Globus sensation (lump in the throat)
Globus sensation, also known as a lump in the throat, is the sensation that there is something in the throat even though there is nothing there. It often isn’t painful, but it can be annoying.
It is harmless, but if you persistently feel something in your throat, it can be a sign that you may have an underlying gastrointestinal condition.
Speak to one of our specialists if you are experiencing this issue.
Read on to learn more about symptoms, causes, diagnosis, and treatment for a lump in the throat.
Symptoms
People experience globus sensations differently. You may notice:
- Tightness or pressure in your throat
- An area of discomfort in your throat
- A feeling of something stuck in your throat
- A build-up of mucus in your throat
You may notice that your symptoms may vary from day to day, are most noticeable when you’re swallowing saliva, or are triggered by stress or anxiety.
Globus sensations don’t impact your ability to swallow food or water. If you have difficulty swallowing, this may indicate another serious health issue.
Causes
There is no definitive cause for globus sensations, and research has yet to determine what triggers the symptom. It may be connected to several factors, such as pharyngeal inflammatory conditions (e.g. tonsillitis), psychological factors (e.g. stress or anxiety), abnormal upper oesophageal sphincter function, thyroid disease, or rare tumours. One common link between these factors is tension in the throat muscles.
It is suggested that acid reflux from the stomach into the oesophagus may also cause a globus sensation in some cases. The theory is that stomach acid affects the relaxation of the muscles around the throat. Therefore, if you experience GORD, you may be more likely to notice a lump in your throat when your acid reflux flares up.
Diagnosis
In our initial consultation, we will assess your medical and family history, current symptoms, and lifestyle habits. We will determine the possible cause of your symptoms and take appropriate action depending on what we find.
If we suspect a gastrointestinal cause, we may run further tests, such as a gastroscopy, a 96-hour wireless pH capsule, a 24-hour pH impedance test, a barium swallow, or blood tests – particularly if we suspect you may have GORD.
Treatment
Treatment will depend on the results of your diagnosis. People often see an improvement in symptoms if they implement fundamental lifestyle changes and self-care. This includes:
- Drink at least 1.5 litres of water per day – make sure to take small sips to help relax the throat
- Avoid drinks like alcohol, coffee, tea, and fizzy drinks
- Avoid fatty and spicy food
- Leave 4 hours between your last meal of the day and bedtime
- Avoid smoking
- Avoid clearing your throat – this can make your symptoms worse
- Maintain a healthy weight
- Reduce stress and anxiety
You may be able to reduce symptoms by taking over-the-counter anti-reflux medication, such as antacids or protein pump inhibitors.
If we suspect you may have GORD, we may recommend more elaborate treatments, such as endoscopic procedures, e.g., stretta, or surgery if you don’t respond to lifestyle changes or medication. Read our blog to learn more about your options for GORD treatment – What are my treatment options for GORD?
Book an appointment
Don’t ignore your symptoms. Get that lump in your throat feeling checked out.
At Digestive Health UK, our specialists offer face-to-face and remote consultations to learn more about your condition or receive advice regarding your symptoms.
We also offer private diagnostic tests if you frequently experience symptoms without a diagnosis. Our gastroenterologists prioritise the quality of your care.
Get in touch today to learn how we can help you. Live life uninterrupted by uncomfortable symptoms.