Lump In Throat

Lump In Throat
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Home » General Health » Lump in throat (globus sensation) warning signs, causes, and treatment
Lump in throat (globus sensation) is the feeling of having a mass in one’s throat even if there is nothing physically present. This sensation can make it difficult to swallow, and in some individuals there is a visible lump on the side of their neck.
Generally, a lump in the throat is not painful, but it is particularly annoying. A person experiencing this kind of sensation may swallow food and beverages numerous times to ensure it has gone down completely.
The lump in throat is often described as feeling like the size of a golf ball or a pill located in the middle of the neck, below the Adam’s apple.
There are numerous reasons as to why a person may experience throat lump which we will explain along with the appropriate treatment measures that need to be taken to resolve the issue.
There are many reasons for lump in throat, some more serious than others. Here are the most common causes to be mindful of.
Reflux : Reflux may cause the muscles in the throat to tighten as a way of preventing acid from coming up.
Stress : Stress can cause throat muscle to constrict or a lump in throat feeling may be present when a person is holding back tears.
Cricopharyngeal muscle or esophageal pathology : In rare cases, the cricopharyngeal muscle or esophageal pathology can cause lump in throat. This occurs when the muscle scars, becomes chronically spastic, or the lining of the esophagus develops a ring, shelf, or stricture.
Mucosal lesion : A mucosal lesion can be caused by trauma or a canker sore in the throat.
Mass : A mass produced by a cyst, cancer, large thyroid, etc. could cause a throat lump.
Neuropathy : In rare cases, globus sensation is a result of neuropathy and nothing physical.
Early warning signs of bump in throat include neck or throat pain, weight loss, abrupt appearance, pain, choking, difficulty swallowing, spitting up food, muscle weakness, a mass that is visible or that can be felt, and progressive worsening of symptoms. Often, these warning signs are associated with a corresponding condition.
Lump in the throat can be associated with anxiety, as it triggers intense stress responses, which can constrict the muscles in the throat. Although it isn’t dangerous, a person experiencing a lump in their throat along with anxiety can be quite scary, as they may feel as if they may choke or have greater difficulty swallowing.
In order to tell the difference between a lump in throat as a result of anxiety from a lump due to another cause, pay attention to whether there is intense pain or a clicking sound when swallowing, whether the feeling only appears when you’re anxious, and whether you’ve experienced a stressful situation or an anxiety attack prior to feeling the lump.
A white lump in throat is known as tonsil stones, which are generally harmless but can cause bad breath. Tonsil stones are a collection of debris in the pockets of the tonsils .
If tonsil stones remain soft, they will break off on their own and you will swallow them. If they become hardened though or become frequent occurrences, you may have to have your tonsils removed.
If your lump in throat is a result of stress, combating your anxiety can easily treat your feeling of lump in throat. Treatment for anxiety-induced lump feeling in throat is as simple as going for a walk or a run, drinking water, or opting for herbal solutions to reduce your anxiety.
Other treatment methods may include physiotherapy for your throat muscles, treatment of any post-nasal drip, acid reflux treatment, smoking cessation, and stress treatment.
A person experiencing lump in their throat should see a doctor if no warning signs were present and the sensation occurred suddenly. Furthermore, the severity of the sensation will help determine when medical intervention is required. For example, if swallowing has become difficult or there is the presence of pain, don’t hesitate to see a doctor.
Once you see the doctor, they will examine your symptoms along with your medical history to help put together a diagnosis.
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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children.

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Benjamin F. Asher, MD, FACS, is board-certified in otolaryngology-head and neck surgery. For 30 years, he has worked at Group Health Cooperative of Puget Sound and the Dartmouth Hitchcock Clinic.

Lump in the throat refers to the persistent sensation that there is something stuck in your throat unrelated to swallowing, even when there is nothing in your throat.

Unfortunately, as in many difficult-to-diagnose disorders, a feeling of having a persistent lump in your throat used to be considered a psychiatric disorder and referred to as globus hystericus (which is a term that was discontinued and should not be used to refer to this disorder).

As is usually also the case with these types of difficult-to-diagnose disorders, there is growing evidence this feeling is not just "in your head" and there are physiological reasons why you are having this sensation.

Now that having a lump in throat sensation is better understood, this feeling is commonly also referred to as globus pharyngeus, globus sensation, or simply globus .

Many people have experienced this sensation at one point in their lifetime. It is estimated that at least 46 out of 100 people have experienced globus sensation, and this actually accounts for 4% of all new appointments scheduled with an otolaryngologist, also known as an ear, nose, and throat specialist . 1

Globus sensation also appears to be equally prevalent among men and women regardless of their state of health. You are not alone, and there are tests available to help identify any problems that you should be concerned about.

Your ENT's primary objective during your visit will be to determine whether you are experiencing dysphagia ( difficulty swallowing ). Dysphagia and globus are different in that dysphagia is accompanied by a structural or functional problem with your pharynx (throat) or esophagus. Treatment will vary between the two different diagnoses.

Your healthcare provider will take a thorough history to help identify potential causes of your symptoms. Common questions that you can expect include those which cover these symptoms: 2

While you may feel that the health history is not as important as what you are currently feeling, it is actually very important in differentiating whether you have any of the following disorders that can be associated with globus: 1

There currently is not an identified best method for testing for the sensation of a lump in your throat. However, once your healthcare provider has taken a thorough history, they will likely target one of two different first approaches:

Because GERD can be associated with 23% to 68% of cases of globus, your ENT may simply start you on a short trial of a proton pump inhibitor (PPI) medication to see if this resolves your sensation of a lump in your throat. 1

If your symptoms resolve, you may simply be referred back to your healthcare provider or a gastroenterologist. If you have a partial resolution of symptoms, your PPI dose may be increased.

However, if you do not have any changes in symptoms, your ENT may continue to evaluate reflux disease or other esophageal disorders by performing the following procedures:

If all the tests are negative, you are likely feeling very frustrated. Try to relax and think positive. If you have made it this far, your condition is at least benign (not immediately harmful).

However, you will not have a resolution of symptoms that you are looking for. In these cases, there are several treatments that may be worth trying:

Speech therapy can teach you techniques to strengthen your swallow and vocal use. This may have varied success rates.

Antidepressant use and relaxation techniques have a similar line of rationale. Mood can be associated with feelings of having a lump in your throat and could be useful in trying to treat causes of your symptoms without any other known causes. 1

Lee BE, Kim GH. Globus pharyngeus: a review of its etiology, diagnosis and treatment . World J Gastroenterol . 2012;18(20):2462-2471. doi:10.3748/wjg.v18.i20.2462
Greenberger NJ. Lump in throat . Merck Manual Professional Version.

By Kristin Hayes, RN

Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children.

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