Globus is a condition where there is a sensation of a ‘lump in the throat’ or something stuck in the throat when there isn’t actually any foreign material there. It is surprisingly common.
It leaves the sufferer feeling they need to keep clearing their throat. It can also be associated with a chronic cough and choking episodes at night and can last for many months.
It is important to exclude any underlying pathology with a nasendoscope. A narrow flexible endoscope is passed through the nose into the back of the throat where the larynx and lower throat (hypopharynx) can be visualised.
The underlying cause of this is thought to be localised acid reflux or laryngopharyngeal reflux (LPR).
Treatment with at least a twice daily antacid regimen is usually successful but needs to be continued for 2-3 months.