Welcome ! I'm Dr. Ahmad and I will be pleased to offer help.. email me: ad_icare@yahoo.com أهلا و سهلا: يسعدنا إنضمامك لنا من خلال صفحتنا على الفيس بوك: استشارة صحية

A clinical approach to a patient with generalized oedema

Friday, 22 April 2011



A common complaint: I Feel That A Lump Is Present At Throat

Saturday, 9 April 2011

A common complaint that many ENT doctors hear daily at their clinics is: 
" i feel that a lump or something is present at the back of my throat and i keep swallowing to clear it out "

This can be due to a functional oesophageal disorder called "Globus pharyngeus"

Symptoms of Globus pharyngeus:
Persistent sensation of a lump in the throat that leads to frequent hemming to clear one's throat, this usually ocurs with swallowing the saliva.
This sensation is absent during swallowing of food or fluids. There is neither difficulty nor pain on swallowing.

Causes of Globus pharyngeus:
- Can be attributed to stress.
- Mucosal ulcer or irritation by previous mechanical trauma.
- Gastro-oesophageal reflux disease.


Treatment:
1. Reassurance.
2. Trial of anti-reflux therapy: proton pump inhibitors.
3. Trial of antidepressants.




 

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