Globus Pharyngeus

11 min read

Globus pharyngeus is a condition characterized by a feeling of a lump in the throat. It is a common condition that affects people of all ages, but is more common in adults. It is not life-threatening and does not cause any physical harm, but it can be very uncomfortable and can interfere with daily activities.

Causes of Globus Pharyngeus

The exact cause of globus pharyngeus is not known, but it is thought to be related to psychological factors such as stress and anxiety. It can also be caused by physical factors such as acid reflux, allergies, or a muscle spasm in the throat.

Diagnosis of Globus Pharyngeus

Globus pharyngeus is usually diagnosed based on a physical examination and a review of the patient’s medical history. The doctor may also order tests such as an endoscopy or a laryngoscopy to rule out other causes of the lump in the throat.

Complications of Globus Pharyngeus

Globus pharyngeus is not life-threatening, but it can cause discomfort and interfere with daily activities. It can also lead to difficulty swallowing, hoarseness, and a feeling of tightness in the throat.

Prevention of Globus Pharyngeus

There is no known way to prevent globus pharyngeus, but reducing stress and anxiety may help reduce the symptoms. Eating smaller meals and avoiding foods that trigger acid reflux may also help.

Take the Globus Pharyngeus Assessment

Symptoms

  • A feeling of a lump in the throat
  • Difficulty swallowing
  • A sensation of something stuck in the throat
  • A tightness in the throat
  • Hoarseness
  • Coughing
  • A sensation of choking

These symptoms can be exacerbated by stress, anxiety, or eating certain foods. If you experience any of these symptoms, it is important to speak to your doctor to rule out any other underlying conditions.

Causes

Anxiety and Stress

One of the most common theories is that globus pharyngeus is caused by anxiety and stress. People who are under a lot of stress or who have anxiety disorders may experience a feeling of a lump in the throat. This is thought to be caused by the body's reaction to stress, which can cause the muscles in the throat to tense up.

Gastroesophageal Reflux Disease (GERD)

Another possible cause of globus pharyngeus is gastroesophageal reflux disease (GERD). GERD is a condition in which stomach acid and other contents of the stomach flow back up into the esophagus. This can cause a feeling of a lump in the throat, as well as other symptoms such as heartburn and chest pain.

Allergies and Post-Nasal Drip

Allergies and post-nasal drip can also cause a feeling of a lump in the throat. Allergies can cause inflammation in the throat, which can lead to a feeling of a lump. Post-nasal drip is when mucus from the nose drips down the back of the throat, which can also cause a feeling of a lump.

Other Causes

Other possible causes of globus pharyngeus include muscle tension, thyroid problems, and acid reflux. It is also possible that the cause is unknown. If you are experiencing a feeling of a lump in your throat, it is important to talk to your doctor to determine the cause and get the appropriate treatment.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look for signs of infection or inflammation in the throat. They may also check for any abnormalities in the throat, such as a tumor or polyp. The doctor may also use a laryngoscope to look inside the throat.

Medical History

The doctor will ask the patient about their medical history, including any recent illnesses or surgeries. They may also ask about any medications the patient is taking, as some medications can cause globus pharyngeus. The doctor may also ask about any allergies or environmental factors that could be contributing to the condition.

Additional Tests

In some cases, the doctor may order additional tests to rule out other conditions. These tests may include a barium swallow, an endoscopy, or a CT scan. These tests can help the doctor determine if there is an underlying cause for the globus pharyngeus.

Treatment

Once the doctor has diagnosed globus pharyngeus, they may recommend lifestyle changes or medications to help relieve the symptoms. In some cases, the doctor may refer the patient to a specialist for further evaluation and treatment.

Questions for Your Doctor

Medical History

Your doctor will want to know your medical history, including any other conditions you may have and any medications you are taking. This information will help your doctor determine the cause of your globus pharyngeus and the best treatment plan.

Symptoms

Your doctor will want to know the details of your symptoms, such as when they started, how often they occur, and how long they last. This information will help your doctor determine the cause of your globus pharyngeus.

Treatment Options

Your doctor may recommend lifestyle changes, such as avoiding certain foods or drinks, or medications to help reduce the symptoms of globus pharyngeus. Your doctor may also refer you to a specialist for further evaluation and treatment.

Follow-up Appointments

Your doctor may want to schedule follow-up appointments to monitor your progress and adjust your treatment plan if necessary. It is important to keep all of your follow-up appointments so that your doctor can ensure that your treatment is working.

Questions and Concerns

It is important to ask your doctor any questions or express any concerns you may have about your condition. Your doctor is there to help you, and they will be able to answer any questions you may have.

Treatment

Lifestyle Changes

Making lifestyle changes can help reduce the symptoms of globus pharyngeus. Eating smaller meals, avoiding foods that cause irritation, and avoiding caffeine and alcohol can help reduce the feeling of a lump in the throat. Additionally, reducing stress and anxiety can help reduce the symptoms of globus pharyngeus.

Medications

Medications can be used to help reduce the symptoms of globus pharyngeus. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can help reduce the feeling of a lump in the throat. Additionally, antianxiety medications, such as benzodiazepines, can help reduce anxiety and reduce the symptoms of globus pharyngeus.

Surgery

In some cases, surgery may be recommended to treat globus pharyngeus. Surgery can help reduce the feeling of a lump in the throat by removing any tissue that may be causing the sensation. Additionally, surgery can help reduce the symptoms of globus pharyngeus by reducing the amount of acid reflux.

Conclusion

Globus pharyngeus is a condition that can cause a feeling of a lump in the throat. Fortunately, there are treatments available to help manage the symptoms of globus pharyngeus. Lifestyle changes, medications, and surgery can all be used to help reduce the symptoms of globus pharyngeus.

Drugs & Medications

Antidepressants

Antidepressants are commonly used to treat globus pharyngeus. Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed type of antidepressant for this condition. SSRIs work by increasing the amount of serotonin in the brain, which can help reduce anxiety and improve mood. Common SSRIs used to treat globus pharyngeus include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).

Muscle Relaxants

Muscle relaxants are another type of medication that can be used to treat globus pharyngeus. These medications work by relaxing the muscles in the throat, which can help reduce the feeling of a lump in the throat. Common muscle relaxants used to treat globus pharyngeus include cyclobenzaprine (Flexeril) and tizanidine (Zanaflex).

Antianxiety Medications

Antianxiety medications, such as benzodiazepines, can also be used to treat globus pharyngeus. These medications work by reducing anxiety and calming the nervous system. Common benzodiazepines used to treat globus pharyngeus include alprazolam (Xanax) and clonazepam (Klonopin).

Other Treatments

In addition to medications, there are other treatments that can be used to manage the symptoms of globus pharyngeus. These include lifestyle changes, such as reducing stress and avoiding triggers, as well as psychotherapy and relaxation techniques. In some cases, surgery may be recommended to remove any underlying causes of the condition.

Diet

Foods to Eat

Eating a healthy, balanced diet can help reduce the symptoms of globus pharyngeus. Foods that are high in fiber, such as fruits, vegetables, and whole grains, can help keep the digestive system running smoothly. Eating smaller meals more frequently can also help reduce the feeling of a lump in the throat. Additionally, drinking plenty of water can help keep the throat lubricated and reduce the feeling of a lump.

Foods to Avoid

Certain foods can worsen the symptoms of globus pharyngeus. Foods that are high in fat, such as fried foods, can cause the throat to feel more constricted. Caffeine and alcohol can also irritate the throat and make the feeling of a lump worse. Additionally, acidic foods, such as citrus fruits, can cause irritation in the throat and make the feeling of a lump worse.

Conclusion

Eating a healthy, balanced diet can help reduce the symptoms of globus pharyngeus. Eating foods that are high in fiber, such as fruits, vegetables, and whole grains, and avoiding foods that are high in fat, caffeine, alcohol, and acid can help reduce the feeling of a lump in the throat. Additionally, drinking plenty of water can help keep the throat lubricated and reduce the feeling of a lump.

Lifestyle

1. Reduce Stress and Anxiety

Stress and anxiety can be major triggers for globus pharyngeus. It is important to find ways to reduce stress and anxiety in your life. This can include activities such as yoga, meditation, and deep breathing exercises. It can also include talking to a therapist or counselor to help manage stress and anxiety.

2. Avoid Allergens

Allergens can be a major trigger for globus pharyngeus. It is important to identify and avoid any allergens that may be causing the symptoms. This can include avoiding certain foods, pet dander, dust, and pollen. It is also important to keep the home clean and free of dust and other allergens.

3. Eat a Healthy Diet

Eating a healthy diet can help reduce the symptoms of globus pharyngeus. Eating a diet that is rich in fruits, vegetables, and whole grains can help reduce inflammation in the throat and improve overall health. It is also important to avoid processed foods and foods that are high in sugar and fat.

4. Exercise Regularly

Exercising regularly can help reduce stress and anxiety, which can be major triggers for globus pharyngeus. It is important to find an exercise routine that works for you and stick to it. This can include activities such as walking, jogging, swimming, or cycling. Exercise can also help improve overall health and reduce inflammation in the throat.

5. Get Enough Sleep

Getting enough sleep is important for overall health and can help reduce the symptoms of globus pharyngeus. It is important to get at least 7-8 hours of sleep each night. It is also important to establish a regular sleep schedule and avoid late nights and early mornings.

Conclusion

Globus pharyngeus can be a difficult condition to manage, but there are lifestyle changes that can help reduce the symptoms and improve quality of life. It is important to reduce stress and anxiety, avoid allergens, eat a healthy diet, exercise regularly, and get enough sleep. By making these lifestyle changes, you can help reduce the symptoms of globus pharyngeus and improve your overall health.