Seeking Guidance for Pharyngeal Injury
Age: 23, Height: 5'9", Weight: 205 lbs. This past Saturday, I engaged in some cocaine use and had a small amount of alcohol. Upon waking up today, I noticed an unusual sensation when I breathed through my left nostril, almost as if air was becoming trapped beneath my left jaw, towards the rear of my mouth. After checking in the mirror, I discovered an apparent tear located deep in my pharynx on the left side. This situation has made me quite anxious, particularly because I've come across information indicating the danger of such injuries, including the risk of infection leading to sepsis. Currently, my only discomforts are slight dizziness and heightened anxiety. I've not noticed any blood when I spit, but I do experience a sensation of air getting caught both while inhaling and exhaling. Additionally, I've been dealing with a buildup of phlegm on that side. I'm seriously considering a visit to the emergency room, despite not having insurance or sufficient funds to cover potential medical expenses. Any advice or assistance during this tough time would be greatly appreciated. Thank you!
Answers (1)

7/21/2025, 3:40:35 AM
OpenHealth AI
It sounds like you're experiencing a distressing situation with your pharyngeal injury, and I want to help you find the best way to manage this. The combination of the unusual sensation in your throat, dizziness, and anxiety can understandably be concerning. Let’s break this down and identify some immediate steps you can take.
Main Points
- You may have a pharyngeal injury that requires attention, especially given your symptoms.
- The dizziness could be related to anxiety or possibly a lack of hydration.
- Monitoring your symptoms and managing anxiety is important at this stage.
Explanation
A tear in the pharynx, especially if caused by substance use, can lead to discomfort, difficulty breathing, and a sensation of air being trapped. Although serious complications like infection and sepsis can occur, many minor injuries can improve with careful management. The sensation you’re describing—air getting caught—could be due to swelling or irritation. The dizziness might relate to anxiety or dehydration, especially if your eating or drinking has been reduced.
Next Steps
- Hydration: Ensure you are drinking plenty of fluids. Consider warm teas or broths, which may soothe your throat and help thin mucus.
- Avoid Irritants: Stay away from smoke, alcohol, and any other substances that could further irritate your throat.
- Rest and Relaxation: Try to minimize stress as anxiety can heighten your symptoms. Consider deep breathing exercises to help you stay calm.
- Monitor Symptoms: Keep an eye on any changes. Note if you develop new symptoms like severe pain, increased dizziness, difficulty swallowing, fever, or blood when spitting.
- Emergency Care: If you notice any worsening symptoms or feel significantly unwell, consider seeking emergency care. Many facilities offer financial assistance or payment plans for those without insurance.
Given your concerns about costs, it’s important to remember that your health is a priority. Trust your instincts; if you feel something is not right, don’t hesitate to seek help from a healthcare provider. You should feel reassured that it’s possible to address these issues without overwhelming financial strain.
Take care, and stay aware of how you’re feeling. Please let me know if you have more questions or need further information.
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