It is necessary to say that according to specialist doctors, stress and anxiety have a great effect on the nerves of the stomach and gastrointestinal tract.
The stomach is very sensitive to stress and anxiety. In other words, the effect of stress on the stomach nerves is to stimulate the stomach to secrete stomach acids and enzymes.
Increased gastric juice will increase the incidence of Gastroesophageal reflux into the esophagus and throat.
Gastrointestinal reflux into the esophagus is clearly manifested and exacerbated in stress and anxiety.
Heartburn will be the most common clinical sign of gastroesophageal reflux disease or GERD, but in cases where there are non-classical manifestations of gastroesophageal reflux disease and in fact gastric reflux to the throat and larynx, there will be a constant feeling of discomfort in the throat.
Sore throat, itchy throat, persistent sputum behind the throat, chronic cough, the need to clear the throat frequently, voice change that has recently occurred and friends will notice it, is a manifestation of reflux of the throat and larynx Which will present, non-classical symptoms of gastric reflux.
Even according to doctors, stress alters the normal flora of the stomach and intestines and can cause inflammation of the stomach wall or gastritis.
Indigestion following stress will be very common.
following Stress, Stomach pain, abdominal pain, bloating, feeling full in the stomach and sometimes with the increase of hunger hormone, increase hunger occurs.
Feeling of a lump or ball in the throat, an unpleasant feeling in the throat that cannot be relieved by swallowing saliva.
The feeling of suffocation is sometimes referred to as globus pharyngitis or a lump in the throat.
Globus sensation means that a person mistakenly feels that a bite is stuck in his throat without a lump in his throat or something stuck in his throat, and that person fails to swallow this imaginary mass no matter how much he swallows his saliva.
For how many reasons can a false globus in the throat or a Globus pharyngeus be felt in times of stress and anxiety?
Feeling of a globus in the throat or a feeling of gum sticking to the throat that is not relieved by repeated swallowing of saliva and even eating does not relieve it, a feeling of a piece of food remaining in the throat, Excessive sputum in the back of the throat that cannot be relieved by frequent coughing and frequent flattening of the chest can be a sign of gastroesophageal reflux disease.
Globus hystericus: The feeling of food remaining in the throat or the presence of an imaginary mass in the throat in a person who is under stress and anxiety was called Globus hystericus in the past.
We will talk more about these causes below:
Or LPR for short
Or silent reflux
Patients with Laryngopharyngeal reflux may not have the classic symptoms of Gerd. Heartburn is the most common manifestation of classic gastric reflux. In patients with silent reflux, there may be no heartburn or sourness.
Why does silent reflux occur?
In infants, laryngeal and pharyngeal reflux is common due to incomplete and undeveloped esophageal sphincters. Infants have shorter esophagus and are prone to this type of reflux, but why laryngopharyngeal Reflux occurs in adults is still unknown.
In laryngopharyngeal Reflux, esophageal sphincters do not function properly and their inability will cause gastric juice to reach the back of the throat, even the larynx, and sometimes even the nose.
The mucous membrane covering all these areas will become inflamed due to gastric juice, and clinical signs and symptoms will appear following the inflammation.
Signs and symptoms of Laryngopharyngeal reflux
In infants and children:
- Chronic cough
- Hoarseness in the baby’s voice when crying
- Hoarseness of the child’s voice
- Interruption of breathing
- Difficulty eating and swallowing
- Weight problems
- Difficulty swallowing
- Difficulty breathing
- Frequent clearing of the throat
- Cough lasting more than three months
- Excessive discharge and mucus from inside the nose
- Violence and hoarseness of voice
- Feeling of a lump in the throat
- The feeling of gum sticking to the throat
- Throat pain
- Sore throat
- Itchy throat
What structural changes occur on examination with persistent Laryngopharyngeal reflux?
- Recurrent ear infections
- Tightness under the vocal cords
- Redness of the larynx
- Swelling of the vocal cords
- In Adults there is a risk of cancer following genital sores in the pharyngeal and laryngeal mucosa.
- Chronic emphysema and bronchitis in these people may occur following narrowing of the path under the vocal cords.
Diagnosis of Laryngopharyngeal reflux
- Individual and family history
- Medication history
- Clinical examination
- Observing the end of the throat
- Observing the larynx with a laryngoscope
- Performing various types of laryngoscopy
- Endoscopic study of the throat
- Throat and esophagus pH control
Treatment of Laryngopharyngeal reflux
- Hold the baby upright for at least half an hour after breastfeeding.
- Increase the frequency of breastfeeding and reduce the duration of each meal
- Use of anti-reflux drugs prescribed by a pediatrician
- Weight loss, smoking cessation
- Restriction of drinking alcohol
- Diet modification
- Avoid spicy foods that loosen esophageal sphincters
- Avoid caffeine, cocoa, chocolate, citrus fruits and tomatoes
- Stop consuming carbonated beverages
- Increase the number of meals and decrease the volume of each meal
- Raise the base of the bed to four to six inches
- Do not wear tight clothing
Antacids: Magnesium hydroxide syrup
Histamine H2-receptor antagonists: ranitidine, famotidine
Proton pump inhibitors or PPIs such as: omeprazole, pantoprazole, lansoprazole, omeprazole and…
In special cases, surgery will be necessary, which is performed with a technique called Fundoplication.
These people are stressful people who, in a situation of stressful situations, without difficulty swallowing, think that a small lump or ball is stuck in their throat or a bite is left in their throat.
These people temporarily lose this feeling when eating or drinking.
We emphasize that these people do not have swallowing disorders or dysphagia.
The cause of this disorder in dexterous people is unknown, But the reasons are as follows:
Increased sensitivity of the throat nerves
Increased esophageal muscle contractions
Doctors classify Globus hystericus as a psychiatric disorder in the category of Transformational disorders.
Transformational disorders, Which in ancient times were called hysteria, are three times more common in women than in men.
There is no specific test or examination for the diagnosis of hysterical globus.
In fact, after performing a thorough examination of the throat and ruling out any physical abnormalities, lumps, reflux, and … doctors say that the probable reason for the feeling of a mass in the throat of a person who had no throat problems is globus hystericus.
For the treatment of Globus hystericus, psychological support of the patient and believing his complaint is required.
The patient should be reassured and, if necessary, the doctor should use antidepressant and anti-anxiety drugs to improve the person’s mental state. Sometimes doctors also perform reflux medication at the same time.