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Article
Globus Pharyngis Sensation of Lump in Throat
Globus pharyngis is the term applied to the sensation of a lump or discomfort in the throat. The condition is probably due to cricopharyngeal spasm occuring during moment of tension.
Discomfort may be relieved by eating and there is no interference with the swallowing of foods or liquids. Discomfort may be aggravated by the patient's constant action of swallowing. Also frequent introspection and anxiety seem to make the problem worse.
Note that some patients with globus pharyngis may be found to have reflux esophagitis or a gastric ulcer and therefore a barium swallow may be performed to attempt to exclude organic pathology (the study of disease related to an organ).
If discomfort persists then esophagoscopy is essential.
Reflux Esophagitis
Reflux esophagitis is common condition, occurring at any age, caused by transient or persistent loss of tone of the lower esophageal sphincter.
Reflux esophagitis causes a retrosternal burning sensation, described by the patient as heartburn.
If the esophagus becomes very inflamed the patient will also have a dysphagia (difficulty swallowing).
Bending, stooping, heavy lifting and tight clothes all force acid up into the esophagus and cause heartburn.
References:
www.gpnotebook.co.uk/cache/-1362100217.htm
Globus Hystericus
A chronic sensation of a foreign object lodged in the throat, tightness of the throat and a difficulty to initiate swallowing. Believed to be due to irritation and spasm in the cricopharyngeal sphincter region.
Cricopharyngeal is the major muscle component of the upper esophageal sphincter (UES). It separates the pharynx from the esophagus.
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