Globus Pharyngeus (Pharyngeal Paraesthesia)

Globus pharyngeus is the painless sensation of a lump, tightness, or foreign body in the throat, persisting between swallows, without true dysphagia or structural obstruction. It is associated with GERD, pharyngeal inflammation, and anxiety. The sensation is often worse when not eating. Treatment: reassurance after excluding structural disease, treat GERD/laryngopharyngeal reflux, and manage anxiety.

Common Symptoms

Painless lump/tightness in throat; worse between swallows; no true dysphagia; associated with anxiety/GERD; normal endoscopy

Causes and Pathogenesis

Laryngopharyngeal reflux, upper-esophageal-sphincter tension, and anxiety produce the lump sensation without obstruction.

Treatment

Reassurance; treat GERD/laryngopharyngeal reflux; manage anxiety; speech/swallow therapy

Preventive Measures

Treat GERD; manage stress; avoid throat clearing.

Department to Visit

It is recommended to visit the ENT department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.