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When hungry, it feels like something is stuck in the throat.

Apr 12, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
A feeling of throat tightness when hungry may be caused by physiological factors or pathological conditions such as tonsillitis or gastritis. During hunger, if intense physical activity occurs, it may lead to gastric acid reflux into the esophagus, which can irritate an already compromised throat and result in a sensation of throat tightness.

A feeling of throat tightness or lump when hungry may be caused by physiological factors, or it could result from pathological conditions such as tonsillitis or gastritis.

1. Physiological Factors

If excessively hot food is consumed in a short period, the throat tissue may be scalded due to high temperature, leading to local mucosal injury and increased sensitivity. When a person is hungry and engages in intense physical activity, gastric acid may reflux into the esophagus, irritating the already damaged throat area and causing a sensation of throat blockage or lump. Usually, the injured tissues can heal on their own. It is recommended during this time to maintain a light diet and increase fluid intake appropriately.

2. Pathological Factors

1) Tonsillitis

Tonsillitis is an infectious disease whose pathogens can spread via respiratory droplets. These pathogens enter the body through the respiratory tract, multiply rapidly, and invade the immune system, weakening the defensive mechanisms of the tonsils and making them susceptible to infection, thus triggering an inflammatory response. Stimulated by inflammatory factors, the tonsils may abnormally enlarge and irritate surrounding areas such as the pharyngeal wall, intensifying the patient's gag reflex. When the stomach is empty, its motility increases, which may lead to the aforementioned symptoms. Patients are advised to take medications such as cefaclor sustained-release tablets, amoxicillin capsules, or loxoprofen sodium tablets under medical guidance.

2) Gastritis

Prolonged alcohol consumption or overeating can damage the gastric mucosa and weaken the stomach’s protective barrier. When the stomach is empty, gastric contents are emptied, allowing gastric acid to irritate the injured mucosal lining and cause acid reflux, resulting in this symptom. It is recommended that patients take medications such as esomeprazole magnesium enteric-coated tablets, bismuth potassium citrate tablets, or metronidazole tablets under a doctor's supervision.

Besides the above-mentioned causes, this symptom may also be due to gastric ulcers. Patients are advised to visit a hospital for appropriate examinations to identify the underlying cause and avoid delaying treatment.


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