A Feeling of a Lump in the Throat (GLOBUS) - Part 1
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- čas přidán 10. 06. 2024
- This is the first in 3 videos I am going to do about globus. I will be talking about the conditions that cause this symptom and how you treat them. In this first video I will be talking about the most common reason for this symptom and the diseases that are associated with it. It will primarily focus on Acid / the enzyme Pepsin and the Cricopharyngeus muscle.
I used an image from the entinfo.nz website in this video - please use the link below to look at this website and their very clear information about pharyngeal pouches.
www.entinfo.nz/zenkers-divert...
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Chapters
0:00 introduction
0:08 What is Globus?
1:34 GORD / GERD
2:08 Proton Pump Inhibitors
2:30 Laryngopharyngeal Reflux (LPR)
3:00 Pepsin
5:33 Damage to the voicebox
6:22 Cricopharyngeus muscle
7:00 Laryngospasm
9:05 How do I treat LPR? Pepsin?
9:35 Pepsinogen
10:13 Gaviscon Advance
11:45 How to take the medication
15:00 Free ebook and emails
15:30 What if Gaviscon doesn't work?
15:55 Inlet Patches - Cervical Gastric Mucosal Patches
17:10 Mini globus conference
17.37 Pharyngeal pouches: Zenker's diverticulum
19:27 TOPPITS trial
20:38 Conclusion
** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. ** - Věda a technologie
I went for a gastroscopy today. They found nothing. But for four years i have been choking on food like potatoes..bread meat chicken. Food just goes down very very slowly. I had the worst day of my life today with the fear of this gastroscopy today. I understand so much better now after watching this video. I wish you were my doctor. Thank you so much for this
I used to have this feeling a few years ago, all the doctors I met didn't know what it was.. Thank God for CZcams.
How did it go away ?
tell us how did it go away?
How did it go away
Thansboc
How did it go away?
Just want to say, I’ve only watched part 1 so far, and the this video, your presentation was outstanding! Thank you.
After feeling a lump in my throat, I saw seven doctors who initially diagnosed it as anxiety or acid reflux. As time passed, I began feeling fatigued and rapidly losing weight. One morning, while shaving, I noticed a lump on the right side of my neck. After undergoing multiple tests, it was determined that I had thyroid cancer. Following surgery, it was identified as a rare and aggressive type of thyroid cancer known as Hurtle cell. I now experience difficulty breathing and swallowing, and after further examinations, I was also diagnosed with a hiatus hernia and Crohn's disease after a gastroscopy and colonoscopy.
Thank you for a brilliant video.
People in the UK are very lucky to have you.
I'm glad you found it useful! thank you.
@@VikVeerENTSurgeon
Globus sensation is also anxiety based… I have a very good theory what causes nasal polyps but can’t seem to get an ENT to talk to me without consultation fee 🤷🏼♂️… are you interested in this conversation Vik?
@@VikVeerENTSurgeon
I have slept on a 5 degree angle (inclined like the ancient egyptians) for last 8 years which i know has saved my life… look up Andrew K Fletcher Inclined bed therapy…
Brilliant video. I’m off to get Gaviscon Advance . It’s such a horrible feeling! Thank you
Your voice is very calm, I can listen to you every day
it's the best detailed information I've heard or read so far. thank you for your valued information.
THE most informative & easy to understand video I've watched about globus sensation, thank you so much!
I genuinely thank God for you dr. You just took so much panic and anxiety from me.
To all of you experiencing frustration or difficulty with this, trust me, it gets so much better as time goes on. I have a mix of severe anxiety, acid reflux, and had chronic post nasal drip. I’ve been experiencing this for a little over a year now and there are tons on times I let it get to me but I can tell you that after a while you forget it’s even happening, you will get through this, any people finding a better way to treat or help comment below!
Got the same about a year now ,sore on My tongue
I have anxiety and reflux… this gave me comfort but its still a terrible experience
Mine's only worsening. after years of it :/
Thank you
I feel like something struck in my throat. It’s completely making me depressed and can’t able to overcome from it. Past 9days I’m undergoing this problem. Can anyone give some words towards it ?
What a superb channel this it. I was looking for advice like this that I can trust but I never expected to be fortunate enough to find something as great as this. Solid information wonderfully explained. Thank you very much.❤️👍
I had globus hystrictus it was awful and I thought I had cancer eventually I had a camera down nothing was there it was anxiety and once I started realising this it totally disappeared
Many desperate people finding it difficult to access any healthcare at the moment. I am very concerned with the constant lump feeling in my throat, can't get anyone to take me seriously for love nor money. Super worried that it could be something serious. Will try anything to get rid of this lump feeling in throat. Thank you for your dedication and effort to help those who feel abandoned. Would be super happy to come to any event that you set up. I'll be keeping an eye open for any info that you may send me. Many thanks.
What was it then
Thanks. For a short synopsis, this has to be one of the best informative and indepth explanations on the web about this/these conditions. Very well explained and clearly put.
Obviously second nature doc knowing your craft well.
For a sufferer going through this myself, the sleep deprevation , constant ill affect and anxiety alone is brutal. silence many suffer with.
This definitely gave me some relief based on the treatment methods, explanations and knowing it can be cured.
I have been suffering with this on and off for a year. See my post here and how a side effect of low calcium can cause this. I started taking calcium supplements and it went away within hours. Might not be your issue, but wow it helped me. I was really suffering. I also have been taking vitamin D and magnesium which might help, but it was the calcium added last that really, really helped me. I hope it helps you too. I had been having heartburn so I also was trying to reduce that but it wasn't enough. Anxiety made it worse yes, but the magnesium and vitamin D especially has helped a little bit with that.
I have been to ENT multiple times with something which I believe is something effecting my throat. Your videos are helping to ease my anxiety so thankyou
What an AMAZING video! I feel like I can stop panicking now, thank you for such an informative and truly in-depth video!!
How are you now ?
First thank you for your video but I think I have a problem with the flap and the opening in my throat there seems to be and area that itches
Once food or drink passes near it it forces me to cough what is causing this I can’t eat
Please help
I wish I could come to England and have you examine my throat! So many doctors are not willing to go into this detail in examination and just choose the easiest option which doesnt help at all and then tell you it's your fault! It would be so great to really know what's going on and treat that!
Let me guess the dr’s say you got anxiety. I honestly don’t have these symptoms. I have a constant annoying pain around by throat and jaw. I swear my lymph nodes are the source of the pain. The dr says to take these anti depressants. I said heck no.
They always want to say everything is anxiety! I'm a mental health therapist! I know what anxiety is!!! I once had a bad reaction to a medication and it was causing tachycardia. Of course they tried to give me anxiety medication which I did not take 🙄 ended up with my whole body twitching until they finally realized the issue. Took one 2 weeks for the meds to finally leave my body.
Thank you very much, the video was very useful. I have had globus for years and no one has ever explained what might be causing it, I have simply been told that it is not serious and not to worry. I look forward to seeing the other videos and reading the book. Hopefully I will be able to make the conference in London.
God bless you! Finally a doctor that knows something about what I have been going through! I have so much trouble swallowing food, even drinking liquids slow down and gets stuck in an area in my neck. As if the food and drink is trying to move past a lump in the way. Even when I swallow saliva I feel the lump. I have a history of acid reflux and hiatus hernia. I had this hiatus hernia for decades. Then they did another barium swallow, ( the first one I had about 30 yrs ago that showed and diagnosed large hernia) a say they didn't see one; they said it was gone! I have been on acid pump inhibitors for over 30 yrs. If I stop taking them, I vomit blood from the acid. I also have severe esophageal spasms that feel like and mimic a heart attack. I have to take Glycerol Trinitrate spray. Food is always in my esophagus and mostly undigested for many hours later. There's always something coming up. I think I still have the hernia. I also have a ton of pullups in my stomach that are what bleed. But with the lump in my neck food gets stuck and won't move. If I drink to try and move it, the liquid won't go past and painfully fills above it and it all pours out when I tip forward. It is an awful problem. My GP, who is new, my old one retired, doesn't seem concerned and seems to not understand. The Consultant I was seeing for the pollups and getting scopes every two yrs to get a sample and check for changes in the pollups, just decided to drop me. He said they were monitoring it long enough. Even though I have such a history even of an ulcer, he dropped me. I have to get my GP to get me back on a waiting list to see someone for this problem. I have been fearful of a tumour or some growth there. You have calmed my fears and gave me hope. It is very frightening to get it stuck there and it won't shift. I chew well and small bites but, still a problem. Like I said, even water slows down going past the lump, which I think may be the cricopharyngees muscle. Especially with my history. Should I see an ENT consultant like yourself here in Ireland, or another type of consultant? Thank you again for calming some of my worries. God bless you!✝️🕊🙏🏻
Excellent information. Thank you for sharing Vik. Your sharing is very helpful and inspiring
Thank you for a very informative part 1 video.
Excellently presented and most professional.
Best regards
Very nice of you to say, thank you
@@VikVeerENTSurgeon your most welcome
Great awareness video doctor. God bless you. You are taking away the worries of many people. Thank you so much 😊
Hi Dr Veer, thank you so much for taking the time to make these videos. I have been really struggling with this condition for some months now and it's taken a huge toll on my mental health. So much so that I have considered the worst to be free of this sensation. I have a couple of questions. Do you know whether its normal to also get some mild muscle pains in the anterior muscles of the throat as part of the globus sensation? Secondly, can you recommend an ENT specialist in New Zealand? Many thanks and keep up the good work which is a real service to mankind!
I had this feeling for 4 months
Had a camera down yesterday and thankfully was clear
Your video bought me great comfort and understanding of this so thank you
I had this and now take ACV each morning and it has helped hugely! I found out that normal acid in stomach makes the upper valve close properly but if the acid isn't as strong which happens as we age the valve doesnt close properly causing acid reflux and a feeling of a lump in the throat. I learnt this from Dr Berg who has a vid explaining how it all works. I am so grateful. No drugs necessary! 😊
Hi...I'd like to ask about the lump, did it also go away or went back to normal aftr taking ACV every morning?
What is ACV?
Apple cider vinegar
1. My throat-clearing is not so much caused by that *one liter of nasal mucus per day* and a swallowing problem, but for the fact that my vocal cords and tissues are *overly neurally activated*. My ENT said that I have mild edema and erythema of the vocal cords. Your information fits the phenomenon.
2. Probably need a barium-swallow esophagram. Would those *mucosal patches* or pharyngal pouches* have showed up on an endoscopy? I had the endoscopy at the Gastrointestinal department. The test results were negative for "everything" down to the duodenum. The doctor observed a small hiatus hernia.
3. My globus is abating, but I have a bit of dysphagia. I am trying my own swallowing exercises.
Great writing, doctor. Very much to the point. You have completed a lot of missing information that I could not figure from Dr. Jamie Koufman, Dr. Johnathon Aviv, and hundreds of articles and videos that I watched. Will read your e-book. Thank you from America!
Thankyou so much for this video. For years i have suffered to extremes. I have hyperinflated lungs, emphysema, ive just been diagnosed with severe Obstructive sleep apnoea, but about 3 months ago, i was at ENT for the camera down my throat, and they diagnosed GLOBUS. And prescribed Gaviscon Advance, and how to take it. But there was no discussion why, like this video explains, and the importance of it. Unfortunately consultants no longer have the time or the staff for explaining to patients whats going on, and its became a bit of a cattle market, in, out , next!. i caught your video on sleep apnoea, and then found this. Gonna see my doc tmrw and get a fresh bottle
Greetings from Jordan. Thank you for the valuable information and advice.
Kudos to you sir! Every single word meant a lot to me and it was explained in a beautiful way. Thanks a lot sir!! God bless you
Very interesting to hear about the possible components of this feeling of lump in the throat. I get that feeling occasionally while eating, and it absolutely keeps me from eating or drinking until things in the throat relax and the lump goes away. Then, I can continue eating as if nothing had happened. I find it happens more frequently after the first few bites of a meal, especially if I am eating too fast, and eating such things as chicken. Then, hard stop. At that point - very uncomfortable, hard to talk, etc. Can last for minutes or much more, with a quite full/bloated feeling in the stomach. Even trying to swallow small sips of water can bring a bit of the food back up.
Lately I have found a quick fix. I have found that for me, taking even a small drink of coca cola relieves the bloated stomach feeling and the lump on the throat feeling, and I can carry on eating as if nothing had happened. Not sure what is happening, but I now always try to keep a small bit of coca cola on hand just in case this situation occurs.
I need to get shares in cola! Glad that it works for you. Thanks for sharing your insight
I called 999 when I thought I was choking. The paramedic advised having a carbonated drink to hand as it helps shift anything stuck in the throat. Perhaps it helps the globus feeling too as you outlined. I regularly get a globus feeling and my confusion is, is it globus or the very real laryngeal hemangioma I have there?
Great video. In my experience stress and anxiety is also a major factor in occasionally getting this.
Very educative
Thanks for sharing
Oh my god
This is exactly my symptoms
Thank you for your videos🙏🏼
Wonderful explanation of the disease
Love the education you give us!
glad you find it useful - thank you.!
I appreciate your breakdown of this condition. Now I understand. I been dealing w/ this miserable discomfort for 5 days now and just sick of it...
Excellent video review, thank you! Sharing with some MD friends here in LA area. Dont forget the elevated bed/wedge!
I'm sure your MDs will already know all this, but thank you very much.
I'm excited to see the other 2 videos!
Honestly, I'm a mess, literally. This has been one of the most complete and understandable dive into the issue that I've seen, even if it doesn't apply to me.
I had a lovely barium lunch a couple of years ago and it revealed that not only do I swallow like a 90 year old (I'm 56), my swallow reflex is very delayed (which explains why I could open my throat and down a 12 ounce wine cooler in one go when I was 19), as well as that I can sweep my vallecula to be sure my pills have gone down when I have the sensation that one got stuck. Unfortunately, it was a referred sensation as the pill was found to be stuck at my esophageal sphincter that doesn't always open, or opens when it shouldn't. I also have a C-bar that will likely have to be shaved at some point so I can swallow.
Nissen? NO way. If I need to vomit, I can't think of anything more miserable than not being able to.
I have had a dry cough in my sleep for years, as well as laryngospasms that are terrifying if you don't know to breathe through your nose. How did I learn to breathe through my nose to convince my brain that I can actually still breathe fine?
After my hyst, I came to in PACU, sitting bolt upright in bed, stridoring, and asking for my own racemic epi. No one had a clue what happened.
Years later, I had to have a partial sigmoid colectomy (have you figured out I'm a retired medical person?) for diverticulitis with diverticulosis. I warned Anesthesia.
I came to, in PACU, bolt upright in bed with the Anesthesiologist looking at me with his arms crossed. Back to "sleep" to awaken to this guy on the phone with the best ENT in town. Asked whether I wanted the scope via my nose or my mouth. Chose my mouth. I have a deviated septum and couldn't tell him about it.
Because of what I will say next, I was diagnosed with Paradoxical Vocal Cord Motion Abnormality, which explained the stridor on extubation for those 2 surgeries.
I've always loved singing. After, instead of singing Linda Ronstadt, I sang bass. Vocal cords are irreparably changed. I can actually sing super-low bass to a point.
I have some form of Ehler's-Danlos that I've never wanted to be tested for to the tune of $1000 out of pocket because I have no cardiac or ocular symptoms. Hyper-mobile joints with stenotic sphincters (the first was my cervix, diagnosed at age 12).
So, none of my sphincters work entirely well all of the time. Some, not at all. Thus, my swallowing issues and the weak muscles and the stenotic, testy sphincters, the stuck pills.
Besides that, my vallecula pools and the empties right down my trachea. There's also a pocket beneath that fills with solids, and when all of that liquifies/melts, it also goes straight down my trachea.
Thank goodness I have a good cough.
How did I come to know all of this?
Because I actually passed out when liquid ended up in my trachea. Liquid is hard to clear from the trachea. And I still had access to the best ENT in town just before he retired.
Ive had this for 2 weeks now and I've coughed up what looks to be tonsil stones they smell horrible!! It seems to have gotten better 85% after doing though that . Its the worst feeling ever 😢 . Ive had the other also ! Your awesome definitely giving you a sub .
What a great video. Thank you so much for posting. It explains my symptoms so much better than my GP ever did, from acid reflux and laryngospasms a few years ago right, right up to current throat issues. I've been so worried about the feeling of a lump in my throat over the last couple of months!
Question: could GLOBUS effect the mobility of the neck (such as muscle tightness/stiffness on one side)?
So helpful and clear. Thanks! Off to buy some gaviscon advance ... and sending this video to my doctor!
Fantastic! Thank you so much! Just finished a course of PPI yesterday. Will get Gaviscon Advanced today 👍
Wow! Just wow. You are an amazing doctor. I think just listening to you break down this condition has brought me relief. Thank you for this detailed information. Now, my issue is this. Since 2021, I have had what an ENT doctor described as globus sensation on my throat, after an endoscopy. He ascribed it to fizzy drinks and advised that I stop taking them. I stopped and noticed improvement. However, since early March, this year, the sensation is severe and causing some bit of pain in my ear and throat. I have no breathing, swallowing, and detectable lumps around my neck. And my voice is okay. I am saying this because I am dead scared of throat cancer. But, I am guilty because I started taking fizzy drinks, and energy drinks starting late last year until January 2024. I am a bit concerned! In Zambia, my country, to see an ENT takes about three months because those specialized doctors are found in only the capital city at a referral hospital. Unfortunately, even when you seek early diagnosis, the system fails you and if you are unlucky, you end up losing your life. I am signing up for the free book. Thank you once more.
This is so interesting as I’ve been on omeprazole for years and it does nothing. Have severe OSA and can’t use anything for it as I have a permanent blocked left nostril and as soon as I lie down I cough and wretch with liquid coming up. Am awaiting a operation on an inflamed Turbinate also.
Would definitely be interested in coming to London to a seminar.
Your videos are so informative and I wish there were more ENT surgeons like you in the UK
I’m going to try gaviscon advance.
Gavin’s on Advance really helped me. So thankful
How long did you use it?
Hi Vik!
Fascinating and edifying upload!
I was just wondering about globus and taste disturbance after a palatophyrangoplasty, how long would that be anticipated to persist an is there any treatment?
Thks..
Fascinating for me as I've been on a 'prole' for about 8 years. Thank you!
I didn't realise that there were so many people on the zole drugs - i'm thinking of putting an email with help getting yourself off the drug. perhaps i'll make a video on it?
I would be very interested! Your video was eye opening after dealing with 10 years of a ‘cough’. Endoscopy turned out that at the time I had an NSAID use related peptic ulcer, but now pretty stuck on omeprazole twice daily as I can’t seem to digest my food well without it. Would love to get away from this!
@@VikVeerENTSurgeon My son was on a prole drug and Naproxen for years - Looking even at NHS website said long term use should have checks for liver/kidney functions, and nothing from GP surgery - He's off them now and the all the side effects he was having have stopped - things like bad stomach, diarrhea/constipation, ticks etc.
Thanks a lot for your informative video, it was very helpful, God bless you
Intelligent clear video
Thank you so much. You just explained exactly what I was feeling in my throat. They did biopsy found erosion, and ulcers. Prescribed omeprazole, sucralfate oral, and prebiotic restora rx. Certain foods make symptoms come back like coffee, and other foods.
I wish I had seen this video 30 years ago. I have been taken acid reflux my hole life with no success. You explain it so well.
Thanks for your videos your helping alot of people
You’ve been taken acid reflux with no success? What do you mean?
I am in the United States. I am so glad I came across your video. I have been dealing with acid reflux for several years. Recently I have been dealing with the feeling of lump in throat and feeling like meds get stuck in throat. I have seasonal allergies as well. I am making diet changes and eating slower. I signed up for your newsletter, looking forward to learning how I can solve this problem. Thankful you are on You Tube. I just discovered Zoe and Doctor Will Bulsiewicz. So grateful.
You have helped me so much, thank you.
Wooow I wished All doctors are Just like you ,, thank you for the understandable explanation..❤
It’s been crazy weekend. I went to a doctor today, as I thought I have some serious health issue. That’s what I felt is swollen salivary gland- submandibular. However, after the treatment, the doctor said that I’m okay… but I still feel weird. So yeah, your video clearly represents the way I feel (my throat).
What was the treatment
Im suffering with this and i thought maybe its throat cancer😢. Thanks for the video
I never knew anything about this muscle after taking anatomy and being a licensed nurse. But I've had this choking problem for years and when I would start choking. I would have to stop breathing for up to 3 minutes because I couldn't inhale. This explains it perfectly the muscle is closing. It's tightening up where in which I cannot inhale. And I have to wait for it to relax before I can breath Terrifying what diagnosis is that Please tell me
Very informative and best video👌👌 thank you
I truly think you need to open an off in Florida USA. i saw part one of your video and it's like you were talking about me I've had this feeling for over 20 years of something in my throat and saw countless specialists the the thick paste liquid test and the camera test Not one issued me that med. i felt the deference the day i took the liquid. thank you
Dr, thank you so much. You explained 'why' I should take the Gaviscon Advance which I've left in my kitchen drawer for two months since it was prescribed as could not correlate it to my symptoms BUT now, I do...so I will try it today!!
Have you had your meeting in London? Would love to attend...
In 1989 I was in law school and had this lump in my throat sensation. I went to dr and found nothing. I had this medical book my health insurance gave to all patients. Listed inside in the Glossary was Lump in Throat. Looked it up and it said anxiety could be the issue. The book was right.
I’m so greatful for this video. I’ll try the Gaviscon advance.
HOW I CURED MY GLOBUS!
So background story first, i had my globus for two weeks now and its so frustrating like something is slightly holding my throat. Its not painful but feeling it there irritates me so much. Tho there are times in the day that i dont feel it first when i wake up in the morning and when im eating. So one afternoon i decide to play my guitar randomly and singing cuz we have a performance in our school. I sang for like straight 30 min and after that I didn't notice it yet but when i lie down in bed it was goneeee.I also discovered ways to ease the sensation and who knows this might remove yours. Since globus sensation is due to muscle contraction inside your throat i try to vomit myself and what i notice is that my esophagus feels enlarged and the sensation hoes away You can also try exercising because when you exercise your throat expands due to need of air and it will easen the sensation. Hope this works!
Nice presentation
Hello again Dr Vik. I’ve been using the Gaviscon advance - it’s quite expensive and not so easy to use away from home. Do the gaviscon advance chewable tablets in peppermint work the same as the liquid? I notice a difference in the ingredients between the two.
I’m very worried about my condition now but thanks a lot doc for this tip. My ENT prescribed me 2 gaviscon advance and I felt some changes however I didn’t know that I need to continue for several weeks or months that’s why I still have the lumpiness feeling. I will continue to take as per your advise. Thank you so much this is very helpful 😊
@johnkennethatok68How do you feel, did you get better after continuing the syrup and how long did you take it?
These are the best videos on Globus I’ve ever seen. Thank you. I have had Globus for 3.5 years. Causal or coincidentally I had 3.5mm epiglottis trimmed due to flapping and breathing obstruction but the tight ball in throat feeling remains. I had hoped the surgery would have fixed this but it did not. I also have large tonsils. What could be the cause?
I think it causes inflammation because of the pepsin my tonsils are very irritated too because of it. How are you now?
In the US you can find Reflux Gourmet alginate therapy. I've experienced not so much a lump but instead a persistent tickle or itch in that region close to my vocal cords for over a year. Clearing my throat of a little mucus offers a few seconds of relief. My symptom is exacerbated by deeper breathing and travelling in the car with A/C on. ENT scope looked normal. I'll try more consistent use of alginate as you suggest to see if that helps. I've always used it on and off. I look forward to the next videos on this topic!
I hope you get what you need from the videos. Thanks for the comment
Did it help you?
Amazing knowledge ty
Do the Gaviscon Advance tablets work as well for the lump in the throat sensation? Or does it have to be the liquid version?
CALCIUM. More specifically low calcium. I have been suffering with this feeling for nearly a year. The main thing that has changed in my life lately was I largely cut out meat and dairy. I saw an dr. eric berg video on globus here on youtube ('what to do for lump in throat' is the title). He recommended taking two specific forms of calcium supplements. If you search hypocalcemia/low calcium one of symptoms is issues with throat and breathing. Vitamin D can be needed to help absorb calcium (which is partly why some supplements even have both, I assume). My avoiding cheese completely and this sensation from hell lined up perfectly. I can't even believe how much better I feel. I have been taking magnesium, vitamin D and now calcium which all can help various things (such as anxiety to help me relax over this)... but the calcium is what really got it to go away. First I ordered food with some cheese in it, also took a daily multi vitamin which started to help. Then I got calcium supplements and FINALLY. I didn't connect the dots until later but days when I'd eat a lot of edamame and broccoli, I would feel my throat relax. Even on the merck website hypocalcemia has various mentions of the throat issues with non medicine recommendations. (take calcium and vitamin D may be needed also). I still think acid reflux is probably the major issue, but it is disappointing to not see more on calcium on various website, cause it fixed it within hours. I highly recommend calcium supplements. I will also say - too much calcium in the form of tums is what killed my father being on dialysis for years. Calcified his insides until many amputations and eventually heart attacks. So you need to be extremely careful at least on dialysis. However for 36 year old me, wow calcium finally helped me. Combined with vitamin D supplementation in the winter I feel night and day different than the last entire year plus whenever I was eating no cheese/dairy. I hope this helps someone else. It is literally a side effect of low calcium listed all over on many sources.
Can you please tell me what calcium supplement and how many mg did you take? Thanks
@kevinschneider1707 How long after the calcium supplementation your globus sensation felt better?
Wooow I wished All doctors are Just like you
Thank you so much! I will try!
Thank you for a great video you have helped me a lot
I had a lump I throat years ago and now it's come back. It's the same as before. Poo is like rabbit droppings (sorry), burping and bits of food coming up. The lump is the worst feeling though. There is no escaping it. People keep telling me it's emotional, but I'm fine emotionally apart from the throat. Thank you so much for this video. I 'll try the G Advance you mentioned.
Hey Vik, about a year and a half ago my husband got Covid. I was sick at the same time with different symptoms and tested negative. When I’m sick. I normally get that one for my throat sensation, but this time it never went away I directly correlate it with whatever I had. I had a fever and felt rundown. It seems to be worse at night or maybe it just bothers me more because I’m relaxed and still and notice it more. I really do not take any medication‘s. I haven’t taken any medication, not even a Tylenol in over 10 years and I prefer to keep it that way. Is there anything natural I could try. We also didn’t have insurance so I have not been to an ENT.
In the 80s my father was told that coffee can cause Globus. Sure enough, stopping coffee cured it for him. I experience exactly the same thing - some types of instant coffee or coffee pods will entirely predictably cause this effect for several days. Real coffee never does, though. Coffee manufacturers were aware of this phenomenon by the 90s, because at least one was studying it.
Exactly. Instant coffee are toxic. They’re poison to our body.
Some years ago, visiting my parents, eating dinner, I just simply couldn’t remember how to swallow anything, it was very frightening. I went to see my GP who casually diagnosed ‘Globus Hystericus’, I believe that has since been renamed, but nothing was done or recommended as a treatment and the problem has persisted and comes and goes. (Side note: I’ve just searched for Gaviscon Advance and apparently an essential ingredient is in short supply globally and not available in many places. I’m in Australia)
I've added a paragraph about the term 'Globus Hystericus' in my emails for you.
Great video btw. Been watching them since my tonsilectomy last year due to lpr. Im intrigued doctor whether you have heard of the Iqoro mouth piece? Its now available on the nhs. Not in my are though. I paid £150 for mine. But my constant coughing and clearing of throat has got alot better. Seems like it could be a great replacement for ppi medication 🎉
Thankyou for the video … great information …. Would be very interested in the meeting if you organise one.
Thank you, I want to see what the appetite is for this idea.
Another great video Vik, I have made my next appointment to see you on July the 10th 😀
Looking forward to seeing you soon
@@VikVeerENTSurgeon And you Vik, btw Radiology department at Darent Valley has sent my CT scan over from back in Sept of 2021 so has been done via IPD to you 👍
Thank you so much! 🙂
I had horrible GERD that wasn't being helped after 10+ years of medication (omeprazole). My doctor and I decided that LINX surgery would work for me and it's solved most of my problems, except the feeling like I have something stuck in my throat. I had the surgery almost 10 years ago and I'm still dealing with constantly clearing my throat. It feels like there's something blocking it, whether it's mucus I'm not sure. I also have dust allergies, but I'm on medication for that as well. An new EMT I saw said it was just habit coughing and I would be fine if I just drank water and didn't clear my throat anymore. I do have a lot of stress...
My comment is above. Try 1/2 teaspoon baking soda, 1/2 glass tap water. My symptoms went away immediately. Then have to do it for 4 weeks, and train my brain about anxiety of clenching in my throat. Immediately it is gone. I drink 6 ounces of alcohol a day, and it burns, but the baking soda is amazing.
Hello Vik! Really appreciate the education you're providing through your videos. A quick question: 1- I've had a feeling of a lump in my throat for over 2 years and 2- I've had a stuffy/nose for about a year now (mostly my left nostril), and just had a strong case of tinnitus that is still ongoing, which suddenly started at the end of March. I never had tinnitus in my life. Could these be related?
They can be related, but often people get these in isolation.
@@VikVeerENTSurgeon Thank you greatly.
Doctor my Name is Emmanuel Kingsley from Zambia Sir please Help me my Father has lost the voice, he hardly because this problem please in help what is the remedy. His throat seems closing everyday.
@@kingsleyministries4327sorry about your father. I hope he finds resolution. Take him to an ent to see if he can get an upper endoscopy.
Doctor, thank you for this educational video.
I want to ask, does smoking cigarettes affect this pepsin?
If so, would gaviscon advance be of any use to improve the situation?
Gaviscon advance does not work like proton pump inhibitors does it and does not bring these negative effects in the future?
Thank you!
I would be super interested in a conference on Globus. I've had it for over 40 years and would dearly love to get to the bottom of it. Will you be dealing with emotional causes of a lump in the throat? Mine started during a particularly difficult and stressful time. I do also recognize symptoms of the GERD and LPR and Zenker's Diverticulum. I have a feeling there might be multiple things going on. I also have mild sleep apnea and I snore. Yikes! Looking very much forward to your next videos in this series!! Thank you...your videos are super helpful.
Thank you very much i have learnt a lot.
HI Vik, can i get a copy of the book? Much appreciated your video as it gives me some peace of mind. I will try your advice and see how it works.
Well I just saw an ENT for this very thing and he didn’t tell any of this. He told me just drink some water it will help( it doesn’t) So thank you Dr. for this information!! Best wishes from 🇨🇦
Glad that you found it useful. I'm guessing in Canada they have the same problem in that we can't impart what we need to say in 7.5 minutes.
I had this years ago. It got to the point where I could not swallow without constant effort and became extremely dehydrated and was hospitalized. I saw a digestive specialist who told me there was nothing wrong with me and discharged me! Eventually I got to a good digestive specialist who did a manometry test. He diagnosed ‘diffuse esophageal spasm’. I was given calcium channel blockers to manage the esophageal issue. I was also referred to a health care psychologist, who used hypnotism (made me a tape) to listen to at night to normalize the swallowing process. It is not supposed to be a process that requires awareness and I had struggled so long to try to swallow, it was constantly in my awareness. After about 6 months of the calcium channel blockers and the night time tape, I was approaching normal swallowing again. I needed the diltiazem for about 2 years, eventually discontinuing them. This was a horrific experience. I now know more about the process of swallowing and what affects the esophagus than I ever could have imagined.
I have a constant feeling 24/7 all year round for 3 years , no burning feeling , nothing . Just a feeling like my throat is constantly swollen , the feeling feels at the front above my collar bone , maybe voice box area
I have had this problem on and off for the last year after 15 years of GERD.
My GP said to put peppermint lozenges under my tongue. Worked the first time, but not at all the following times. He said it used to be treated by using nitroglycerin of all things.
I am in the US, so I guess I can’t use the Gaviscon Advance unfortunately. I really need to wean myself off the PPI’s but I get terrible rebound symptoms (I am guessing that is what it is) and cannot eat or drink anything so I always restart them. My doctor said they are fine to use long term and won’t refer me to a specialist. I thought this was a gastroenterologist area, I never thought about seeing an ENT for it.
Doctor Veer, I learnt a lot from your videos on the subject, thank you. I am male, 69 years of age and have been diagnosed with stomach reflux in early December 2023. I was prescribed with Peptac Liquid and daily 20 mg of Omeprazole capsules. My persistent sore throat and hoarseness in the voice did improve slightly but has not yet gone away. However after taking the medication for about 25 days (around 5th January 2024), I suddenly found it difficult to swallow any slightly larger hard objects, such as the cod liver oil capsules that I have been taking 20 or thirty years ago. Even the modest sized Omeprazole capsules will cause some discomfort, at the bottom of the throat and just above the chest. Now the span of the discomfort has extended to all day, long after I have swallowed those medication and supplement. Would you be able to help explain what my problem is? By the way is Gaviscon Advance you recommended in the video the same as Peptac Liquid? Thanks for your help.
thank you so much for this explanation ! There is an excellent breathing yoga exercise to stretch oesophagus and push the stomach down ( in case of hiatal hernia ). This helps to push the stomach down where it belongs, and it has a power to help a patient with globus sensation on a spot, as well as with a scary asthma like sensation caused by bloating. The exercise has to be repeated daily., supported by diet and self massage. Losing belly weight (in terms of belly fats) and having a correct posture can also help tremendously. As well as diet that promotes healthy bacterial environment in the stomach ( Medical Medium Anthony Williams speaks about it, for example certain foods like gluten eggs, dairy etc, feed Heliobacter Pylori and other bad bacterias causing acid reflux ). And certain foods like lettuce, sweet potatoes, spinach, raw onion, raw garlic, fresh ginger, fresh thyme, etc, help to cure these issues. 😍Everything is inter-connected. I am in the middle of your video but I already love it.
I would be interested in knowing this exercise, I suspect hiatal hernia for years...
So true.. did u cure yours . ..i think ill go medical medum way and quit dairy and eggs 4 a while?
I'll have to look those breathing exercises up...I feel like I have asthma at times....I also have a hiatal hernia
Where can I find this particular exercise video?
I'm about to watch part 2 but I am very interested in the course you wish to conduct, I've been on my CPAP for about 4 or more years now😪I have this lump feeling that you talk about but no reflux, I will email you also, I was just too excited and had to write immediately
I may be jumping ahead….but what about neurosensory cough? After about 10yrs of ENT and Gastros telling me it was GERD/LPR, nothing helped. After hours and hours of doing my own research, I decided that my problem could be NSC. After persuading my MD to allow me to try Gabapentin, and titrating it myself, i finally had relief. It was a miracle drug of sorts. However, it took high doses of GBP to reach therapeutic levels (for me.) I am a dentist, and it became problematic to see patients, so I switched to amitryptaline, again titrating, and have dialed in relief at 50mg/day.
U explain my illness like u r God who created this u r perfect
Hi Vik, I’ve got a question about another video you did on Eustachian tube dysfunction, would you still diagnose ETD with a normal tympanometry and normal hearing test?
I’ve suffered with ear fullness/dizziness and been unable to pop my ears for 2 years but unable to get a diagnosis as the tests have came back normal. Thanks
With a good history but normal results I do a myringotomy in clinic. If the symptoms improve instantly then I know that the diagnosis is right. The effects of the myringotomy only last a few days but at least we know that a grommet or balloon will help.
We have the same symptoms. Suffered for 2 months what did you do to lessen this symptoms?
This is my problem now going for a scope test in the am it is very uncomfortable and no fun so I see tomorrow what I got thank you for this information😮
Thank you so much. I wish I can go to England to get help with this lump feeling in my throat. I have been dealing with this for three weeks and it is the worse when I lay down.