I have this problem for past 3 months I feel a lump in my throat like the size of an pill. It may be vanished for 2 or 3 days inbetween then I started feeling it again But its not painful. What is it? does it need any medical attention.

Dr. Sucharitra PicassoHomeopath18yrs exp

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Hello. The following are the causes for sensation of lump in throat: Reflux may cause this muscle to tighten up in order to prevent acid (and even non-acid mucus reflux) from the stomach from spilling up into the voicebox and mouth. Heartburn is NOT usually present, though treatment with anti-reflux medications is the same. Read more about reflux here. Increased stress may cause this muscle to constrict more strongly, exactly like the lump that forms in the throat when a person is trying to hold back from crying while watching a very sad movie. Indeed, we see quite a few patients with globus who are in the middle of a divorce, students in the middle of final exams, death in the family, workplace strife (hate the boss or co-worker), etc. Reflux and stress are by far the most common causes of globus. Rarely, cricopharyngeal muscle or esophageal pathology may also cause this sensation when the muscle scars, hypertrophies, or becomes chronically spastic or the lining of the esophagus develops a ring, shelf, or stricture. Even more rarely, a Zenker's Diverticulum or eosinophilic esophagitis may be present. A mucosal lesion may cause this sensation. Such lesions may be due to trauma (swallowing a small piece of bone) or ulcer ("canker" sore of the throat). In this particular scenario, the sensation is described as slightly off to one side and the size of a peanut. Lastly, a mass of some kind can cause this sensation. Such masses may include cancer, cysts, granulomas, large thyroid, etc. Keep in mind, however, that though people think their thyroid may be causing their symptoms of globus, only very RARELY is this the case. The only times when the thyroid may be a factor is when it gets so big to the point it becomes clearly obvious (think an orange-sized mass growing out from the neck), or if the thyroid encircles the esophagus which is also exceedingly rare. In rare cases, the globus sensation is nothing physical at all, but a type of neuropathy (link). Management: - Do stress-relieving exercises like Anulom-Vilum, Pranayam, etc. - Take healthy food. - Drink lots of water. - Think positive Take homoeopathic Rx- Natrum Mur. 200/ one dose daily for 7 days. Revert me back. 

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