Globus

Also known as globus pharyngis or globus hystericus, is a medical condition characterized by the sensation of a lump or foreign object in the throat, without any actual physical obstruction. This feeling can cause discomfort, a persistent urge to swallow, and anxiety in individuals experiencing it. While it is nearly certainly benign, it can be distressing for those who suffer from it.

Globus was reported by nearly 60% of refluxers in this 2017 survey of prevalence of LPR syptoms and the main symptom reported by Barrett's patients who do not experience heartburn, as discovered in this 2023 survey of Barrett's Alert Markers.

Causes

Although doctors are divided on the possible causes of Globus, the most common reason is due to extra-oesophageal reflux (aka LPR) ahich can carry microscopic particles into the respiratory system. See this chapter: Extra-oesophageal reflux (LPR / “silent” reflux).

Other suggested causes include anxiety stress causing muscle tension, muscle tension from overuse of the throat muscles from shouting or singing or post nasal drip (which can also be a symptom of LPR).

What appears to happen is the cricopharyngeus tightens or spasms in an attempt to prevent reflux.

Treatments

The main treatment for globus is to reduce reflux. See this section on Reflux management and this chapter on lifestyle modifications.

Other possible treatments may include:

Stress Management to reduce stress and anxiety through relaxation techniques, counselling, or medication.

Voice and Throat Exercises: Speech therapy and specific exercises to help relax and strengthen the throat muscles.

Page updated 4 November 2023