A sensation, not a physical blockage
A lump-in-throat sensation is often hard to describe, especially when it feels different from simply feeling that something is stuck in the throat. The cause can range from stress to a physical condition.
It's therefore important not to keep living with it: have the complaint assessed, so it becomes clear what's going on.
Do you recognise this?
How do we reach a diagnosis?
Assessment starts with a conversation: the ENT specialist asks questions to get a picture of your symptoms and to determine what further assessment is needed.
Usually the specialist also examines your throat with a videoscope. You'll stick out your tongue, make some voice sounds and/or swallow, so the throat and vocal cord function can be properly assessed. If you'd like, you can watch along on the screen yourself.
If a specific cause is suspected, targeted follow-up assessment follows: for example an allergy test if allergy is suspected, or a speech therapy assessment when voice use seems to play a role.
What can be the cause?
Causes vary widely, from something everyday like stress to a physical condition that requires further treatment.
Harmless causes
- Stress — tension can express itself in various ways, including as a lump-in-throat sensation.
- Sensation of mucus — you swallow a lot of mucus and saliva unnoticed every day; becoming aware of this can feel like a lump in the throat.
- Muscle tension — tensed neck and throat muscles while swallowing, coughing or clearing the throat can cause a lump-in-throat feeling.
Less often: a physical cause
- Acid reflux — stomach acid can sometimes cause a lump-in-throat sensation.
- Allergy — often also an itchy or dry sensation.
- Enlarged or chronically inflamed lingual tonsil — often also fever, sore throat and a bad taste.
- Throat cancer — very rare; besides the lump sensation, symptoms such as difficulty eating, a change in voice, earache and weight loss also occur. If this is suspected, the ENT specialist acts quickly.
Cause first, then the approach
Treatment depends on the cause we identify in your case.
Medication
If this is the cause, medication can bring relief.
Medication
If an allergy turns out to be the cause, medication can reduce the symptoms.
Referral to a speech therapist
If voice use plays a role, a speech therapist can offer relief with exercises.
Here's how your care journey goes
One dedicated ENT specialist throughout your care
You are supported personally, from the first consultation through to treatment.
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Had that lump-in-throat feeling for a while?
For an appointment at De KNO Praktijk Nijmegen you need a referral from your GP. Discuss your symptoms with your GP; they assess whether a referral is needed. With the referral, you contact us and we schedule your consultation.
