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A fish bone has been stuck in the throat for three years, and it occasionally causes pain. Why is this happening, and what should be done?

May 08, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
A fish bone stuck in the throat for three years may cause occasional pain, which could be related to residual fish bone, psychological factors, pharyngitis, throat ulcer, or thyroiditis. Treatment, such as general care and medication (e.g., maintaining oral hygiene, using antibiotics or painkillers), should be based on the underlying cause. However, specific treatment methods should follow a doctor's instructions.

Generally, the term "throat" refers to the pharynx. If a fish bone has been stuck in the throat for three years and occasionally causes pain, it may be related to residual fish bone, psychological factors, pharyngitis, throat ulcers, thyroiditis, or other factors. Timely treatment according to the underlying cause is recommended, including general care and medication. If discomfort occurs, it is advised to seek medical attention promptly. Detailed analysis is as follows:

1. Residual Fish Bone

If a fish bone remains lodged locally and is not promptly removed, it may cause throat discomfort, pain, and a sensation of a foreign body during coughing. It is recommended to determine the fish bone's location promptly via laryngoscopy or other diagnostic methods and then remove it with forceps.

2. Psychological Factors

If the patient remains anxious or irritable due to the residual fish bone, it may cause throat pain, often accompanied by symptoms such as low mood and loss of interest. Symptoms may be alleviated through distraction techniques, relaxation training, and other methods.

3. Throat Ulcer

If a fish bone lodged in the throat is not treated promptly, it may damage the pharyngeal mucosa, leading to mucosal rupture, pharyngitis, and pain due to worsening ulceration. It may be accompanied by throat swelling and difficulty swallowing. Treatment may include medications such as amoxicillin capsules, antiviral granules, and isatidis root granules, under a doctor's guidance.

4. Pharyngitis

Long-term residual fish bone may irritate the throat mucosa, triggering an inflammatory response and pain. Symptoms may include coughing and sputum production. It is recommended to follow medical advice and use medications such as cefixime dispersible tablets, cefradine capsules, and cefuroxime axetil tablets for treatment.

5. Thyroiditis

Thyroiditis is usually associated with infections or improper iodine intake. When a fish bone becomes lodged, symptoms may worsen, causing throat pain and swelling, accompanied by hoarseness and low-grade fever. Treatment should strictly follow medical instructions using medications such as indomethacin tablets, aspirin enteric-coated tablets, and propylthiouracil tablets.

In addition, these symptoms may also be related to throat tumors. It is recommended to undergo timely, targeted treatment based on the underlying cause to avoid delaying diagnosis and treatment. At the same time, maintaining good oral hygiene during treatment is important to reduce the risk of infection.

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