Symptom “lump in the throat”
This is one of the most common complaints with which a person comes to an endocrinologist.
A lump in the throat can be characterized as a non-painful sensation of the presence of a large foreign body in the throat, usually in the region of the jugular fossa, this is a kind of “hollow” between the collarbones.
It can feel like a “tickle” in the throat, a “pill stuck” feeling. This symptom differs from the symptom of dysphagia by the free passage of food through the esophagus without choking or choking.
In fact, it is a neurosis of the pharynx. But to understand this, you need to understand the criteria. According to medical parameters, the symptom “lump in the throat” is displayed according to the following Roman recommendations III (provided that the symptoms have been present for at least 3 months, this is not a “one-time action”.
persistent or recurrent non-painful sensation of the presence of a bulky foreign body in the throat;
the appearance of a lump in the throat between meals;
lack of evidence that this symptom is due to gastroesophageal reflux;
the absence of histopathological changes (according to EGD), which could affect the motility of the esophagus.
A “lump in the throat” is a functional state (more often associated with stress like globus hystericus, and not a disease. To prove this, it is imperative to exclude the diseases that are masked under it.
violation of esophageal motility;
head and neck tumors;
diseases of the thyroid gland with goiter;
cervical lymphadenoaptia;
GERD;
hernia of the esophageal opening of the diaphragm;
chronic tonsillitis, pharyngitis, or laryngitis;
esophageal stenosis;
spondylosis of the cervical spine;
psychological disorders;
increased tone of the upper esophageal sphincter.
To diagnose these conditions, you need to go through:
ENT doctor, sometimes with video endoscopy of the larynx
EGD with determination of gastric acidity (ph -metry) followed by consultation with a gastroenterologist
Ultrasound of the thyroid gland and blood for hormones
neurologist consultation
psychotherapist.
The globus hystericus itself can be supplemented by other complaints confirming its psychogenic nature, and these are:
cardiopalmus
increased sweating
impaired appetite
insomnia
hyperexcitability
irritability.
The concept of dysphagia is qualitatively different from the symptom “lump in the throat”. These are different concepts:!:
Dysphagia is a feeling of solid or liquid food getting stuck, delaying or disturbing its passage through the esophagus.
And the reasons that cause this condition are much more and they are more serious. Here are just a few examples.
Dysphagias occur with strokes, multiple sclerosis, myasthenia gravis, butulism (mushroom poisoning), amyloidosis, esophageal diverticula, etc.
Therefore, dysphagias are divided according to the levels of occurrence, which facilitates diagnosis:
– oropharyngeal: cerebral, neuromuscular, mechanical obstruction of the passage of food and esophageal.
For the purpose of diagnosis, the physician may interview the patient using a special physician’s “Mayo Clinic Dysphagia Questionnaire.” On the basis of which it is decided which diagnostic measures to apply in a particular case.
At the heart of dysphagia https://en.wikipedia.org/wiki/Dysphagia, in contrast to the “lump in the throat”, there is always a specific disease.
Treatment is carried out depending on the established cause.