Lump in Throat
Lump in Throat, about these symptoms.
Lump in throat is one of the most common throat problems, typically described as a knot or lump in throat, sometimes just a foreign body sensation. Over half of the people have or had the "lump in throat feeling" at least once in their lifetime. Some of the feeling of "lump in throat" are caused by psychological and neurological disorders, and others result from the true problems of throat, pharynx, esophagus and stomach.
When the causes of lump in throat are related to mental, neurological, and sensory problems, "globus hystericus" was named for this type of feeling of lump in throat at least three months in the course of a year. The prevalence of "globus hystericus" is about 6 per cent, while more women suffer from the lump in throat feeling, especially for the 30~40-year-old woman. In fact, there is no true lump in throat and that is only a feeling, a sensation. However, those who have the "lump in throat feeling" do have throat irritation sign or uncomfortable feeling that feels like a lump in throat.
Lump in throat feeling
The "lump in throat feeling" usually accompanies people from time to time and affects them at least once in life. The affected people feel a lump in throat, like larger crumbs, hair or debris which get stuck there; Or, more typically, The feeling of "lump in throat" feels like a golf ball, tennis ball, or furball stuffed in the throat. If you are wearing a shirt and tie, you may feels like your tie is tight, even with a feeling of being strangled. Sometimes, the "lump in throat feeling" gets worse, causing a narrowing of the throat, a choking sensation, as if a rope pulling the throat. The people try to eliminate the "perceived foreign body" through increased swallowing and coughing (throat clearing), which is of course not possible. Instead, the pressure rises in the throat, enhances feel and also leads to fears of suffocation. Lump in throat can become more prominent while an empty swallowing; Depression, stress and anxiety always worsen the lump in throat feeling.
When "globus hystericus" is responsible for the feeling of lump in throat, an empty swallowing, and swallowing saliva and phlegm are difficult, while food and drinks can be taken normally. The feeling of lump in throat may last for a while, or comes and goes, or recurs constantly in various stages of the day, quite randomly. Lump in throat symptoms are usually relieved in the morning and become worse later in the day. Usually, no pain can be felt, unless the causes are the inflammation or cancer of the throat. In comparison, if there is indeed a true lump in throat (e.g. throat cancer, or laryngeal narrowing or contraction), the patients will have difficulty in swallowing food, often accompanied by pain. This lump in throat feeling and the throat pain are always gradually, progressively increased, for example, in the throat cancer and esophageal cancer.
Besides having the feeling of lump in throat, the patients may also experience these symptoms: ① A scratchy, dry throat: People affected often have a stimulus, itching, dryness in the throat. ② Difficulty breathing: You may also have a hysterical suffocation or a real difficulty in breathing because of the continuing blockage of sense. ③ Heartburn: In about one quarter of all cases, in addition to the "feeling of a lump in throat", they also have an acid reflux (GERD with feeling of heartburn and caused by an excess of stomach acid). ④ Throat pain: There is no throat pain or only a bit in globus hystericus. In contrast, pharyngitis, laryngitis, throat cancer and laryngospasm usually give rise to pain.
A lump in throat feeling is always an annoying problem. However, an ongoing, not subsided feeling of lump in throat always fears you. This thing that people often worry about is whether there is cancer in the throat.
Possible factors and causes of lump in throat
The globus sensation indicates: The psychological or psychosomatic influences
are contributory factors to trigger the autonomic nervous dysfunction, which
ultimately produces the feeling of lump in throat.
The psychological or psychosomatic influences including:
- Laryngeal or pharyngeal neurosis;
- Anxiety, stress, depression;
- However, or in rare cases due to a disease of the organism.
Lump in the throat can also be caused by organic diseases:
- Chronic inflammation of the upper respiratory tract, such as laryngitis, pharyngitis, causing inflamed, swelling, redness, itching, pain in throat;
- Spastic neuromuscular disease;
- Neck disease;
- Gastroesophageal reflux disease, (GERD);
- Cancer or tumor;
- Pharyngoesophageal diverticulum.
When you get these conditions, you usually feels like a lump in your throat.
When to seek medical advice for lump in throat?
The treatment for lump in throat depends on the causes, may including psychotherapy, anti-inflammatory treatment, or cancer resection. Giving up alcohol and quitting smoking are very necessary. Drinking water (e.g. boiled water or sugar water) can reduce this feeling of lump in throat. This is more effective for the inflammation of throat, or this "lump in throat feeling" due to psychological or psychosomatic influences (e.g. anxiety), called globus hystericus. Take a deep breath, a breath of fresh air. Jogging, if you think you can do it. For a mild feeling of lump in throat, a special treatment is often not required.
If you're concerned you may have a health problem, you should consider going
to the doctor. Most of the time, the cause is mental, neurotic and inflammatory,
but we also can not deny that sometimes the cause is cancer (throat cancer),
even if rare. Just to be on the safe side, seek medical treatment is better. If
you have the following symptoms, you have to pay attention and contact a ENT-doctor
for special examination.
1- Strong neck discomfort, need to be mitigated;
2- A strong sense of suffocation;
3- Chronic progressive sore throat;
4- Persistent hoarseness;
5- Progressive difficulty in swallowing;
6- Neck nodules are found, may be swollen lymph nodes.
Especially you are smokers, heavy drinkers, over 40 years of age.