Hi and thanks for the query.
I agree with your doctor. Globus hystericus is caused by anxiety and anxiety also aggravates acid reflux.
However, before any conclusions are drawn, there are a few tests that should be done. A barium swallow to see if this is actually globus or is there an actual lump in the throat and an upper GI endoscopy and 24 hour pH monitoring for the reflux.
For globus hystericus, the treatment is with annxiolytics. They improve the globus as well as reduce anxiety related reflux. And along with that a proton pump inhibitor like Omeprazole 20 mg twice a day should be started.
Seeing a Gastroenterologist and an ENT specialist will be the best course of action, and you can ask your PCP for these referrals.
Mean while, I would suggest that you keep your mind off the swallowing and avoid very cold and very hot beverages as they induce pharyngeal muscle spasms leading to globus. Hot beverages also aggravate reflux.
Avoid alcohol, smoked, salted, barbecued and salted foods specially at dinner time.
Do not over fill your stomach at one point in time, eat smaller portions, chew them well. You can eat more frequently instead.
Sleep with a head up tilt of about 30-45 degrees using a wedge pillow for the purpose.
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