Can globus sensation be seen on imaging?

Generally, globus pharyngeus cannot be directly observed on imaging scans. However, in specific cases, imaging may indirectly support the diagnosis by ruling out other conditions. The distinctions are as follows:

Globus pharyngeus is primarily characterized by a sensation of a lump or blockage in the throat, although structural abnormalities in the pharynx and esophagus are typically absent. Imaging scans are mainly used to detect morphological or structural abnormalities such as tumors or inflammatory lesions. Since globus pharyngeus is often related to psychological factors—such as anxiety or depression—that cause sensory disturbances, there are usually no structural changes visible on imaging. Therefore, it cannot be directly diagnosed through imaging. Clinically, imaging is first used to exclude organic diseases, followed by a comprehensive assessment based on symptom characteristics and psychological evaluation.

When experiencing a sensation of a foreign body in the throat, imaging and other tests should first be performed to rule out organic diseases and prevent missing serious underlying conditions. Maintain regular daily routines and avoid excessive stress or anxiety. Practice deep breathing, meditation, or other relaxation techniques to manage emotional symptoms. Eat a light diet, avoid spicy or irritating foods, chew food thoroughly, and eat slowly to minimize throat irritation. If symptoms persist or worsen, promptly seek a joint evaluation from psychiatrists and otolaryngologists. After a definitive diagnosis is established, targeted interventions should be implemented accordingly.