A Feeling of a Lump in the Throat (Globus) Part 2
ฝัง
- เผยแพร่เมื่อ 29 มิ.ย. 2024
- This is the second in 3 videos I am going to do about globus. I will be talking about the conditions that cause this symptom and how you treat them. In the first video I spoke about the most common reason for this symptom and the diseases that are associated with it. It will primarily focus on Acid / the enzyme Pepsin and the Cricopharyngeus muscle.
In this second video I talk about sleep apnoea conditions that cause globus, eosinophilic oesophagitis, mediastinal masses, laryngeal masses, autoimmune diseases, thyroid diseases, and laryngeal problems.
watch until the end to learn more about the globus study day I am planning.
NEWSLETTER & FREE Ebook
If you would like more information about this topic and you want to receive the free ebook from Kiran Jumani please sign up to my Newsletter using the link below.
cheerful-knitter-8774.ck.page...
SNOREDOCTOR APP
This is my new app that helps people record and analyse their snoring at night. It is completely free (no ads, no paywalls, no personal data is collected). Please use the links below:
Android playstore link - play.google.com/store/apps/de...
Apple App Store
apps.apple.com/gb/app/snore-d...
Camera kit
Canon EOS M6 Mark II - amzn.to/2KQjQPF
Canon 50mm F1.8 (nifty fifty) - The lens I use most of the time - amzn.to/3eI25yN
Canon Mount Adapter EF-EOS M - amzn.to/3j1opDF
Amazon Basics Tripod - amzn.to/3cntUuU
Google Pixel 6 Pro - amzn.to/3IDMBIB
Audio kit
Yeti Blue Microphone - amzn.to/3afEEJ7
Lighting kit
Neewer 2 Pack Dimmable Bi-color 480 LED Video Light and Stand Lighting Kit - amzn.to/3onLcu8
Laptop
ASUS ZenBook Pro Duo UX581 - amzn.to/2KUsfli
Software
Adobe Creative Suite
Chapters
0:00 Introduction
0:37 Causes of globus related to snoring and sleep apnoea
0:42 Large palatine tonsils
1:01 Lingual tonsils
1:52 Case scenario of someone with large lingual tonsils
2:17 Positional sleep apnoea
2:27 REM associated sleep apnoea
2:43 Upper Airway Resistance Syndrome
5:24 How to remove lingual tonsils
5:45 Mucous retention cyst
7:15 Uvula inflammation
9:19 Do not remove the uvula!
10:34 Uvulectomy causes globus
11:39 How to avoid globus in uvula operations
12:06 How to treat globus caused by laser of the uvula
12:36 globus after a lingual tonsillectomy
14:29 globus after surgery on the muscle of the tongue
15:48 Eosinophilic oesophagitis
17:50 Diagnosis and treatment of eosinophilic oesophagitis
18:20 2 food elimination diet
18:48 6 food elimination diet
19:10 Budesonide tablets
20:12 Drugs that cause globus
20:51 Corrosives with case history
21:34 Plummer Vinson Paterson Brown Kelly syndrome
22:21 Autoimmune diseases
23:27 Dilated / Aneurysm of the Aorta
24:24 Mediastinal masses
24:48 Eagle Syndrome
25:32 Osteophytes
26:12 Thyroid masses
26:48 Thyroiditis
26:58 Thyroglossal cyst
27:55 Vocal cord polyps
28:52 Laryngocele
29:20 Cancers of the head and neck
30:01 Emails and free ebook
30:28 Information about the globus study day
32:39 Conclusion
** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. ** - วิทยาศาสตร์และเทคโนโลยี
![ความรักของยักษ์เขียว (ทศกัณฐ์) - เดี่ยว ไออุ่น [OFFICIAL MUSICVIDEO 4K]](http://i.ytimg.com/vi/yCCy-QVHqK8/mqdefault.jpg)
Dr Veer please don’t feel you have to apologise for videos being soo long !
I enjoy the detail that you go into. The passion and enjoyment and knowledge that show through these videos is clear to see!
If anything, I am sure a number of viewers will agree with me in that we want to see more long form videos where you really drill down into the nitty gritty details of the conditions that you treat and procedures that you do !
I will also be eagerly following progress and updates on your inperson in London event
I guess I get a bit disappointed when they don't do so well according to TH-cam but I am pretty sure they help people so i'm going to keep doing them. Thanks for writing in.
Im a GP out of norway and these videos are AMAZING. Even helped me with a couple of patients with some ideas. 👏🏽
Thank you - that means a lot.
Please dont ever apologize for educating us. I'm in Canada and thanks to your videos, I asked for a sleep endoscopy. It revealed slight obstruction in tonsils, tongue and soft palate .
I'm constantly learning through your informative videos and I'm eternally grateful that you speak about sleep apnea. I have dealt with globus, hypothyroidism and sleep apnea since I was 17 and find your "Lump/Globus series" beneficial .
Can you please please please start an in depth segment on all the procedures available for sleep apnea in office and under general anaesthesia. Especially the ones you've had success with. After my DISE, the doctor recommended uvulopalatoplasty . Can you please do a video on the different ways that's its performed, their success rates and the pros and cons of each etc
I am going to try and do this - the trouble is that each operation works differently in different people. for example I would not do an anterior palatoplasty in someone with a very long palate, cleft, or any sign of lateral wall collapse - however there are work arounds that allow me to use this technique on all of those issues (sometimes!). Similarly a Barbed palatoplasty can be pretty useful in some situations mentioned above (especially in the case of the lateral collapse - as you can just continue down on either side), but it has it's issues as well with pain, muscle injury etc. I've haven't even got on to UPPP (which I hate), and other free edge surgery (which I dislike but does have it's place). Often I use these techniques together to fit the person in front of me. for example I have occasionally used a hybrid barbed and anterior palatoplasty for a hammock palate which is a bit too long for anterior palatoplasty alone. I personally like to use a host of 'tools in my armoury' to deal with different situations - so comparing one operation with another is almost impossible. My plan is to talk about each technique and their pros and cons - but even that is dangerous in that I might over simplify the situation too much. I am trying to figure this out as I think it'll help other surgeons out there. I'm not sure it'll help patients - but some people are quite interested in these things (like you i suspect?).
I'll work it out - it takes me a lot of ruminating time before I'm ready for a video. sorry!
@@VikVeerENTSurgeonWsh I could afford to come and see you. Sleep apnea has quite literally ruined my life.
Thank you immensely for taking the time to respond and considering my requests. I'm sure, I'm not the only one who would benefit from it.
I totally agreed with everyone, these videos are amazing and the way you explain everything cannot be more perfect. You can tell the difference on a person that truly love and have passion for what he does; many people become doctors these days but only fews that are born to be one and care for people.
Thanks a lot for the knowledge & insight. And prayers to anyone else suffering this discomfort.
Hi Doc.. I very recently started listening to your videos. As an acute obstructive Sleep Apnea patient I’ve been using CPAP for about 8 years now. And it’s a life saver for me. Thank you so much for your informative videos to topics that most people are unaware of. Could you please tell us about thyroid nodules, the latest procedure involved in its removal other than surgery…
I so appreciate your informative videos! I first noticed this phenomenon years ago when positioned backward in a dentist's chair being fitted for a crown, a really scary moment, as I felt suffocated. Last week (two weeks after surgery to drain my sinuses) I suffered the same so badly while using the CPAP machine that I pulled the mask off - and left it off the rest of the night. I believe three of the issues you mentioned factored in: a mild infection with low-grade fever, moving my adjustable bed to a relatively flat position, and lying on my back instead of my side. It's so comforting to know (or at least suspect) what's happening! Blessings from the US - and best wishes with the study!
So glad that my video as resonated with you. thank you so much for writing in.
Thank you so much for this information. I have been suffering with a feeling of a lump in my throat and I am happy to see a doctor speak on this!
These videos should be shared they are so educational
Very interesting about the eosinophilic inflammation, weird how they would be suddenly recruited to that area. Great vid!
I guess it is a change of epithelium and that is the first area at the top of the oesophagus that meets those food types?
Another well informed video Vik, , btw Radiology department at Darent Valley has sent my CT scan over from back in Sept of 2021 so has been done via IPD to you 👍
+ look forward to seeing you on the 10th of July!
looking forward to seeing you.
I am a retired RN and epidemiologist from the US and I have just realized the following: Medical professionals from countries that aren’t beholden to shareholders explain medical conditions to their patients in an extremely detailed and respectful way. I usually have to watch continuing medical education (CME’s in the U.S.) channels to get the same amount of information that is presented in countries that have a national health program.
An additional thought I had is that our for profit system in the U.S. might improve their bottom lines by sponsoring similar videos by answering patients’ questions instead of visits to the doctor for every mole, hangnail etc. In addition, our limited government programs such as Medicare and Medicaid could potentially save taxpayer money. Thanks Doc😊
I'm so thankful for you & your helpful videos😊
My pleasure - thank you for commenting.
You are so infromative , gentle natured and cute. Keep up doing you .😊
I am completely enjoying this video series. I don't think it's too long at all! I think you are giving a ton of valuable information which takes some time to explain.
I have obstructive sleep apnea, which has nothing to do with why I swallow like a 90 year old with vallecula pooling and the stenotic sphincters. Because I have some form of Ehler's-Danlos (not getting diagnosed because it's expensive and insurance doesn't pay unless you have cardiac or ocular symptoms, which I don't), at some point my soft palate gave way and became floppy. I'm an obligate nose-breather like a baby, so having a floppy soft pallet obstructs my breathing. I awakened myself hundreds of times over the last 30 years because of the snoring caused by my soft palate laxity. However, what I didn't know until a few years ago is that my heart rate was 170 or better and my sats below 80 when my soft palate failed. No wonder I didn't get good sleep!
The swallowing issues I have are separate, but linked because of the ED.
There are also issues from intentional overdoses on old medications in which the patient believed we could "cure" the overdose with eggs and milk (because everything you read on the internet is true). He took his father's collection of Mercury pills, which were coffin-shaped for a reason.
Needless to say, he will have absorption, motility, and stricture issues for the rest of his life from his mouth to his anus.
Um, with the dilated aorta thing, are you describing a widow-maker? That's kinda where you indicated. I get the symptoms that you are explaining, but these are NO SHIT issues, no matter what condition you have that could have caused it. 99.99% of patients with GI issues are entirely GI. So, as a GI, stick with that.
I just wanted to say “thank you” I have started with a “lump in my throat” sensation. Like food is stuck. This happened after I did have food impact and was told to drink fizzy pop to cough the food up when I was at AandE I was left for hours siping and throwing up. But the food didn’t budge. After 12 hours it finally moved on its own. I believe all this throwing up has inflamed my voice box making me feel I have something stuck there. I had camera down week after to find out I have hiatus hernia, ulcer and oesophagusitis. So I’m on high dose lansaprozole.
I have just ordered gavascon advance. Thank you I’m hopeful this will work
Where did you order Gaviscon Advance? Amazon? Was it liquid or tablet?
Hey doctor thanks for this very instructive channel, could you please do a video about your specialty, its advantages and inconveniants, balance life/work, life quality, work pressure and hours per week, the opportunities et cetera and thanks again
Epic review!! Thx!!
Thank you so much! sorry it was quite complicated.
Hi Vik - any chance of doing a video on Meniere’s? Massively appreciate all your content.
It's a dangerous topic because so many people are told they have it but actually they really don't. It will upset so many people and so I need to be really careful. For example you can't have menieres related vertigo for more than a few years as it burns itself out when you lose your hearing. Betahistine doesn't really work etc. It will confuse a lot of people and cause a lot of anger. Perhaps one day once I've got better at communicating at scale. Sorry!
In the previous video you said that it can take 4-6 weeks with Gaviscon Advanced to get rid of the globus sensation. My ENT suspects I have ETD (I have a feeling of pressure in the ears and tinnitus, both started 1-4 months after the globus).
1. *If* the ETD is caused by reflux/pepsin, will it also take 4-6 weeks to heal?
2. If I end up needing the operation with the balloon expansion in the ET, will reflux/pepsin not recreate the ETD after it again?
Hi Vik,
Apologies if you've addressed this query.
How long would a post surgical suspended pharyngoplasty with uvuloplasty, globus sensation be expected to last?
Would tightly stretching the uvula laterally cause/exacerbate this?
Many thanks
A speech therapist gave me a tip for temporary relief: take a wide straw (or pretend you have one) between your lips and blow through it. This relaxes your throat a bit
I will use that in the last video - I want to give these tips to help people with a feeling of tension in their throat.
I have globus so bad, dysphagia also. Esanophilic esophagitis has killed my throat. Im sure my upper sphincter is hypertensive. Im off to see an ent, in little old new Zealand
Hey doc what test should we need to ask our doctor for? Should we be going to a gastroenterologist or an ENT?
Hello doctor Vik, could the Maxillary sinus cyst cause all of my symptoms post-nasal drip, throat clearing, thick clear mucus, lump in the throat, tickle in the throat, alternating nostril congestion when I lay in bed AKA vasomotor rhinitis, runny nose when cold outside or eating hot or cold foods and halitosis. I would be happy to hear from you since American ENT are only telling me that this is reflux which I never had any symptoms, so does GI doctor during EGD saying that my esophagus looks good. What causes a cobblestone throat a little bumps on the back of the throat behind the uvula? I don't have any heartburn or reflux . But i have Behcet's syndrome.
I've suffered for probably 12-15yrs now with most if not all of the symptoms you mention. Tbh so many symptoms over the years its difficult to know where to start. The Globus symptoms you discuss are my most aggravating, constantly having to clear throat sometimes leading to a sore throat. Been confirmed as having mild sleep apnea. Im going to try the Gaviscon Advance treatment for several weeks and see if i have any improvement. I would possibly be interested in the meeting/discussion you mention in part one. Im relatively close to London, TW5 postcode.
How are u mr Paul's now
Any improvment?
Mr Veer, your videos are very interesting, thank you 🙏
Would you please consider making a video regarding Allodynia. In my case discomfort when head is on the pillows, and waking up most mornings with headache.
Hmmmm.. that sounds like it could be all sorts of different things. are you sure it's allodynia?
@@VikVeerENTSurgeon Thank you for your reply Mr Veer. I’ve had a brain scan, all ok. It disappeared after starting on Nortriptyline before bed, then it returned after about 6 weeks. Maybe pressure on nerve in neck, or Fibromyalgia? No problem when active. If I ever nod off, as we older folk do in the afternoon, that results in vague headache and feeling out of sorts, if head is slumped. Thanks again.
Ps. I used to be a migraine sufferer, I believe that a large percentage of migraine sufferers also have Allodynia?
thank you for the videos very clear explanations -is co-mathaldrox a good alternative to gaviscon advance?
If you were to
Remove the entirety of the uvula as you mentioned 11:30 uvolectomy section, is it a similar principle to like empty nose syndrome caused by removing turbinates completely ? That’s how I am
Interpreting it
No sadly not. I will be doing a video on empty nose syndrome which I believe is more to do with airflow, pressure and turbulence. Uvula is more to do with nerves. Sorry it's so confusing
Hey Mr (as opposed to Dr because you are a Surgeon) Vic 🩺, loving the joker !! 🤣🤣🤣
Correct - I spent a lot of time and money finally getting rid of that 'Dr' - but the rest of the world doesn't really understand it - so i'm cool with the 'Dr' - I love pin badges!
Dr veer
What if we do t quite like gaviscon advance … makes it worse the feeling .. is there another substitute ?? can we take the other gaviscon double action? Both actually no help
Thank you doc ❤
Hi Dr. I've just subscribed. Having most of problems you spoke about. At moment i have inflamed throat with stiff neck and pain going down from neck to just under my "blades"at back. Also if i swallow to fast pain in neck at back. It stared with flu symptoms. I checked my throat and tonsils does seem bit large and red imflamed and sore. Gargle with salt water. Dont smoke or drink. Eat very healthy. Am normally a very active person but last 2months been struggling to do even just normal things then im tired. Also i know im a very emotional person. Used to doing everything around house and getting frustrated as i can't do things where i have to use arms to cut and trim trees which wasn't a problem since November 2023. Im 70years old. Is there anything else i can do to eleviate the tonsils from getting worse. 'Coz i feel that its that that might be causing my stiff neck and pain. Any other advice. Am trying the exersices. I also want to thank you for your info and help you give in your videos for free. You are one if a kind. May God Bless you abundantly.
Hello, I have the same problem as you, but since I do not know much English, I could not understand the reason mentioned in the video. I mean, why does this happen? My throat is red, I'm very emotional and tired, I have a persistent cough and runny nose, etc.? So, can you explain what is the reason and what can I do for this? (I am 17 years old)
There's no information about what doctor could treat this symptoms. I feel something it's bothering my throat it's coughing. ?
It has been about a month and the sensation still there. everytime I eat specially meat I feel like some of the meat still stuck there, and it takes sometime for the sensation to go away. ocassionaly when I swallow it hurts on the right or left bottom side of the throat. It also feels like if i had mucus stck so sometimes i might try to spit it out to try to get rid of the sensation. i am not really sure where is coming from, i do consider myself an anxious person and i tend to get acid reflux often, i also have nail psoriasis and dandruff on my scalp if that helps come up with the cause. Any thoughts, or advise?
Thanks Doc...
Thank you so much doctor I really appreciate this ❤
Am battling with this issue for so long please 🙏 sir can you tell me direct medication to take so I can get rid of it I will really appreciate this
Thanks a lot, 👍🏿👍🏿🙏🏿🙏🏿
I have Bilateral Vascular Eagles syndrome. I've had surgery on both sides. The left has been completely removed, the right side was just shortened. I have a palpable clicking and catching in the front of my throat, where the Adams apple is, with pain this is on the right side. Feels like I have something in my throat. Camera showed nothing. My question is, can eagles regrow or can cartlidge or soft tissue around the voice box or thyroid calcify. Happy to discuss further. Surgeries were 2012, 2013
Is that the pin lurking on the aggressively blurred desk? 😉 See you next year I expect.
It is the lime green stain on my black printer. The lamp shade is pointing at it. Thank you again!
@@VikVeerENTSurgeon my pleasure. On the hunt for the next one!
I have Tracheomalacia.recently started on CPAP. Still with globus sensation. Any ideas? Have very raspy throat after a bad bout with Covid. also was put on doxy for persistent cough that caused fixed drug reaction..
Hi Doc. Mine started on and off during a flu/cold and went two weeks ago. The lump feeling felt like it was related to the cold/flu and lasted a good 3 days and went.
Then the lump feeling suddenly came back again about 4pm today out of the blue. I do have a runny nose and cough (again) but i don't know what this lump feeling is all about when i swallow nothing but saliva/air. I dont know if its related to the cough/runny nose or something else. I'm paranoid its the C word. I dont smoke (gave up in 2014). It does hurt when i force a burp.
How you getting on? I’m currently battling flu right now and this lump in my throat issue has arose. So frustrating
I thought I was crazy. Could this sensation arise with multiple factors? I’m on mounjaro. Horrible acid reflex. That is under control now by switching to compounded mounjaro. But I feel the need to burp often and clear my throat and even with no acid reflux, the globus sensation is worse when I’m on either shot type. Subtle when I’m not on it now. I take many nsaids for back pain and I am chronically low on iron. I’m ordered the gaviscon advanced to start.
Where is the link to Gaviscon Advance? I believe the doc said on one of these vids it would be posted?
When i eat a pill it sometimes gets struck in my throat .... When i eat things that are dry i usually get a hickup . For the past few weeks i am feeling that something is struck in my throat . Initially i thought that it will be all right like it always used to be . But this time this feeling is not going away i am constantly feeling about this even when when i am swallowing the saliva . I am having negative thoughts and i think i need help.
How can i contact you sir ??
I am feeling same no burning sensation I get only burping committing feeling i took medicine but still I feel that thing
Hi Dr veer
Really enjoying these videos thank you
Do you think it would be possible to show a cross section of the relevant anatomy when you are talking ? Rather than trying to mime or show with your hands what you are talking about
I think this would help visualisation and learning if we could see a textbook like image
Thanks as always and looking forward to seeing you in clinic
Sadly I don't have access to royalty free images. Every time I try to use an image I am threatened with a strike. Plus I'm a one man band and I don't have the time to make really good drawings. I'm sorry I just don't have the resources to give you images that other channels can. I hope it still sort of makes sense.?
i wanna know this too.. i have this feeling of like a very dry lump of mucus on my throat. And i sneezed one time and this very dry and brown phlegm-like came out. Please enlighten us Doc
Same😢
I heff a lumb and burning throat , also brown phlegm is this brown pleghm pepsin ? It come out after the lumb in my throat hurts bad
How do you know it’s not reflux if the esophagus is red?
How can I get rid of some things stuck in my throat?
I was diagnosed with a Thornwald cyst, as well as a deviated septum of the nose. Mucus constantly accumulates in the throat, cough in the morning. Maybe it's because of this cyst. But I doubt, suddenly this is not the main problem. This cyst, as I understand it, is congenital, but I have only had problems with post-nasal drip for the last 4-5 years, which have intensified in the last couple of years, to which was added a feeling of mucus in my throat and a constant desire to clear my throat and cough, especially in the morning. Before deciding on an operation to remove the cyst, I want to test myself for allergies, so I started a diet without wheat and dairy, I hope it will get better. Could you shed light on the topic of Thornwald's cyst, how does it affect such symptoms, are there other factors, such as allergies or something else, that causes an exacerbation and activates a copious secretion of mucus from this cyst.
Thornwalds cyst is 'sort of' congenital. It grows as a consequence of infection - so you aren't really born with it. it can certainly cause globus, and post nasal drip / catarrh. trying other things first makes sense like the allergy tests you mention. I would follow the advice of your surgeon.
@@VikVeerENTSurgeon Please, tell me, is there any point in removing Thornwald's cyst with a laser? Will the recovery period be easier after this?
In cases of cysts, polyps around the voice box, and issues surrounding GORD/GERD, can smoking irritate these issues and cause the Globus feeling to act up right after smoking? For context, the globus sensation is right near the space in-between my clavicle bones, I'm diagnosed with GERD, and I smoke weed but not cigarettes (though I used to heavily for years. 3 years w/out tobacco now), and the sensation does occur when I don't smoke. Trying to rule out throat cancer 😅
Is this OK for a lump in d throat ERYTHROMYCIN STEARATE
I used to vape and I also still play saxophone.. i can swallow but it feels like food sticks and my throat alwayd feels like tight. Ive had an upper endoscope and 2 barrium swallos.. they said no reflux. I wonder what it is. Im from Texas.
There is an operation called P.O.E.M , check and see if it is right for you .
Thanks for this informative video and email. 👏
Sir my left side ear stsrted ringing from yesterday now i can't hear on that ear,its continuouslyringing,what shall i do please help me please 🙏 😢
please have a look at my tinnitus video
I dig the joker pin. 🤡
I love pin badges
thanks for spotting it!
Hello
Sir my left side ear stsrted ringing from yesterday now i can't hear on that ear,its continuouslyringing,what shall i do please help me please 🙏 😢
please have a look at my tinnitus video
@@VikVeerENTSurgeon hi dr vik veer thank you so much for interacting video I keep watching your video