inhalation of small volumes of dust or microorganisms), not only a lump in the throat will be felt. This can cause difficulty breathing, but rarely to the point of suffocation.

A condition called peritonsillitis or peritonsillar abscess can cause suffocation. In this case, which is a complication of purulent tonsillitis, pus permeates the fatty tissue around the tonsils (one or two). With a large amount of pus, the enlarged tonsil blocks the path of air.

Impaired air passage and suffocation can develop as a result of edema or abscess of the epiglottis. This condition develops as a complication of allergies (most often food) or acute respiratory viral infections.

In the cases listed above, what comes to the fore is not the feeling of a lump in the throat, but severe pain in the throat, inability to swallow, fever and symptoms of intoxication (headache, weakness, nausea).

Another significant part of the “lumps” is caused by the so-called postnasal drip. This is the name of the condition when, as a result of inflammation of the upper respiratory tract (nose, paranasal sinuses, nasopharynx), mucus is formed and flows down the back wall of the pharynx.

However, the main reasons for the sensation of a lump in the throat are localized in the esophagus - a tube that is designed to move food to those parts of the digestive system where it can be processed and digested. Pathological processes in the esophagus that can cause suffocation are those that either grow from its anterior wall, which is adjacent directly to the trachea (the trachea is in front) or have great hardness to try to close the tracheal cartilage. Before the feeling of lack of air appears, a “lump” and swallowing disturbances will be felt for a long time: first of solid food, then of liquid food.

Now let’s look at what could be the reasons for the appearance of a foreign body in the throat - depending on the symptoms that accompany the “lump”.

Diseases accompanied by a sensation of a foreign body when swallowing

A lump in the throat when swallowing develops with any of the following diseases.

Cardiospasm (cardia achalasia)

This is a disease in which spasm occurs in the orbicularis muscle located between the esophagus and stomach.

Characterized by sudden difficulty swallowing, when warm liquid food or, in rare cases, solid food passes better. A person feels that food will pass better if he walks after eating or eats while standing, or puts pressure on the chest while eating. There may be pain in the upper part of the sternum, which is similar to pain in the heart.

Reflux esophagitis

This is the name of the condition when the contents of the stomach are constantly thrown into the esophagus and inflame its mucous membrane.

Symptoms of the disease: heartburn and sour belching that occur after eating (especially if you lie down immediately), when bending the body forward, if a person has eaten less than 1.5 hours before bedtime. With this disease, there is also pain in the chest (very reminiscent of pain in the heart), which radiates to the lower jaw, the area between the shoulder blades, and the left half of the chest. There may be a cough that develops only when lying down, dry throat, bloating, nausea, and vomiting.

Hiatal hernia

In this case, the stomach and, in some cases, the intestines, which should be in the abdominal cavity, due to the expansion of the hole in the diaphragm through which the esophagus should pass, find themselves (periodically or permanently) in the chest cavity.

The disease is very similar to reflux esophagitis: in addition to a “lump” in the throat, it is also characterized by heartburn after eating, pain in the pit of the stomach when a person has been standing in a bent position for a long time, and abdominal pain. If organs penetrating into the chest cavity compress the heart or lungs, shortness of breath, pain behind the sternum, and blueness around the mouth, worsening after eating, will be observed.

Thyroid pathologies

The feeling of a lump when swallowing occurs when the thyroid gland enlarges and begins to put pressure on the underlying thyroid cartilage of the larynx. This may look like:

  • production of an increased amount of hormones (hyperthyroidism), which is manifested by weight loss with increased appetite, increased heart rate, sweating, irritability, periodic attacks of abdominal pain and vomiting;
  • the production of a reduced amount of hormones (hypothyroidism), in which a person gains weight despite a decreased appetite. Such a patient exhibits slowness and fatigue, his memory is reduced, his skin becomes dry, and his hair becomes brittle and tends to fall out;
  • normal gland function. In this case, apart from a lump and an increase in the volume of the neck, there are no other noticeable symptoms.

Thyroid disease does not lead to swallowing problems.

Chronic pharyngitis

This is an inflammation of the mucous membrane of the pharynx, which occurs either as a result of insufficient treatment of acute pharyngitis, or during prolonged inhalation of dusty, dry or polluted air.

Symptoms of chronic pharyngitis are: a feeling of dryness, a sore throat, frequent attacks of a dry, painful cough. As the disease worsens, a sore throat is noted and the body temperature may rise.

Chronic laryngitis

This is the name for chronic inflammation of the mucous membrane of the larynx. Cause of the disease: frequent acute laryngitis due to professional activity (teachers, singers, speakers), smoking or alcohol abuse.

The disease manifests itself as a feeling of dryness in the throat, sore throat. The voice becomes hoarse until it is completely lost. There is also a dry, debilitating cough that develops in paroxysms. There may be a feeling of lack of air, pain when swallowing.

Mental disorders

This feeling is observed in 60% of people suffering from depression. The main symptoms: constant bad mood, inability to rejoice, constant pessimistic attitude, loss of interest in life or what used to make you happy.

The same complaint can be heard from people suffering from neuroses. These conditions arise after some kind of traumatic factor and can be manifested by various symptoms: irritability, frequent phobias, panic attacks, anxiety, mood instability, sleep disorders, pain of various locations (in the heart, in the stomach, in the head), imbalance, dizziness . The diagnosis is made after excluding cardiac, neurological and other somatic diseases.

Complaints about this feeling are also made by people in whom psychiatrists, upon examination, discover hysterical personality disorder. This disease is more often found in women, when, against the background of a constantly observed unstable mood and a tendency to fantasize, attacks of transient blindness, deafness, and paralysis may appear. At the same time, a brain examination does not reveal any strokes or micro-strokes. "Lump", unlike attacks of blindness/deafness, can be observed constantly.

Osteochondrosis of the cervical spine

It is manifested not only by a feeling of a lump in the throat, but also, most often, by dizziness, pain or crunching when turning the neck, and headache when the weather changes.

Foreign object in the esophagus

The feeling of a lump can be caused by an object stuck in the esophagus: a fish bone, a tablet, an inedible particle that gets in with food.

Esophageal trauma

The esophagus can be injured by a probe (during fibrogastroscopy or placement of a feeding tube or evacuation of contents). The injury can be caused by a swallowed bone or a tablet: damage to the mucous membrane can be distinguished from the appearance of a foreign object there only after consulting a doctor: an ENT doctor or an endoscopist, who will have to perform fibrogastroscopy.

Oncological diseases

Throat cancer may cause this sensation. accompanied by other symptoms: cough, difficulty swallowing first solid food, then liquid food, sudden weight loss.

Esophageal cancer, in addition to these symptoms, pain and a feeling of fullness behind the sternum, regurgitation of food, and the production of a large amount of saliva are added to it. The feeling of a foreign body in the throat at first simply prevents you from eating food, then forces you to drink it, then only take liquid meals. If at this stage a person does not consult a doctor, he completely loses the ability to take food and water.

Sjögren's syndrome

This is a condition when your own immunity affects the connective tissue and external secretion glands (tear, salivary). It develops most often in women during menopause. It begins with a feeling of dry eyes, dry skin, mouth and genitals. Seizures appear in the corners of the mouth, causing pain at first only when yawning, and then when talking. As a result of dry mucous membranes, crusts form in the nose, and sinusitis, bronchitis, and gastritis are often observed. With this syndrome, a lump when swallowing is not one of the first symptoms.

Multiple sclerosis

This is a disease in which one’s own immunity attacks the nerve fibers in the brain and spinal cord. Such a lesion is observed in a mosaic pattern: some people have some pathological foci (for example, in the frontal lobe and cerebellum), while others have others (more in the spinal cord than in the brain). Therefore, there are no specific symptoms for this disease. When the nerve pathways leading to the esophagus are damaged, swallowing is impaired and a foreign body is felt in the throat. This symptom is rarely observed on its own, accompanied by other changes: tremor, paralysis of one or more limbs, strabismus, blurred vision, decreased sensitivity.

Previous stroke

The sensation of a foreign object in the throat when swallowing can be as a result of a stroke in those parts of the brain that are responsible for the act of swallowing. In this case, the process of food entering the stomach will be disrupted (difficult), but will not depend on whether the food is solid or liquid.

Scleroderma of the esophagus

Scleroderma is a systemic disease in which normal connective tissue becomes dense and the arterioles that feed it cease to function.

The disease does not affect the esophagus alone. It begins with damage to the feet and hands, which begin to freeze paroxysmally (at first only in the cold, after excitement or smoking, and then without any visible provoking factor), while they first become alabaster-white, then turn red. Such attacks are accompanied by pain in the fingers, a feeling of fullness, and burning.

Simultaneously with Raynaud's syndrome, which has now been described, the esophagus is also affected. This is manifested by worsening swallowing problems and heartburn. It becomes increasingly difficult for food to pass through the esophagus, which creates the sensation of a lump.

Myasthenia gravis

This disease is characterized by progressive weakness of the muscles, including those that carry out the swallowing process, those that “put a block” to prevent food from entering the respiratory tract, and those whose duty is to “expel” particles that have entered the trachea or bronchi by coughing. food.

Most often, myasthenia gravis begins with a violation of swallowing and coma, then difficulty in raising the eyelids (so a person has to raise his chin to look at something), and the voice changes.

Damage to the nerves involved in the act of swallowing

This can happen with jugular vein thrombosis, a fracture of the base of the skull or a glomus tumor. This is accompanied by disturbances in swallowing, tongue movement, and a lump in the throat.

Fazio-Londe syndrome

This is a rare inherited disease that develops in children, adolescents and young adults. The first manifestations of the disease are breathing problems, wheezing, then the face becomes distorted, speech is impaired (becomes blurred, slurred), a feeling of a foreign body appears in the throat, and swallowing is impaired.

Pseudobulbar palsy

In this case, swallowing is impaired, speech is slurred, and a person may cry or laugh for any reason, especially when conducting neurological tests (by baring his teeth or holding some object across his lips).

Guillain-Barre syndrome

This is a disease that develops as a complication of intestinal infection, colds, herpes infection, when the activated immune system begins to attack the cells of the nerve trunks. The disease begins with deterioration of movements of the feet or both feet and hands. If this immune reaction is not stopped, the nerves that carry commands to the parts of the limbs that are closer to the body (hips, shoulders) are affected. In severe cases, swallowing is impaired, the voice appears nasal, and breathing may “switch off,” which is why such patients are treated in intensive care units.

Dystrophic myotonia

This is a hereditary disease, the symptoms of which often appear between the ages of 10 and 20 years. Less commonly, symptoms occur immediately after birth.

It is characterized by the appearance of spasmodic tension in the masticatory muscles and those muscles that flex the hand. Swallowing and facial expressions are impaired, the timbre of the voice changes, and sleep apnea may occur.

Other reasons

  • For diseases that force a person to breathe through the mouth (adenoiditis, chronic sinusitis)
  • For dehydration (for example, food poisoning or intestinal infection: salmonellosis, dysentery).
  • Enlarged lymph nodes under the lower jaw, near the angle of the lower jaw, on the front of the neck, or near the hyoid bone.

Diseases that also cause an unpleasant odor

A lump in the throat with an unpleasant odor is a symptom characteristic of ENT diseases. Basically, it appears in chronic sinusitis and chronic tonsillitis.

Chronic sinusitis

It is manifested by prolonged mucous or mucopurulent discharge (“snot”) on one or both sides, the flow of which down the back wall of the pharynx and causes a sensation of “coma” with an unpleasant odor. Difficulty breathing through the nose - on one or both sides.

In addition, a person periodically feels a headache - it is on this side that sometimes a feeling of heaviness is felt directly in the area of ​​​​the inflamed sinus. The sense of smell decreases until it is completely lost. Due to constant mouth breathing, dry mouth occurs, the ear on the affected side periodically feels stuffy, and hearing deteriorates.

Chronic tonsillitis

This is a long-term and indolent inflammation of the tonsils. The tonsil is a formation of soft tissue, with depressions and passages on the surface, and voids inside. If the tonsil becomes inflamed under the influence of a microbe and cannot cleanse itself, the inflammatory process in it becomes chronic. Food debris enters this amygdala, which also supports this process.

As a result, white lumps of dead leukocytes, microbes, food debris and cells exfoliated from the surface of the organ are formed in the tonsil. These are caseous plugs, which are the source of an extremely unpleasant odor.

When the inflammatory process worsens, the tonsils also secrete pus. Over the course of a day, up to half a glass can form, and all of it will be swallowed. This pus, on the one hand, is the “lump” in the throat. On the other hand, it leads to inflammation of the mucous membrane of the pharynx and stomach, where it enters, which increases bad breath.

Zenker's diverticula

This is the name for protrusions of the wall of the esophagus, which are facing outward, at the level of the transition of the pharynx to the esophagus. The disease manifests itself as a sensation of a foreign body in the throat, difficulty swallowing both solid and liquid food. Since a diverticulum is a kind of “pocket” where food can (and does) enter, an unpleasant odor is often felt from the mouth.

Such patients also complain of regurgitation of undigested food (especially in a lying position), dry cough, nausea, and change in voice timbre. There may be attacks of the “blockade phenomenon”: after eating, a person feels that he is suffocating, he begins to feel dizzy, and he may even faint. If you induce vomiting against this background, the attack goes away.

Diseases in which a lump is combined with belching

A lump in the throat and belching are characteristic of the following diseases of the gastrointestinal tract:

Gastroesophageal reflux

This is the reflux of food from the stomach into the esophagus. It is described in the section “Diseases accompanied by a sensation of a foreign body when swallowing.”

Esophagitis

This is the name for inflammation of the mucous membrane of the esophagus, which can be caused by various microbes, physical (consequences of a burn from hot food) or chemical (consequences of ingested acid or alkali). The cause may also be esophageal tuberculosis (only in the presence of pulmonary tuberculosis) or candidiasis (as a complication of oral thrush).

It is characterized by the development of the following symptoms:

  • burning behind the sternum after eating;
  • pain behind the sternum, which is present constantly or periodically, can radiate to the shoulders and the area between the shoulder blades;
  • the sensation of a lump in the throat and belching is present during and immediately after eating, which is associated with additional trauma to the inflamed mucous membrane from the food bolus;
  • periodically, a small amount of food from the esophagus may return back into the mouth.

Neuroses

These are conditions in which the functioning of individual parts of the central nervous system is disrupted, but their structure is not disrupted.

Taking certain medications

Treatment with those medications that have a damaging effect on the mucous membrane causes belching, and the reflux of stomach contents into the esophagus, which is often accompanied by this condition - a lump in the throat.

The main drugs that lead to the appearance of these two symptoms are painkillers (Nimesil, Diclofenac, Analgin, Ibuprofen, Aspirin) and hormonal anti-inflammatory drugs (Prednisolone, Dexamethasone).

If you really need to take one of these drugs, and you notice the appearance of belching and a lump in the throat, consult a gastroenterologist on how to protect your stomach (usually drugs like Omeprazole or Rabeprazole are used for this). Take anti-inflammatory drugs only after meals.

Pregnancy

The combination of belching and a lump in the throat can be caused by pregnancy. This is explained by the fact that in this case women change, which leads to relaxation of the muscles located between different parts of the gastrointestinal tract, including between the esophagus and stomach. As a result, food is often thrown into the esophagus, inflaming it, which causes belching and a sensation of a foreign body in the throat.

Combination of several diseases

It may happen that two unrelated diseases develop at the same time: for example, an increase in the volume of the thyroid gland, which causes a sensation of a lump in the throat, and inflammation of the stomach (gastritis), which causes belching. The same combination can be observed when consuming a large amount of gas-forming foods and drinks and acute respiratory infections with inflammation of the mucous membrane of the throat.

Hiatal hernia

The symptoms of this pathology are discussed in the section “Diseases accompanied by the sensation of a foreign body when swallowing.”

Esophageal trauma

Swallowing too hot, aggressive contents, inserting a feeding tube before anesthesia, or conducting a study such as fibrogastroduodenoscopy (FEGDS) can cause belching and coma.

Diseases in which both a foreign body and dryness are felt in the throat

Diseases in which both a lump and dry throat are noted are described above. This:

  • laryngitis: acute and chronic;
  • pharyngitis: acute and chronic;
  • chronic sinusitis;
  • allergic swelling of the epiglottis. This condition appears after eating some new food, walking in a blooming garden, using new medications, or working with household chemicals. It manifests itself as a lump in the throat, which quickly grows and interferes with breathing. It is necessary to urgently seek medical help.
  • Sjögren's syndrome;
  • adenoiditis;
  • diseases leading to dehydration;
  • smoking.

When you feel a lump in your throat as if made of mucus

A lump in the throat and mucus will be observed with:

  • postnasal drip, when mucus from an inflamed nose or its paranasal sinuses flows down the back wall of the pharynx;
  • exposure to the mucous membrane of the throat from tobacco, spicy foods, alcohol, and vasoconstrictor nasal drops. In this case, your health does not suffer, and a “lump of mucus” is observed only in the morning;
  • chronic pharyngitis;
  • runny nose;
  • inflammation of the tonsils and pharynx;
  • allergic rhinitis, nasopharyngitis;
  • reflux of gastric contents into the throat (laryngopharyngeal reflux), which is manifested by a mucous lump and attacks of dry cough.

When a foreign body sensation is combined with a sore throat

The appearance of a sore throat and lump is characteristic of the following pathologies:

  1. Acute tonsillitis, which is manifested by increased temperature, weakness, and sometimes nausea. The throat hurts, it hurts to swallow both liquid and solid food.
  2. Acute pharyngitis, which often occurs with acute respiratory infections (viral, fungal or bacterial origin). It manifests itself as a sore throat, a feeling of mucus, soreness and a lump in it, and a dry cough.
  3. Acute laryngitis, which can also be a manifestation of acute respiratory infections or occur due to hypothermia and excessive use of the voice. It manifests itself as hoarseness of the voice, pain in the throat, which may intensify when swallowing, a feeling of dryness, soreness, and scratching in the throat. The cough is dry and painful at first, but soon phlegm begins to be coughed up.
  4. Peritonsillar abscess– impregnation of fiber near the tonsils (most often one) with pus. Develops as a complication of purulent tonsillitis or purulent pharyngitis. Manifested by increasing sore throat, fever, difficulty swallowing, and bad breath.
  5. Parapharyngeal abscess. In this case, the abscess is localized in the peripharyngeal space. This, like a paratonsillar abscess, is a complication of purulent tonsillitis, but it can also develop due to the flow of pus from the nasal sinuses into the peripharyngeal tissue, or the ingress of pus from the roots of the teeth. It is characterized by pain on one side of the throat, painful swallowing, difficulty opening the mouth, and high fever. It requires urgent surgical intervention, otherwise it may be complicated by the breakthrough of pus into the tissue around the large vessels of the neck, which may result in severe bleeding.
  6. Abscess of the root of the tongue characterized by a feeling of a lump in the throat, an increase in the volume of the tongue, which prevents it from fitting in the mouth and makes breathing difficult and speech slurred. The temperature rises, weakness and malaise appear, and sleep is disturbed. Urgent treatment is required in the ENT department of the hospital.
  7. Inflammation and abscess of the epiglottis manifested by a sensation of a foreign body in the throat, pain in the throat, which intensifies when swallowing, increased body temperature, difficulty breathing, and a nasal voice.

What to do if you have a lump in your throat

Treatment for a lump in the throat depends on its cause. So, if it is a tumor formation, surgery is needed, followed by the administration of chemotherapy or radiation therapy. Diverticula are also removed surgically. With the development of a paratonsillar or parapharyngeal abscess, an operation to open and drain the abscess is also necessary. But myasthenia gravis, multiple sclerosis, Guillain-Barre syndrome and some other diseases can only be treated conservatively.

Therefore, to determine the cause of the “lump,” contact an otolaryngologist (ENT). He will examine the pharynx and larynx, examine the epiglottis and palpate the neck to rule out a parapharyngeal abscess, and take a culture from the tonsils and posterior pharyngeal wall. If no pathological process is detected, you need to be examined further:

  • perform an ultrasound of the thyroid gland and test those hormones that the endocrinologist says;
  • perform an MRI of the brain, cervical spine and neck organs and undergo those examinations recommended by a neurologist;
  • visit a gastroenterologist, perform FEGDS (fibrogastroscopy).

If at least 1 symptom from the following occurs, consult a doctor immediately:

  • it became difficult to breathe;
  • temperature increased above 37.5°C;
  • swelling of the neck along with a sore throat;
  • coughing up sputum in which pus or blood is visible;
  • a lump in the throat appeared either against the background of impaired sensitivity and movements in the legs or arms, or one can say that it becomes more and more difficult to swallow each time;
  • if, in addition to a lump in the throat, there is a nasal voice, blurred speech, choking when swallowing.

While you are being examined, take the following measures:

  • Rinse your nose and gargle in the morning with salt water, for which you can dissolve 1 tsp in 1 liter of boiled water. sea ​​or regular salt, or buy one of the saline solutions at the pharmacy.
  • Stop smoking and drinking alcohol.
  • Eliminate seafood, spicy foods, and high-fat dairy products from your diet.
  • If swallowing is impaired, introduce more liquid and high-calorie foods into the diet: broths with chicken meat passed through a blender, fermented milk products, enteral nutrition mixtures.
  • If mucus in the throat bothers you, include chicken broth, fresh apple puree, and warm soups in your diet. Just don't eat before bed.
  • If, along with a lump in your throat, your temperature has risen while you are waiting for the day for which you are scheduled to see an ENT specialist, gargle with antiseptic solutions: Miramistin, Chlorhexidine.
  • If you notice that a lump in your throat has appeared after contact with an animal, eating new food, working in dusty conditions, and so on, take an antihistamine, optimally 1st generation (although they cause drowsiness, they act quite quickly): “Diazolin” , "Suprastin", "Tavegil". If such a “lump” interferes with breathing, call an ambulance.