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Globus sensation: Anyone else have a lump feeling in their throat?

Posted by Karen @fue, Apr 23, 2022

As far as I know I am not anxious about anything. I am retired. I don't have too much pain from my polyneuropathy at the moment. However, I do seem to suffer from a globus a lot of the time. Is this common with anyone else please?

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simonp | @simonp | Aug 19 12:42pm

I’ve had globus for the best part of 35 years. They kept insisting it was acid reflux when I knew in myself that it wasn’t. Mine goes away the minute I eat anything or drink anything viscous (dopamine hit), but using this as medication leads to weight gain. I’m fit, healthy, eat mostly whole foods, don’t drink alcohol, smoke, take drugs of any sort or use caffeine and yet it’s still here. When my attention is on something I like, it often goes away temporarily but even walks in the outdoors when it’s warm brings it on. I’ve put mine down to being very sensitive to stress of any type and am having to live with it.

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mtnmama70 | @mtnmama70 | Nov 2 7:53am
In reply to @colleenyoung "@fue, globus pharyngeus, or a lump in throat sensation, is fairly common and its origins may..." + (show)
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@fue, globus pharyngeus, or a lump in throat sensation, is fairly common and its origins may be unknown. @nick52, @adunniade, @juleszs, @novajeff may have experiences to share.

Karen, do you have a history of GERD or acid reflux? Have you considered speech therapy? Speech therapist can help with globus.

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@colleenyoung

Dear Colleen, I have been suffering a severe case of globus. Been through all the tests gastros snd ENTs can do. Most recent ent PA prescribed three meds meant for asthma. One made me jittery and heart palps, inhaler. The other a nasal spray. Ok w that but no relief. Third is a ampule I need to mix in distilled water and use neti pot to clear sinuses. No results.
Speech therapy ✅
Anything else you know to do? Direct me to a specialist for this debilitating condition?

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2 replies
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brigid4 | @brigid4 | Nov 3 10:05am
In reply to @mtnmama70 "@colleenyoung Dear Colleen, I have been suffering a severe case of globus. Been through all the..." + (show)
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@colleenyoung

Dear Colleen, I have been suffering a severe case of globus. Been through all the tests gastros snd ENTs can do. Most recent ent PA prescribed three meds meant for asthma. One made me jittery and heart palps, inhaler. The other a nasal spray. Ok w that but no relief. Third is a ampule I need to mix in distilled water and use neti pot to clear sinuses. No results.
Speech therapy ✅
Anything else you know to do? Direct me to a specialist for this debilitating condition?

Jump to this post

Finding an ENT that knows anything beyond what was in the text books years ago is nigh impossible in our area. So pretty much on your own to experiment with various "cures". I feel anyone who has been diagnosed with GERD and perhaps had gallbladder removed, even years ago, may find some interesting info in reading up on that scenario. Pair GERD with sphincter issues along esophagus/stomach and you get silent Gerd. You may need to go back to a knowledgeable Gastro dr. All that "acid" ending up in the throat is the problem some people have. Inflammation caused by acid, results in more and more mucus...a never ending supply. Good luck and you are right it is a maddening issue to deal with.
@mtnmama70

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Karen | @fue | 5 days ago
In reply to @ninawibb "Silent reflux (LPR) can cause this sensation. I had globus sensation, in addition to other symptoms..." + (show)
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Silent reflux (LPR) can cause this sensation. I had globus sensation, in addition to other symptoms such as constant throat clearing and post nasal drip, for years (but no heartburn so did not recognize this as acid reflux). No one ever diagnosed me with reflux and my endoscopies and laryngoscopies have always been clean with normal mucosa. Once I dropped all acid products (vinegar, citrus, hot sauce, tea, coffee, alcohol, fried food, carbonated beverages, processed foods containing any type of acid, tomato, onion and garlic - I also limited sugar, dairy, and gluten), all these symptoms went away after about 2 months on the diet. Unfortunately, I appear to have had enough damage from reflux that my upper esophageal sphincter is now not working properly (or it's a long covid symptom - my other theory). But diet won't fix the dysfunction so my ENT is going to try Botox to the upper sphincter muscle (cricopharyngeal muscle). At any rate, diet is always worth a shot (but you have to do it for at least 6 weeks to 2 months, it's not a short-term fix, and then you have to be mindful thereafter). Hope you find some relief.

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@ninawibb I don't seem to have the globus so much at the moment but I do have the throat clearing and have developed a very soft gag. I can no longer brush my teeth without retching. I can't sing anymore (not that I could keep a tune before) but when I try to sing, it's like my throat closes up.
I went to the GP with more nerves jumping in my torso and neck, and constant burping. I have had peripheral neuropathy for at least 12 years. GP put me on a strong vitamin B compound and Thiamine. Amitriptylene at night for nerve pain.

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Colleen Young, Connect Director | @colleenyoung | 2 days ago
In reply to @mtnmama70 "@colleenyoung Dear Colleen, I have been suffering a severe case of globus. Been through all the..." + (show)
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@colleenyoung

Dear Colleen, I have been suffering a severe case of globus. Been through all the tests gastros snd ENTs can do. Most recent ent PA prescribed three meds meant for asthma. One made me jittery and heart palps, inhaler. The other a nasal spray. Ok w that but no relief. Third is a ampule I need to mix in distilled water and use neti pot to clear sinuses. No results.
Speech therapy ✅
Anything else you know to do? Direct me to a specialist for this debilitating condition?

Jump to this post

@mtnmama70, such a frustrating and debilitating situation. If you would like to request an appointment with Mayo Clinic, you can get started here: https://mayocl.in/1mtmR63

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