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Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
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Managing a patient with globus pharyngeus.

Philip R Harvey1, Byron T Theron1, Nigel J Trudgill1

  • 1Department of Gastroenterology, Sandwell General Hospital, West Bromwich, Birmingham, UK.

Frontline Gastroenterology
|July 27, 2018
PubMed
Summary

Globus sensation, a persistent feeling of a lump in the throat, was diagnosed in a 47-year-old woman. Investigations ruled out serious conditions, confirming the benign diagnosis of globus.

Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Psychosomatic Medicine

Background:

  • Globus sensation is a common functional disorder characterized by the perception of a lump in the throat.
  • Patients often experience anxiety and seek medical evaluation due to fear of serious underlying pathology, such as malignancy.
  • Differential diagnosis involves excluding structural abnormalities and gastrointestinal reflux disease.

Purpose of the Study:

  • To investigate the diagnostic process and management of a patient presenting with persistent globus sensation.
  • To evaluate the efficacy of initial investigations and treatments for globus.

Main Methods:

  • A case report detailing the clinical presentation, diagnostic workup, and management of a 47-year-old female patient with globus sensation.
Keywords:
dysphagiagastro-oesophageal reflux diseaseglobus

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  • Inclusion of physical examination, nasolaryngoscopy, upper gastrointestinal endoscopy, and a trial of proton pump inhibitors.
  • Assessment of symptom response to interventions and final diagnosis.
  • Main Results:

    • Initial ear, nose, and throat examination and nasolaryngoscopy revealed no abnormalities.
    • Upper gastrointestinal endoscopy identified a hiatus hernia, but a 3-month trial of proton pump inhibitors was ineffective.
    • The patient was diagnosed with globus sensation, with further management options including speech therapy, cognitive behavioral therapy, or amitriptyline discussed.

    Conclusions:

    • Persistent globus sensation can be a benign condition requiring thorough investigation to exclude organic pathology.
    • A multidisciplinary approach may be beneficial for managing refractory globus symptoms.
    • Patient education and reassurance are crucial components of managing functional throat disorders.