[Dysphagia] globus sensation only following sneezing

[speechhuffman at nc.rr.com (Julie Speech)]

Without knowing anything else about his history, some of the main causes for 
globus might include elevated UES pressure, edema, esophageal stricture or 
dysmotility, UES fibrosis, LPR, Zenker?s diverticulum, cervical osteophytes, 
lingual tonsil hypertrophy, sinonasal disease, physiologic obstruction, 
GERD.  Obviously some of these would have been ruled out during MBS and 
direct laryngoscopy.  It may very well be related to GERD as upper 
respiratory symptoms (including sneezing) have been associated with reflux. 
A sneeze involves lots of muscles including abdominal, diaphragm, laryngeal, 
etc.  He may benefit from a GI consult.
See:
Am. J. Respir. Crit. Care Med., Volume 164, Number 1, July 2001, 72-76
Prevalence of Upper Respiratory Symptoms in Patients with Symptomatic 
Gastroesophageal Reflux Disease
Julie


n----- Original Message ----- 
From: <mbrueckner@zoomtown.com>
To: <dysphagia@b9.com>
Sent: Saturday, September 16, 2006 2:53 AM
Subject: [Dysphagia] globus sensation only following sneezing


>I saw a patient this week and would like some input.
>
> He is a 37 yo male with the complaint of a lump in the left side of his 
> throat when swallowing after he sneezes.  This has been going on for the 
> past 4 months.  He states that the this feeling does not occur with 
> swallowing solids or liquids and takes 30 minutes to cease.  PMH is 
> unremarkable.  He quit smoking in January and saw an ENT who referred 
> patient for an MBS.  Laryngeal exam by ENT revealed normal findings.  MBS 
> results were normal (inlcuded esophageal screen with solid and liquid 
> bolus).  I even tried to bring about the globus sensation by trying to 
> elicit sneezing (we had the patient sniff pepper).  Any thoughts?
>
> Michelle
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia