A feeling of a lump in the throat

This article is a very cautious and secondary care orientated view of a common problem. Globus symptoms are both irritating and a source of anxiety, particularly as a possible cancer and this concern needs to be addressed specifically. A confident diagnosis of muscle spasm can usually be made and patients appreciate that intermittent and non progressive symptoms are most likely to be benign. Some practical advice about avoiding repeated swallowing or throat clearing and maintaing good hydration allied to an explanation about the complexity of the muscle arrangements in the throat is often effective.

An invitation to return if symptoms persist should be sufficient rather than organising a routine review. A few people with globus symptoms may require referral but in such circumstances one can emphasise that it is for reassurance. Two week rule referrals can fuel anxiety. After thirty years in general practice I have yet to be surprised by an ENT report from such a referral.