Globus Sensation

The feeling of a lump in the throat

Adam Gaunt

Adam Gaunt

Globus sensation is a common problem
What is Globus Sensation?

Globus sensation is the feeling of a lump, tightness, or something stuck in your throat – even though there is nothing there. It is common and usually harmless.

People often describe it as:

  • A lump or tightness in the throat
  • A sensation that doesn’t go away
  • The need to clear the throat repeatedly
  • Not painful and does not affect eating or drinking
What causes it?

Globus sensation may be linked to:

  • Throat muscle tension
  • Stress or anxiety
  • Postnasal drip (mucus at the back of the throat)
  • Acid reflux
  • Habitual throat clearing

Sometimes, no clear cause is found.

Is it serious?

Usually, no. It’s not dangerous and is not a sign of cancer. It does not:

  • Interfere with swallowing food or drink
  • Cause weight loss or severe pain

See your doctor if you have:

  • Painful swallowing
  • Difficulty swallowing food or drink
  • Weight loss
  • A hoarse voice or persistent cough
  • Coughing up blood
Diagnosis

Your doctor will:

  • Ask about your symptoms
  • Examine your throat and neck
  • Check for signs of reflux or muscle tension
  • Further tests (e.g. a small camera to view the throat) are only needed if symptoms are unusual or concerning.
Treatment options
  • Reassurance – understanding the condition helps ease anxiety
  • Relaxation techniques – reduce muscle tension in the throat
  • Voice or speech therapy – especially if tension is a main factor
  • Managing acid reflux – through diet and medication if needed
  • Avoid throat clearing – sip water instead
Self-help tips
  • Drink plenty of fluids
  • Avoid excessive throat clearing
  • Try gentle neck and shoulder stretches
  • Reduce caffeine, alcohol, and spicy foods
  • Manage stress – mindfulness or deep breathing may help
What to expect
  • The sensation usually improves with time
  • It may come and go, especially during stressful periods
  • It is not harmful
When to see a doctor again
  • If symptoms persist for several months
  • If symptoms worsen
  • If you develop any warning signs (see above)
When to see a doctor again
  • Speak to your GP or ENT specialist
  • Ask about Speech and Language Therapy
  • Visit the NHS website: www.nhs.uk

Download the Globus information leaflet