What are the symptoms of globus hysterica?

People encounter various disease symptoms in life, including pharyngeal diseases, and the causes are complicated. However, globus hysterica is not a disease symptom we are familiar with. But it is caused by pharyngeal disease. Treatment should be carried out promptly. Affects people's normal life, especially breathing. But everyone's situation is different, so what are the symptoms of globus hysterica? Targeted treatment is more effective.

Causes

The causes of globus hystericus include cricopharyngeal motor disorders, neuromuscular diseases and local damage, and the pathogenesis is likely related to dysfunction of the pharyngeal muscles or upper esophageal sphincter, such as abnormal cricopharyngeal high pressure, low pressure or relaxation.

Clinical manifestations

The main clinical manifestations are a special form of dysphagia, frequent swallowing movements to relieve symptoms, and a foreign body sensation in the throat. All of the following conditions must be included:

1. Continuous or intermittent painless mass, foreign body sensation, burning sensation, itching, urgency, stickiness, etc. in the throat.

2. The feeling occurs between meals.

3. No dysphagia or odynophagia.

4. There is no evidence that gastroesophageal acid reflux causes the symptoms.

5. No histopathologically based esophageal motility disorder.

examine

Esophagoscopy and direct laryngoscopy cannot reveal any organic lesions or foreign bodies in the pharyngeal esophagus. The most commonly used diagnostic methods are X-ray activity photography and esophageal manometry.

Differential Diagnosis

It is necessary to differentiate it from diseases such as chronic pharyngitis, pharyngitis, tonsillitis, sinusitis, esophagitis, esophageal diverticulum, esophageal cancer, tonsil cancer, tongue cancer, and laryngeal cancer.

treat

1. Treatment of the cause

It is effective for symptoms caused by clear neuromuscular diseases. No obviously effective drugs have been found yet. Calcium channel blockers can be used. For patients with high cricopharyngeal pressure or incomplete relaxation, bougie dilatation or even cricopharyngeal myotomy can be applied.

2. Psychotherapy

Regarding the patient's mental factors such as "hysteria phobia", after careful and detailed examination, we patiently explain and relieve their psychological burden. Avoid careless language, hasty examination and treatment, which may have adverse effects on patients. Globus hysteria is mainly of the anxiety-depression type, and comprehensive treatment is an effective method for treating globus hysteria.

prevention

1. Patients with pharyngeal paresthesia should not panic too much, go to the hospital for examination to rule out cancer, and keep a cheerful mood at ordinary times.

2. Provide careful guidance to relieve worries and enhance confidence.

3. Strengthen physical exercise, improve physical fitness, or use throat guidance methods for exercise.

Only by taking a comprehensive treatment approach from the perspectives of biological, psychological, and socio-medical disease patterns can better results be achieved.