Globus pharyngeus and dysphagia can cause much anxiety for both patients and physicians. Exclusion of underlying malignancy and reassurance are important aims when managing patients with these conditions.
- Dysphagia is a common and frustrating clinical problem that can lead to secondary manifestations equalling or exceeding the importance of the original swallowing disorder.
- In addition to screening for possible malignancy, the history should help to distinguish oropharyngeal from oesophageal dysphagia and to differentiate structural from functional causes.
- If implemented in a timely and effective manner, the management of dysphagia can improve patients’ overall health and quality of life and reduce nursing and other caring costs.
- Although benign, globus pharyngeus can mimic a variety of organic disorders such as upper aerodigestive tract or oesophageal malignancy.
- Investigations form a large part of the management of globus pharyngeus; exclusion of other pathologies and patient (and doctor) reassurance is central in its treatment.