If you are one of the group of people who suffer from sore throats in times of stress and anxiety, if the feeling of sore throats in stressful situations worries you, join us. We will go on to say that many people experience tightness in the muscles of the throat in the face of stressful situations and situations, so that some of them feel something stuck in their throat or feel something stuck in their throat. Doctors call this condition Globus pharyngeus or Globus hystericus. If you want to know more about Globus hystericus, we suggest you read the following article.
What is Globus hystericus?
When the term globus is used, it refers to the feeling of pressure, like a piece of food in the throat or like a feeling of vomit stuck in back of throat, that does not go away even after swallowing saliva and still persists. People with globus do not have digestive problems in the esophagus.
In other words, these people have no problem swallowing food. It is said that the feeling of a globe is fundamentally different from a a lump in the throat when eating. Globus pharyngitis or Globus hystericus is not felt or forgotten by the person while eating.
The feeling of globus sensation occurs in people who are under a lot of stress and anxiety. We emphasize that globus sensation should not be confused with dysphagia or difficulty in swallowing.
When there is talk of difficulty swallowing or dysphagia in medicine, the sufferer has difficulty swallowing liquids or solid foods, or has to swallow solid food with water or liquids to swallow a bite. Dysphagia is different from Globus pharyngeus.
***It is not life-threatening in principle, but dysphagia or swallowing disorders, as opposed to globus sensation, can lead to many life-threatening masses, tumors, and malignancies.
Many people go to clinics and doctors’ offices with a feeling of a lump in the throat.
In most of these patients, the patient undergoes gastrointestinal examinations and even upper gastrointestinal endoscopy and radiological examinations to rule out the presence of lumps or physical problems in the passage of food.
We will go on to say that people with Globus hystericus feel
Next we want to say why the globe is happening and what can be done to get rid of it.
It is said that the first person to refer to the Globe Sensation was Hippocrates, who stated and recorded this theorem about two thousand five hundred years ago, but in the 1707 AD another person described the situation more accurately and delicately.
However, this person described these conditions as pressure on the thyroid cartilage, which is caused by contraction and spasm of the muscles around the neck. Doctors today have described many reports of globus sensation in people who present due to anxiety and stress.
Hysterical globus is often more common in people with anxiety disorders. For a long time, doctors thought that globus or a feeling of a lump in the throat was seen only in people with hysteria. Until 1968, the globe was registered only under the name Globus hystericus.
Of course, it is still not easy to identify the root cause today, and there are a wide range of causes that can make you feel a lump in your throat.
Epidemiology of Globus Sensation
This complication is very common among people and it is said that its prevalence is 22%. Basically, in 4% of people who see a doctor with a feeling of a lump in the throat, it is reported that globus sensation is diagnosed.
According to reliable studies and statistics, about four people per thousand of the normal population who refer to otolaryngologists after a thorough examination have Globus pharyngitis, and it is interesting that in these studies, men and women shared equally in this complication.
Studies show that there is a link between problems and disorders of the upper esophageal sphincter and globus sensation. In 28% of people who have this sensation, the pressure of the upper esophageal sphincter is high. Psychological factors also play a very important role in this sensation. It is said that increasing stressful living conditions can cause or exacerbate symptoms.
Ninety-six percent of patients presented with globus sensation experience symptoms at least once during a period of stress.
Feeling a lump or in the throat will be an annoying problem for the person. This person will not have any problems in terms of swallowing.
Probably the reason for the feeling of mass in times of anxiety and stress can be described as that in the face of fear, danger and anxiety, the human body undergoes changes. One of these changes is contraction and spasm of the muscles of the body. Certainly the muscles around the neck, throat, and larynx are no exception
Probably the best reason to describe the feeling of obstruction, tightness and stiffness in the throat during stress is muscle spasm in this area.
Signs and symptoms
People who experience a feeling of a lump in the throat or a throat-sensation in anxious and stressful situations may show other signs and symptoms in addition to the feeling of a lump.
These manifestations, signs, symptoms and complaints will be as follows:
- Some of these people may complain of heartburn
- Some of these people may repeatedly claim that they need to clear their throats.
- Some of these people complain of a lump in the throat.
- While some say they feel that part of the food is left in their throat that does not move and is not cleared despite frequent swallowing of saliva.
- Some people say that they feel something like a chewing gum stuck in their throat. These people say that they have a nasal discharge post.
- Many of these people develop chronic coughs.
- Hysterical globus induces a feeling in the affected person that something is completely blocking his throat, and most people express this feeling as a sensation of a lump or a circular ball in the throat.
- There are others who express their discomfort as a problem of discomfort, pressure or itching, or gum or chocolate sticking to the throat. We must say that Globus pharyngius and Globus hystericus do not cause pain at all.
What causes a sore throat?
What factors can cause a sore throat?
Doctors say there are potential causes for globus, and in the following cases, medical treatment can help relieve the feeling.
The most common causes are as follows:
- Gastroesophageal reflux into the esophagus
- Abnormal function of the upper esophageal sphincter
- Thyroid disorders and inflammation
- external object
- Often rejecting the above, the doctor describes the cause of globus sensation as stress and anxiety.
Studies show that there is a direct link between psychological conditions and globus sensation. Researchers say that restless mental conditions such as anxiety, stress, fear, panic and depression increase the risk of globus.
It is said that stressful or traumatic events that people experience in life can aggravate a sore throat or a feeling of a lump in the throat and make a person feel like a ball in the throat. Some other causes of throat sensation are as follows:
- Inability of a person to produce sufficient and quality saliva
- Eagle syndrome
- Cervical osteophyte
- TMJ disorders
There is no specific diagnostic way to diagnose Globus Hystericus. In fact, doctors say that the diagnosis of Globus Hystericus is made after rejecting the other differential diagnoses your doctor will do a thorough examination of your throat, throat, larynx, and esophagus before saying that your globus is causing anxiety and stress to rule out other causes that may be causing the area to become blocked and inflamed.
For example, he may do a barium radiograph of the esophagus, or recommend an endoscopic study of the esophagus and stomach, or look at the larynx with a laryngoscope.
In other words, direct observation of the pharyngeal junction, which includes the mouth, nose, esophagus, and larynx, is performed in these cases so that, if normal, the diagnosis of Globus hystericus can be made.
Among other measures, tests are prescribed to check the function of the thyroid gland. Physical examination of the thyroid gland is necessary for the presence of goiter. It is also said that it is better to perform the necessary tests for the presence of gastroesophageal reflux in these people.
Because, as we said, the return of gastric juice can cause chronic inflammation in the tissues of the throat and larynx, and there are people who suffer from inflammatory changes in the throat and larynx without the classic symptom of reflux or heartburn. These people also feel that something is stuck in their throat or that there is a lump in their throat.
You may ask, now that we know that the probable cause of Globus hystericus is cervical muscle spasm, what can we do to treat and relieve this spasm?
It is said that the main and key solution to treat this problem is psychotherapy.
This means that if your doctor has ruled out all the physical causes and illnesses that could have caused globus sensation and you are likely to have globus hystericus, it is best to see a psychotherapist or psychiatrist to relieve stress, anxiety and mental health problems.
Stress is the most important cause of this disease. It is better for those around the patient to understand and know that the feeling that the patient says, despite the fact that there is nothing in his throat, is really understood by the patient.
There will be no specific course of treatment for Globus hystericus.
Doctors say one of the most beneficial medications that can be prescribed for treatment is prescribing antacids in addition to some sedatives.
So, in short, if you have hysterical globus and you are looking for a way to get rid of the spasm of your throat muscles, the following can be mentioned briefly:
- Most people will only need supportive treatment
- Understanding the patient and respecting his sense and understanding and knowing his feeling real is very important
- Reassurance to the person with hysterical globus is the basis of treatment
- Reducing anxiety and stress is necessary by referring to a psychotherapist. It is recommended that the sleep condition of these people be corrected.
- Doctors usually use appropriate antacids such as ranitidine and famotidine or proton pump inhibitors such as ompreazole pentaprazole or antacid syrups that are sold in combination with anti-anxiety drugs and antiperspirants. Prescribe an anxiety controller such as an SSRI.
- It is said that one of the most common drugs prescribed by doctors to control the symptoms of sore throat muscle spasm is a drug called chlordiazepoxide, which belongs to the benzodiazepine group.