The following are the most important diseases or complications that can be caused by globus symptoms (permanent lump feeling in the throat): Psyche – Nervous System (F00-F99; G00-G99). Anxieties Depression Panic Psychological stress (“daily torment”) Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99). Regurgitation (regurgitation of food). Unintentional weight loss
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Mouth/throat Throat Palpation (palpation) of the entire neck area [thyroid enlargement (e.g. goiter/ goiter), lymph nodes]. ENT examination – including inspection of the larynx[due todifferential diagnoses: Chronic inflammation of … Lump in Throat (Globus Sensation): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Thyroid parameters – TSH, fT3, fT4. Throat swab … Lump in Throat (Globus Sensation): Test and Diagnosis
As part of the diagnostic process, it is important to consider whether the globe discomfort occurs during empty swallowing or during eating. Functional complaints usually do not become apparent when swallowing food. First, organic causes should be ruled out. This is followed by functional examinations of the voice and swallowing. Mandatory medical device diagnostics. Transnasal … Lump in Throat (Globus Sensation): Diagnostic Tests
The following symptoms and complaints may occur along with Globus discomfort (persistent lump feeling in throat): Leading symptom Permanent lump feeling in the throat Associated symptoms Anxiety Aspiration tendency (swallowing) Depression Feeling of pressure in the throat Dysphagia (swallowing disorder) Dysphonia (hoarseness) Dyspnea (shortness of breath) Hypersalivation (salivation) Scratching, burning in the throat and pharyngeal … Lump in Throat (Globus Sensation): Symptoms, Complaints, Signs
General measures Review of permanent medication due topossible effect on existing disease. Avoidance of psychosocial stress: Bullying Mental conflicts Social isolation Stress Vaccinations The following vaccinations are advised, as infection can often lead to worsening of the present disease: Flu vaccination Pneumococcal vaccination Regular checkups Regular medical checkups Psychotherapy Detailed information on psychosomatics (including stress … Lump in Throat (Globus Sensation): Therapy
The anamnesis (medical history) represents an important component in the diagnosis of globus complaints (permanent lump feeling in the throat). Family history What is the general health of your relatives? Are there any diseases in your family that are common? (Tumor diseases, psychiatric diseases, etc.). Social history Are you unemployed? Is there any evidence of … Lump in Throat (Globus Sensation): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Malformations of the neck, pharynx (throat), larynx (larynx). Respiratory system (J00-J99) Tonsillitis (inflammation of the tonsils) with swollen lymph nodes. Endocrine, nutritional, and metabolic diseases (E00-E90). Thyroid enlargement (e.g. goiter/ goiter). Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Chronic inflammation of the throat, pharynx (pharynx), larynx (larynx). … Lump in Throat (Globus Sensation): Or something else? Differential Diagnosis
