ENT Insights and Blogs

Globus is the sensation of a lump or tightness in the throat with no actual obstruction Laryngopharyngeal reflux (LPR) is a common cause — and many patients have no heartburn at all This post explains why throat symptoms can occur without classic reflux signs Diagnosis and management options are outlined Laryngopharyngeal reflux causes inflammation of the throat and voice box, producing the characteristic sensation of a lump or tightness — even in patients who have no heartbu

Laryngopharyngeal reflux — where stomach contents reach the throat and voice box — frequently occurs without heartburn, which is why it is so often missed or misdiagnosed. The characteristic symptoms are throat clearing, chronic cough, globus sensation, and hoarseness rather than the burning chest discomfort of typical gastro-oesophageal reflux, and treatment requires both dietary modification and acid suppression over a sustained period.

Neurolaryngology is the subspecialty concerned with voice and swallowing disorders caused by neurological conditions — including vocal cord paralysis, spasmodic dysphonia, vocal tremor, and voice changes associated with Parkinson's disease or stroke. Accurate diagnosis requires direct visualisation of the vocal cords alongside a detailed assessment of the underlying neurological condition, and treatment is highly individualised.