Feeling of something in throat

Background: This is a very common condition. The present of a feeling of something in the throat, in the absence of other ENT red flag symptoms (no neck lump, no throat pain, no hoarseness, no weight loss), is not related to pathology. Patients tend to describe a discomfort in the throat. It can be intermittent or constant but there is usually no progression in severity. Patients often report persistent need to swallow with no relief of symptoms, however, they are able to eat and drink without any issue. It is typically precipitated by an URTI, reflux or anxiety/stress. Patients seen in clinic with globus sensation undergo no further investigations an are discharged from clinic. Reassurance is the mainstay of treatment.

How to assess: Exclude ENT red flag symptoms, check for symptoms of reflux, check for life stresses / anxiety and manage these

How to manage: Manage patient anxiety, acknowledge patients symptoms but provide reassurance they are not concerning, safety net regarding symptom progression / red flag symptoms. Provide throat care leaflet

Referral guidance:

In the absence of ENT red flag symptoms, referral to secondary care is not required

If any ENT red flag symptoms are persistent for >3 weeks, in addition to feeling of something in throat, refer to ENT as urgent suspected cancer