### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a lump in my throat and it has been there for three years...I have Globus as well and it seems to come and go. I have been to an ent and they have looked in my throat and they see nothing ... I am worried because it feels like something is deffinately there but they don t seem to see it. I find a lot of mucas comes from that area...worried sick

### output:

Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-The lump on the throat with Mucous discharge seems to be with Acid reflux you have. Your query indicates this by the reflux mucous out pouring from the acid reflux, which needs to be treated.GOR-gastro-esophageal reflux, with reflex Hypertonicity of the UOS(Upper Esophageal Sphincter) is proved cause of the globes feeling in the throat, which hampers swallowing of the reflex mucous outpouring leading to excessive mucous discharge with it. There are many other causes as-retroverted epiglottis, or /hypo-pharyngeal cancer/or Remedy- -PPI (Proton-D)-for the HERD associated is commonly tried to rule out the HERD. Rigid Esophagoscopic examination would relieve by dilating the sphincters spasm. Reassurance- if associated with anxiety would relieve globes. Fiberoptic laryngoscopy orTNO-Trans-nasal esophagoscopy would rule out any growth besides other causes and would help in planning treatment of Globes clearly. Other factors related to stress/anxiety / and anatomical abnormalities and pharyngeal disutilities need to be ruled out. I would advise you to consult ER ENT Surgeon, who would differentiate from other possible causes for the lump in that area. As I don't have any direct photo of the lump / or not many details from you, I would advise you to consult surgeon. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS