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J R Soc Med. 1982 April; 75(4): 242–244.
PMCID: PMC1437639

Feeling of a lump in the throat: thoughts of a radiologist.


Radiological examination of over 300 patients complaining of feeling a lump in the throat and difficulty in swallowing, but in whom there was no visible lump, showed that in most cases there was no significant abnormality above the thoracic inlet. Oesophageal examination revealed no abnormality in one-third; definite gastric reflux with or without hiatus hernia in one-third; and impaired clearance of fluid in the horizontal position in the remainder. Reflux and impaired clearance were either seen spontaneously or were induced after the ingestion of hydrochloric acid of the same pH as gastric juice.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Delahunty JE, Ardran GM. Globus hystericus--a manifestation of reflux oesophagitis? J Laryngol Otol. 1970 Oct;84(10):1049–1054. [PubMed]
  • Freeland AP, Adran GM, Emrys-Roberts E. Globus hystericus and reflux oesophagitis. J Laryngol Otol. 1974 Oct;88(10):1025–1031. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press