What should I do if I am feeling a lump in throat

Health Description
Health Consultation Description: I feel like having sputum in chest, breathing difficulties, is not smooth, stomach acid, hiccup

Want to get help: how should I do now?


Expert Reply

Condition analysis:
Globus Hystericus is also called by other names including Globus Sensation or Globus Pharyngis. It literally means a feeling of having a lump in your throat or some type of obstruction which may feel like you are choking. Other people may feel pain in their throat and chest. When no underlying medical conditions can be found for these sensations it can be labeled as a psychiatric condition related to anxiety and/or depression. Globus hystericus is suspected when there is no mechanical difficulty with the act of swallowing. 

Instructions:
The first step is to see your doctor to rule out any underlying medical conditions which can cause this symptom. Your doctor may conduct the following tests to arrive at an appropriate diagnosis:

-- A physical examination to feel for any masses in the neck and the floor of the mouth. Your doctor may also observe you drink water or eat solid food such as a cracker. Your neurological functioning may be observed with particular attention to motor functioning.

-- If the sensation is causing pain and/or difficulty with swallowing or speaking, you may be referred to an Ear, Nose and Throat (ENT) specialist. The doctor may use an endoscope to check your throat or order a barium-swallow x-ray.

-- In cases where gastroesophageal reflux disease (GERD) is suspected you may be referred to a gastroenterologist. Acid reflux can cause difficulty swallowing, heartburn, regurgitation and a sore throat. Anti-reflux medications may be given to see if there is a reduction in symptoms. In severe cases the doctor may order an Esophagogastroduodenoscopy (EGD) to examine the esophagus to look for any damage. A thin tube with a camera on the end is inserted through your mouth and is passed into your esophagus, stomach and small intestine.



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