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Hi and i know the feeling ! My troubles started approx 10 mths ago, Ive had 2 times scope with different doctors as after the first test i still had the choking sensation and desperatley wanted a second opinion. I have reflux and have tried all remedies so far, from slippery elm and apple cider vinegar, licorice, peppermints etc.... and then the medical remedies such as somac, nexium, gaviscon , all without any positive outcome. The PPI's setteled the reflux somewhat but the globus sensation has never gone away. I have tried a gluten free & Lactose free diet for 6 months , and also not much of a difference, to be honest i have not had a single day relief from the choking sensation. The swallowing got to the point that i panicked on and off and even spent some days at the ER. I have had a BA Swallow done last week and everthing has come back perfectly normal. It was only yesterday that i have had a consult with my doc and have finally received information how to handle and treat this condition. He has given me a light anti deppresant to treat the muscle and nervs in the oseaphagus. This has been explained to me. Globus sensation is actually a nerv in the muscle which misfires to the stomach, it sends out signals to "cramp" up the oesophagus and it pushes the acid upwards instead of downwards, which makes alot of sense. At night time while asleep the acid can be pushed up to the back of the throat and actually cause some damage in that region, when i awake in the mornings i have an immediate lump in the throat and thought it had something to do with pressure, but its the acid that has built up overnight and even feels like a gurgling crackling sensation at times, this is the gas which gets pushed up with the acid. My doc recommends to take a quarter of the anti depress ONLY at night time to relax the muscle and nerv and he a pretty convinced that this will help after a short time , at least to minimise the constant swallowing and choking sensation. Sure i still need to watch my diet and take somac to reduce the reflux. Due to swallowing more frequently the globus sensation gets more severe, my advise is to try and not swallow too much , i know it sounds easy , but with a little praxis it really works, I have promised to share this experience once i have found a solution or remedie which could make living with it easier , as i have suffered so much with this reflux and hope i can help anyone with this information. Sorry for the long story i hope this helps
thanks for reading
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