Globus pharyngeus is a common ENT condition. The etiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. Though proton pump inhibitors are used extensively in practice, there is little evidence to support their efficacy. This article outlines a guide to the management of patients with globus. Globus pharyngeus, the sensation of something stuck in the throat, has been noted since the time of Hippocrates.
Typically, globus is relieved by ingestion of solids or liquids and tends to be worse on dry swallows. Globus may be associated with throat irritation, soreness, dryness, catarrh, or constant throat clearing. It forms a large part of ENT practice and may account for about 4% of referrals to outpatient clinics. Etiology Despite the high prevalence in the community, the etiology of globus remains unclear and highly…