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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@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 . Thank you for your reply. My globus comes and goes throughout the day sometimes. I am unaware of having GERD. I am pretty sure I don't have acid reflux. I have noticed I can no longer lie on my back without my throat troubling me.

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Hi Karen!
Have you been seen by a reputable ENT specialist? It sounds like “silent reflux” (laryngopharyngeal reflux) LPR. I have mine under control without medication, just diet, which is easy to do. Dr, J. Koufman’s book, Dropping Acid, was very helpful. I try to get lots of exercise in the fresh air to lower the stress which for me was a contributing factor. I am singing again but in fewer groups!
Good luck!

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Hi
thank you. No ENT so far. I went once after being on their waiting list for 6 months with a globus 15 years ago. That was probably due to stress at that time. I think their waiting list would be a lot longer this time.

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@beleza

Hi Karen!
Have you been seen by a reputable ENT specialist? It sounds like “silent reflux” (laryngopharyngeal reflux) LPR. I have mine under control without medication, just diet, which is easy to do. Dr, J. Koufman’s book, Dropping Acid, was very helpful. I try to get lots of exercise in the fresh air to lower the stress which for me was a contributing factor. I am singing again but in fewer groups!
Good luck!

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That fits with what I felt when I had the saloriah. I kept swallowing the annoying saliva, which, in a sense, must have irritated the esophagus, so then got the lump in the throat (maybe from some inflammation triggered by irritation?).

It was very annoying. The glycopyrrolate reduced saliva production, which eliminated the excess swallowing and the resulting lump sensation. My gastroenterologist nailed it correctly with the water brash diagnosis in my case.

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It started back in 2017, a relentless feeling of someone physically strangling me/crushing my trachea. NOT an interior feeling like something IN my throat, but more exterior. It was 24/7 non stop. I have had a FULL work up to rule out acid reflux. I was first diagnosed with LPR, put on PPI that did nothing for 6 months. Only to find out by a gastrointerologist I have no reflux conditions. I feel like I have had every work up and test done under the sun. Other symptoms that were occurring alongside my globus gradually went away over a yrs time, but the globus remained. Then poof, mid 2019 it completely disappeared and remained "history" until April 2021 when it came back. I have been suffering with this thing since then. I am feeling rather hopeless, depressed and I have lost majority that I had gained in the yr it was gone. I have a hard time believing it's due to anxiety/all in my head since it had disappeared then reappeared without any stressors, in fact it reappeared when I was at a very happy moment in my life. If anyone else has experienced this and has found an answer or treatment please help me? Its debilitating my life. Turning 31 this June if age helps. I have tried to find specialist for my condition with 1 result found in New York, but I live in Midwest. If an ENT happens to read this plea for help, please help me. I'm at my wits end. Begging for help at this point.

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@keroin

It started back in 2017, a relentless feeling of someone physically strangling me/crushing my trachea. NOT an interior feeling like something IN my throat, but more exterior. It was 24/7 non stop. I have had a FULL work up to rule out acid reflux. I was first diagnosed with LPR, put on PPI that did nothing for 6 months. Only to find out by a gastrointerologist I have no reflux conditions. I feel like I have had every work up and test done under the sun. Other symptoms that were occurring alongside my globus gradually went away over a yrs time, but the globus remained. Then poof, mid 2019 it completely disappeared and remained "history" until April 2021 when it came back. I have been suffering with this thing since then. I am feeling rather hopeless, depressed and I have lost majority that I had gained in the yr it was gone. I have a hard time believing it's due to anxiety/all in my head since it had disappeared then reappeared without any stressors, in fact it reappeared when I was at a very happy moment in my life. If anyone else has experienced this and has found an answer or treatment please help me? Its debilitating my life. Turning 31 this June if age helps. I have tried to find specialist for my condition with 1 result found in New York, but I live in Midwest. If an ENT happens to read this plea for help, please help me. I'm at my wits end. Begging for help at this point.

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Hi @keroin, I moved you mesage to this existing discussion:
- Globus sensation: Anyone else have a lump feeling in their throat?: https://connect.mayoclinic.org/discussion/globus/

I did this so you can connect with others who are dealing with globus like @fue @beleza @callalloo and others.

Since you live in the midwest, have you thought of contacting Mayo Clinic or the Mayo Clinic Health System to find an ENT specialist closer to home? If you're interested in inquiring about an appointment, you can get started here: http://mayocl.in/1mtmR63

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Yes. I don't have any serious medical conditions nor am I stressed or have anxiety but have had globus for 5 yrs now. Started in 2017. Randomly disappeared mid-late 2019.... was completely gone, then came back in 2021 and occurring to present day. Can't find help or treatment. Most doctors chalk it up to anxiety or mental disorder/all in your head. Its frustrating and has been life debilitating for me. I'm turning 31 in June. Mine feels like someone is exteriorly pushing down on my trachea or physically strangling me. Its not interior or like there's something stuck IN my throat. If that makes sense?

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@colleenyoung

Hi @keroin, I moved you mesage to this existing discussion:
- Globus sensation: Anyone else have a lump feeling in their throat?: https://connect.mayoclinic.org/discussion/globus/

I did this so you can connect with others who are dealing with globus like @fue @beleza @callalloo and others.

Since you live in the midwest, have you thought of contacting Mayo Clinic or the Mayo Clinic Health System to find an ENT specialist closer to home? If you're interested in inquiring about an appointment, you can get started here: http://mayocl.in/1mtmR63

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Yes, I have seen several ENTs since this all started. But after searching "globus specialist near me" there was 1 doctor/clinic in NY that specializes in the treatment of Globus sensation. Am hoping to find someone with that type of expertise closer to where I live.

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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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