Globus sensation

Globus Sensation is a medical condition characterized by the feeling of having a lump, bump, or obstruction in the throat when there is none. This sensation can lead to discomfort, difficulty swallowing, or a feeling of tightness in the throat, but it does not interfere with breathing or swallowing. Globus sensation is a functional disorder, meaning it is not attributable to any structural or biochemical abnormalities in the throat or esophagus. The exact cause of globus sensation is not well understood, but it is believed to involve a combination of psychological factors, such as stress and anxiety, and physical factors, such as acid reflux or muscle tension.

Symptoms

The primary symptom of globus sensation is the persistent or intermittent feeling of a lump or foreign body in the throat. This sensation is typically felt between meals and may be temporarily relieved by eating or drinking. Other symptoms may include:

• Throat tightness
• Mild throat pain
• Difficulty swallowing (dysphagia)
• Sensation of choking
• Hoarseness

It is important to note that globus sensation does not cause actual difficulty breathing or swallowing food and liquids.

Causes

The exact cause of globus sensation is unknown, but several factors have been associated with its development:

• Stress and anxiety
• Gastroesophageal reflux disease (GERD)
• Muscle tension in the throat
• Postnasal drip
• Minor throat inflammation

Diagnosis

Diagnosing globus sensation involves ruling out other potential causes of the symptoms. A healthcare provider may perform a physical examination of the throat and neck and may recommend further tests, including:

• Barium swallow
• Endoscopy
• Laryngoscopy
• pH monitoring

Treatment

Treatment for globus sensation focuses on addressing the underlying cause, if identified, and managing symptoms. Options may include:

• Stress management techniques
• Treatment for acid reflux or GERD
• Speech therapy to relax throat muscles
• Avoiding foods that trigger symptoms

In many cases, globus sensation may improve on its own over time, especially with lifestyle changes and stress reduction.

Prognosis

The prognosis for individuals with globus sensation is generally good, with many experiencing significant improvement or resolution of symptoms over time. However, it can be a persistent and frustrating condition for some.