Many causes can cause you to feel like you lump in your throat. They can be physical, linked to pathology, as well as psychological, following an emotional shock. The feeling of lumping in the throat, like a lump, is relatively standard. Multiple causes can explain this unpleasant sensation.
If there is a feeling of a lump in the throat, the main symptom is difficulty in swallowing, swallowing. Sometimes this lump can cause a sore throat. This discomfort can also give a natural feeling of strangulation. You have already ruled out physical explanations by consulting doctors and getting an endoscopy. If the lump is just emotional, sometimes relaxing can be enough. I am therefore going to support you with ways to address it through therapeutic techniques.
The sensation of globus is often described as the sensation that there is a ball of peanut butter stuck in the throat. This is an exclusionary diagnosis, which is a fancy way of saying that the symptoms are not due to some other cause, such as an obstruction, motor disorder, or acid reflux.
The cause of globus sensation is not fully understood; perhaps the most interesting proposed reason, however, is what doctors call "psychological abnormalities."
In the late 80s and early 90s, several studies linked the sensation of globus to neuroticism, introversion, anxiety, and depression. Recent studies have supported the earlier work and have attached the success of globus to other psychological disorders and high-stress situations, such as living in an urban area. It has also been reported that being assessed for globus sensation can improve symptoms by reducing patient anxiety. Although these studies do not necessarily prove a cause and effect relationship between globus sensation and affective disorders (association ≠ causation), they provide a reason to suspect that the two are related.
Have you consulted a psychiatrist? Antidepressants are believed to be helpful, particularly in patients who have psychiatric disorders, such as panic disorder, somatization, major depression, or agoraphobia. However, data supporting antidepressants for globus sensation is mainly limited to case reports and retrospective studies.
Relaxation therapy can also offer benefits. Current evidence supporting its use for globus sensation is minimal. However, relaxation therapy is effective for people with anxiety disorders in general. This makes it a good option, especially compared to medications, which can have unwanted side effects.
To recap, the globus sensation causes extremely annoying, misunderstood, and long-lasting discomfort that does not have simple treatment. If you're someone who is actively showing symptoms, this probably isn't the most reassuring news.
Globus sensation is a mild disorder and often resolves on its own. However, if you do have symptoms, don't assume they are mild. Many genuine and hazardous illnesses can cause similar symptoms.
If you are diagnosed with globus sensation, it is crucial to understand that just because the symptoms are "psychological" does not mean they are less accurate or valid. At the very least, a diagnosis could be an opportunity to take a step back and look inward.
Another disorder I would like to discuss is phagophobia. It manifests as the overwhelming and irrational fear of swallowing and choking.
Those affected fear more than anything the suffering that could cause suffocation and what would follow, that is to say, death.
Often confused with anorexia nervosa, phagophobia is not manifested by the fear of putting on weight. In milder cases, the person will eat solid food but spend a significant amount of time chewing to make tiny pieces before eating.
They fear being ridiculous in the eyes of others and will progressively separate themselves to avoid any situation presenting the slightest risk.
In many cases, the fear is triggered by a harmful event such as food swallowed the wrong way or unloved food that elicits terrible feelings.
Like many phobias, many patients speak of an irrational fear without explanation.
Phagophobia triggers several psychic and bodily manifestations:
Fear of dying
As the name suggests, phagophobia is a phobia, therefore a fear. The most suitable treatment is a psychological follow-up, based on Cognitive-Behavioral Therapy, the objective of which is to support the patient in modifying his thoughts and behaviors.
You have to put yourself in a situation gradually. For instance, you have first to eat things that are moderately easy to consume, then eat something that is a little harder little by little. This helps to desensitize, much like allergies. There needs to be gradual desensitization.
In people with pain, the throat muscles contract during times of anxiety. Some patients report that seeing an osteopath helps a lot with their muscles. Once individuals become aware of their illness and begin a care process, the food diary and the feel at application can be a valuable tool to support them throughout their healing journey.
In the short or long-term objectives section, patients will list the foods they wish to reintroduce as and when they see their progress.
I hope that my answer is helpful. If you want additional clarification or if you have another question, don't hesitate to reach back. Also, I am available for therapy, and Betterhelp has many great providers available.