Dysphagia and globus sensation (globus pharyngeus)

EBM Guidelines
Jan 6, 2020 • Latest change Apr 28, 2020
Antti Mäkitie, Eero Sihvo and Sari Atula

Table of contents


  • Dysphagia should be identified and the patient referred for further investigations without delay. Dysphagia should be differentiated from the feeling of a lump in the pharyngeal region (globus sensation).
  • Globus sensation is a very common symptom, but when it is suspected the possibility of an organic disorder must be excluded first.
  • Dysphagia is an uncommon and serious symptom in comparison with other upper abdominal symptoms.
  • Dysphagia may also be a manifestation of a neurological condition, which usually would also have other symptoms.

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C15, Deglutition Disorders, Diverticulum, Diverticulum, Esophageal, Dysphagia, Esophageal Motility Disorders, Esophageal Neoplasms, Esophageal Perforation, Esophageal Stenosis, Esophagitis, Esophagitis, Peptic, Gastroenterology, Gastroesophageal Reflux, Gastroscopy, Globus, Heller's operation, K22.0, K22.2, K22.3, K22.4, K22.5, Manometry, Otorhinolaryngology, R13, Surgery, esophageal achalasia, esophageal carcinoma, esophageal dilatation, esophageal pH monitoring, swallowing pain