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Monday, 27 March 2023



Customer question:

Lump in the throat - what is it, and how can I help? Question from an anonymous customer



Feeling a lump in the throat is not uncommon. A lump or swelling in the throat without having an actual lump is known as a global sensation. However, many people experience it at least once in their life.

The most important thing that separates globe sensation from other possible causes is its effect on swallowing. You may have another, more severe problem if you have trouble swallowing. On the other hand, if you experience this sensation but have no difficulty swallowing, you are probably experiencing a normal Globus sensation.

Doctors are not sure what causes the Globus sensation, but causes may include increased muscle tension in the muscles of the throat or just below the throat, or it may also be caused by gastroesophageal reflux.

Globus sensation treatment is tailored to the individual based on the suspect. It begins with a physical examination by your doctor based on your described history of symptoms. Then, treatment can be provided by general practitioners, speech and language therapists, or other appropriate medical personnel.

The Globus feeling is not dangerous and does not cause complications. Still, some more serious diseases affecting the esophagus can sometimes be confused with a globus feeling or the so-called condition: a lump in the throat.

Such disorders include esophageal spasm, gastroesophageal reflux disease (GERD), muscle diseases such as myasthenia gravis, myotonic dystrophy or autoimmune myositis, and tumors in the neck or upper chest.

Mentioned disorders usually affect swallowing and cause other symptoms besides the feeling of stiffness.

People with Globus rarely need immediate medical attention. In people with globe sensation, however, some symptoms indicate the presence of another health problem and may be cause for concern.



These types of symptoms can be the following:

  • pain, choking, or difficulty swallowing (dysphagia)
  • a lump on the neck that can be seen or felt
  • spitting (regurgitation) of food
  • pain in the neck or throat
  • muscle weakness
  • weight loss

There are several possible causes of a lump in the throat. In all cases, the causes will help determine the necessary treatment.



Some of the most common causes of a lump in the throat are

  • pharyngeal inflammatory conditions
  • gastroesophageal reflux disease
  • psychological factors such as stress or anxiety
  • abnormal functioning of the upper esophageal sphincter
  • rare tumors
  • thyroid diseases



Treatment of a lump in the throat from home



Nutrition

You can do several things to relieve the symptoms of a lump in your throat. First, try to drink at least 1.5 liters of water a day. Drink in small sips, as swallowing helps to relax the throat. Finally, avoid excessive alcohol, tea, coffee, and carbonated drinks.

Try to reduce the amount of fatty and spicy foods in your diet. At least 3 hours should pass between the last meal and going to bed. Avoid snacks between your last meal and bedtime.



Smoking

Smoking causes throat irritation. Quitting smoking can help improve your globus symptoms and overall health. Your pharmacist or general practitioner can help you if you need advice on medicines or aids to help you quit smoking.



Reducing stress

Stress can increase your sense of Globus. Try to relax in a way that works for you and your situation. Breathing and relaxation exercises can sometimes help, but if you think you need extra help with stress management, you can talk to your doctor.



Nasal spray

Drink plenty of fluids to keep nasal secretions thin and mobile if necessary. In addition, over-the-counter decongestants can help clear mucus buildup.



Interesting reading: Natural antibiotic for throat



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