What is Globus?

Globus is described as a persistent sensation of a ‘lump in the throat’ or ‘pressure’ in the throat.  Some people describe a sensation of tightness, constriction or choking, or a feeling of mucus or a foreign body sensation in the throat that they are unable to clear.  Sometime the sensation lessens when eating and drinking but increase when stresses of worried. 

Causes of Globus:

There are many possible causes for globus such as:

• Laryngopharyngeal Reflux disease 

• Post-nasal drip

• Psychological factors such as stress or anxiety

• Increased tension in the sphincter muscle at the top of the oesophagus (gullet). 

It is important that your sensation of globus has been investigate by an Ear Nose and Throat doctor who can examine your throat to ensure there are no other conditions that could explain your symptoms. Further investigation may be required such as x-rays, endoscopy, pH studies to assess for acid reflux.

Symptoms of Globus:

• Persistent lump in the throat or foreign body sensation in the throat

• Tightness or constriction feeling in the throat

• Persistent throat clearing

• Chronic cough

• Hoarseness (dysphonia)

• Difficulties swallowing (dysphagia)

• Inducible Laryngeal Obstruction (sudden breathing difficulty caused by the vocal cords slamming shut making it hard to breath in)

• Catarrh

How can I help?

As a Speech and Language Therapist I have an expert knowledge about the complexities of the throat.   I will work with you to identify any factors which could be exacerbating your globus sensation.  This may require additional investigations such as an examination of your throat by an Ear Nose and Throat (ENT) Consultant to aid diagnosis and treatment planning. You may also require investigations by a gastroenterologist if presenting with significant symptoms of acid reflux.   

At your initial consultation I will take a comprehensive case history which will include a review of your medical history, any medications you take regularly and your lifestyle.  We will explore how these could be impacting on your throat symptoms. 

You may need to return for individual therapy in which I will coach you in a variety of activities aimed at reducing any excessive throat tension, addressing any vocal tract health issues or throat behaviours that may be contributing to the globus.  The number of therapy sessions you require will depend on the cause and severity of your globus or any contributing medical problems.  However most importantly your progress will be influenced by your commitment to making lifestyle changes and practicing your therapy activities outside of sessions.    

Contact me for a free 15 minute telephone consultation to see if I can help you.

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