Is Globus Pharyngis (A Lump in the Throat) Serious?

Globus pharyngis refers to the persistent sensation of having an obstruction, such as a pill or food, in the throat. Although not typically accompanied by pain, it can be quite bothersome. Commonly known as a “lump in the throat,” this condition may also be referred to as globus pharyngeus or globus sensation.


Causes of Globus Pharyngis

Globus pharyngis is a condition characterized by the sensation of a lump in the throat. While the direct causes of this condition remain unknown, experts have proposed several potential links to specific conditions. One common theory suggests that chronic inflammation triggered by stomach acid is responsible for the persistent sensation of a lump in the throat.

Gastroesophageal reflux (GERD) and laryngopharyngeal reflux are among the conditions that can cause this chronic inflammation. In GERD, the stomach acid flows back into the esophagus, while in laryngopharyngeal reflux, the acid reaches the throat and voice box. Both conditions can contribute to the development of globus pharyngis.

In addition to reflux-related causes, other factors can also contribute to the sensation of a lump in the throat. Lingual tonsils, which are located at the back of the tongue, can become enlarged and lead to this symptom. Sinusitis, characterized by inflammation of the sinuses, can also cause globus pharyngis.

Post-nasal drip, a condition where excessive mucus drips down the back of the throat, and goiter, an enlargement of the thyroid gland, are also potential causes of the lump in the throat sensation. Finally, foreign objects lodged in the throat can lead to the same symptom.


A Unique Cause of Globus Pharyngis

When experiencing a clicking sensation and pain while swallowing, it could be a rare case of globus pharyngis caused by the rubbing of the thyroid cartilage against the larynx. Unfortunately, this particular cause is not commonly encountered, leading to frequent misdiagnosis by medical professionals. However, there is a solution to this unusual form of globus pharyngis. An operation can be performed, wherein a surgeon trims the troublesome thyroid cartilage, providing relief for the patient.

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