[57F] Experiencing globus sensation and gastrointestinal discomfort

Patient Description

A 57-year-old female reports experiencing loud and frequent belching, a globus feeling in the throat, discomfort in the neck, and discomfort in the stomach area. The globus sensation presents as difficulty swallowing and the feeling that something is stuck in the throat, which has been persisting for months to over a year. The patient notes that the sensation worsens with the consumption of alcohol and finds temporary relief when drinking warm liquids such as tea. There is no specific time of day when the globus sensation is more pronounced. The patient has not mentioned any other symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause belching and a lump-like sensation in the throat (globus sensation).

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.
  • Globus Pharyngeus: This is a sensation of a lump in the throat. The cause of globus is not known, and it is not associated with any significant pathology. Stress and anxiety can exacerbate this sensation.

    • Treatment often involves speech and language therapy techniques that help to control the muscles around the throat.
  • Dyspepsia (Indigestion): This is a condition with symptoms including discomfort or a burning feeling in the upper abdomen, belching, and bloating. Dyspepsia can be a symptom of an underlying problem like GERD, ulcers, or gallbladder disease.

    • Treatment depends on the cause but can include lifestyle changes, medications, or rarely, surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Eat smaller meals. Avoid overeating by eating smaller meals.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

Reasons to see a doctor more urgently:

  • If you have difficulty swallowing or experience pain when swallowing
  • If you have persistent vomiting or vomit blood
  • If you have black, tarry stools
  • If you have a persistent, unexplained cough
  • If your symptoms persist despite over-the-counter treatments

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What is the globus sensation and what causes it?

Globus sensation is the feeling of having a lump in the throat when there is no actual obstruction. It can be caused by stress, anxiety, or conditions like GERD, but it is not associated with any significant pathology.


How can gastroesophageal reflux disease (GERD) lead to symptoms like belching and a lump in the throat?

GERD occurs when stomach acid frequently flows back into the esophagus, irritating its lining. This can cause symptoms like belching and a sensation of a lump in the throat, known as globus sensation.


What lifestyle changes can help alleviate symptoms of GERD or indigestion?

Lifestyle changes that can help include avoiding trigger foods and drinks, eating smaller meals, not lying down immediately after eating, and elevating the head of the bed to prevent nighttime symptoms.


When should someone with these symptoms see a doctor urgently?

You should see a doctor urgently if you experience difficulty or pain when swallowing, persistent vomiting or vomiting blood, black tarry stools, a persistent unexplained cough, or if symptoms persist despite over-the-counter treatments.


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