Ear-Nose and Throat Doctor (ENT) | Otology & Neurotology Questions Ear, Nose and Throat (ENT)

Sensitive throat, hypersensitive gagging reflex?

Dear Doctor.

I've got a condition that affects my whole life. My throat is really sensitive for almost everything.

- when I put eg. a small wound patch on it,
- the wind hits it during a car ride through the window,
- if I wear clothes that have a tight- or turtle neck,
- wear a scarf,
- tilt my head upward for a bit longer period of time,
- if I'm full after a meal,
- if someone touches it,
- sometimes when I yawn big,
- I'm in specific body positions,
I'm starting to gag like I have to throw up.

It's really rare, but sometimes it also happens when one of my pants touches the lower part of my abs.

I'm seeking help in order to 'cure' myself out of this state, it affects my life too much. Someone said It's only a mental problem, my opinion is different. It occurs a lot of times when I feel good and have nothing to worry about. Even my dentist sent me home because he can't treat me like this, I can't protect my neck during cold weather, and so on.

I just need to start somewhere to find out what is the answer for this condition, and how can I treat it long-term.

Male | 25 years old
Complaint duration: 6-8 years
Medications: None
Conditions: None

3 Answers

Ear-NoseandThroatDoctor(ENT)|Otology&NeurotologyEar,NoseandThroat(ENT)
You may have a skin sensitivity. Try taking an antihistamine. This could be due to an allergy problem with food or the environment.
The first step is evaluation by an excellent ear nose and throat doctor.
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This is a very difficult problem to fix, and to be honest to figure out. There’s no doubt stress/tension/anxiety can be a predisposing risk factor. I would treat any potential source of irritation such as allergies abs acid reflux. Occasionally I’ve had success in reducing the symptoms by using a nerve modulator such as gabapentin or nortriptyline. Very rarely, a BOTOX injection may help. But, in office endoscopy is required