Lump in the throat - causes and diagnosis of the problem

Certain symptoms are so obvious and unpleasant that they can prevent a person from living a comfortable life. For example, some people feel a lump in their throat, which prevents them from swallowing and breathing. What it can be, and how to treat this problem, we will try to consider in this material.

For the first time the feeling of a coma in the throat was documented by Hippocrates about two and a half thousand years ago. For some time, the lump in the throat was called "globus hystericus" (hysterical globe) - the name hinted at the hysterical nature of this symptom, mostly in women.

In later years, namely in 1968, the name globus pharyngeus (literally - the ball of the throat) was suggested due to the fact that, according to statistics, the majority of patients with this symptom do not have a hysterical personality type.

A lump in the throat - what could it be?

There are two variants of the symptom complex (somatic and psychogenic), depending on how much these sensations violate or alter the patient's behavior:

  1. A lump in the throat that does not affect the functioning of the body systems and the behavior of the patient;
  2. A lump in the throat, combined with the fear of suffocating when eating and disrupting the process of eating.

In the first version, the person complains that “something is stuck in the throat” and interferes. The second variant of coma in the throat (fear of suffocation during eating) can significantly alter the eating behavior of the patient. Usually there is a change in the diet - people do not eat solid food, prefer to eat at home and hardly eat in canteens, cafes or restaurants.

The most common somatic causes of coma in the throat include:

  • catarrhal diseases, pharyngitis, laryngitis, etc .;
  • enlargement of the thyroid gland to such size that it begins to pinch the neck;
  • diaphragmatic hernia;
  • gastroesophageal reflux (pathological reflux of the undigested stomach contents into the esophagus);
  • malignant or benign neoplasms;
  • foreign bodies;
  • overweight;
  • side effects of drugs;
  • organic damage to the central nervous system, leading to the appearance of neurological disorders.

Psychogenic causes of coma in the throat are depressive disorders and neuroses. As a rule, such mental pathologies become the result of stress, excessive fatigue, excessive psycho-emotional stress, inadequate rest, acclimatization disturbances, deficiency and sleep irregularity.

Which doctor to contact

First you need to get an appointment with a therapist. The doctor will conduct a discussion and examination, and then send to a specialist who, in his opinion, will be able to more accurately diagnose the disease and prescribe adequate treatment.

Most often, patients with complaints of this kind after the therapist are sent to the ENT room. An additional examination by a specialist will help determine the type of disease that will be confirmed with the help of tests.

What studies may be needed to clarify the diagnosis

You may need to go through one or more procedures.

  • Thyroid ultrasound, if necessary, analysis of thyroid hormones;
  • radiography of the cervical spine;
  • general blood analysis;
  • general urine analysis;
  • if necessary, biochemical analysis of blood;
  • examination of the neck, cervical lymph nodes, thyroid gland;
  • examination of the cavity, tongue root, palatine tonsils (oropharyngoscopy);
  • examination of the larynx, epiglottis, vocal and vestibular ligaments, sub-vocal space,
  • pear-shaped sinuses (indirect laryngoscopy);
  • CT scan, MRI of the cervical spine.

Do not torture yourself by guessing "why there was a lump in the throat," make an appointment with a doctor who can say more precisely what this may be for a symptom.


A lump in the throat may be accompanied by certain symptoms:

  • sore throat and sore throat;
  • enlarged cervical or submandibular lymph nodes;
  • hoarseness;
  • heartburn, belching, nausea;
  • thirst;
  • dry mouth;
  • frequent coughing;
  • gagging;
  • runoff of mucus on the back of the pharynx;
  • unpleasant smell from the mouth.

Causes of feeling a lump in the throat

It was not by accident that you felt a lump in your throat, it is a sign of a malfunction in the body. In this regard, for adequate treatment it is necessary to determine what it may be, and then proceed to combat the unpleasant symptom.

Now we consider who may be the culprit of this unpleasant feeling:

  1. Often a lump in the throat is felt after stressful situations. This kind of sensation is not related to the functioning of the body systems. Excitement, depression, stress cause muscle tension in the lower part of the throat, creating a “hysterical lump” that disappears after a few hours.
  2. Chronic pharyngitis often replaces acute inflammation of the pharynx, especially if the treatment was carried out incorrectly. In this case, the patient may not have a sore throat, but the sensation of something foreign in it, dryness and soreness become a daily occurrence. In the autumn-spring period, such patients often experience exacerbations: discomfort in the throat increases, there is a slight pain when swallowing, the body temperature rises to 37.5-38 degrees. Over time, inflammation can spread from the pharynx to neighboring tissues, which can lead to the development of laryngitis and bronchopulmonary complications.
  3. Also a cause of coma in the throat can be a thyroid disease. This may be, like acute inflammation of the parenchyma of the thyroid gland - acute thyroiditis, and chronic lack of iodine in the human body - diffuse toxic goiter.
  4. A lump in the throat may not be so safe, especially for people at risk, such as regular smokers. Such an unpleasant feeling can be caused by the most formidable disease - a malignant neoplasm (throat cancer). This is accompanied by certain symptoms: hoarseness, hoarseness in the voice, cough, usually dry, difficulty chewing and swallowing food. All this requires immediate treatment to the doctor for the appointment of urgent treatment.
  5. Complaints about someone in the throat are peculiar to people with problems in the digestive tract. The so-called achalasia, in which the motor ability of the esophagus is reduced, leads precisely to such symptoms. In overweight people, this feeling may occur due to an increased amount of adipose tissue, sometimes causing asphyxiation. Weight reduction and the subsequent intake of drugs is able to rectify the situation.
  6. IRR may also cause a throat sensation in the coma. Since this disease is a deviation from the autonomic nervous system. All this entails a number of related problems. This may be asthma, heart problems, etc. All associated diseases can cause discomfort in the mouth and coma in the throat.

You should not torture yourself with all sorts of guesses, where the feeling of a lump in the throat came from, the reasons can be different - from an ordinary disorder to the symptoms of a dangerous disease. In this connection, a person who feels a lump in his throat should seek the help of specialists and undergo the necessary examination. The faster the doctor establishes the diagnosis, the more effective the treatment of the disease will be.

Watch the video: Swallowing Disorders: Acid Reflux - Boys Town Ear, Nose & Throat Institute (February 2020).


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