Lump in the throat is the sensation of a lump or mass in the throat, unrelated to swallowing, when no mass is present. It is a natural and expected experience during high anxiety and its activation is a natural autonomic response to threat. Anxiety or psychological conflict is judged to be significantly related to the onset and progression of the sensation.
CAUSES: No specific causes have been found though anxiety is said to be the prominent cause.
- Elevated cricopharyngeal pressure or abnormal hypopharyngeal motility.
- Gastroesophageal reflux disease
- Sore throat
Globus Hystericus manifests and is described mostly as:
- an inability to swallow effectively
- a feeling like a lump in the throat
- a sensation of tightness in the throat
- a feeling of ‘blockage’ in the throat
- a feeling of swelling or tension in the throat
- a feeling of being ‘strangled’
- a sensation of soreness or tension at the back of the tongue
- Clinical swallow evaluation.
- Plain or video esophagography (video barium swallow).
- Measurement of swallowing time.
- Chest x-ray.
- Oesophageal manometry.
- Direct laryngoscopy.
ASAF: spasmodic contraction of stomach and śsophagus with reverse peristalsis, hypochondriacal patients, -Globus hystericus. Ball rises in throat. Sensation as if peristaltic motion were reversed, and śsophagus were driven from stomach to throat.
IGNATIA: especially adapted to the nervous temperament-women of sensitive, easily excited nature, Feeling of a lump in throat that cannot be swallowed. Tendency to choke, globus hystericus. Sore throat; stitches when not swallowing; better, eating something solid. Stitches between acts of swallowing.
NATRUM MUR: Emaciation most notable in neck. Great liability to take cold. Dry mucous membranes. Constrictive sensation
LACHESIS: Feeling as if something was swollen which must be swallowed; worse, swallowing saliva or liquids ,Empty swallowing more painful than swallowing solids
NUX MOSC: extreme dryness of mucous membranesExcessively bloated. Flatulent dyspepsia. Hiccough,
PSOR: painful swallowing, with pain in ears. Profuse, offensive saliva; tough mucus in throat, when well-chosen remedies fail to act. when well-chosen remedies fail to act.
LAC CAN: Sensitive to touch. Painful swallowing; pain extends to ears, Throat feels burned raw.