Gastroesophageal Reflux Disease And The Sensation Of A Lump In The Throat

Patients suffering from gastroesophageal reflux disease (GERD) may experience a sensation of having a foreign object lodged in their throat. This condition occurs when stomach contents, including acidic or alkaline substances, flow back into the esophagus, leading to irritation and erosion of the lower esophagus. This backward flow can irritate the throat, causing chronic pharyngitis and producing a feeling that something is stuck in the throat—something that cannot be easily coughed up or swallowed down.

The key approach in managing this symptom involves anti-reflux therapy. Improving gastrointestinal motility is essential and can be achieved through medications such as Domperidone, Trimebutine Maleate, or Mosapride Citrate. If acid reflux is present, acid-suppressing drugs like proton pump inhibitors (PPIs) are often prescribed. For alkaline reflux, bile-binding agents may be added to help reduce symptoms.

Because GERD often involves damage to the lining of the lower esophagus, healing typically takes time—usually around two months. After this initial treatment period, continued reliance on acid suppression alone is not always recommended. Instead, therapy should be adjusted based on ongoing symptoms to avoid potential side effects from long-term PPI use.

In traditional Chinese medicine, the sensation of a lump in the throat is referred to as "plum pit qi" (Mei He Qi), and treatment focuses on soothing the liver, regulating qi, and harmonizing the stomach to relieve upward regurgitation. Herbal remedies such as Weisu Granules, Xiaoyao Granules, Shugan Granules, Qizhi Weiteng Granules, and Bilin Weitong Granules have shown positive results in alleviating these symptoms naturally.

Combining both Western and Eastern approaches may provide a more comprehensive strategy for managing GERD-related throat discomfort. Addressing lifestyle factors such as diet, weight management, and eating habits can further support long-term relief and prevent recurrence.