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Clinical picture

The patient complains of a continual or intermittent sensation of a lump or tightness of the throat. Whereas such symptoms associated with malignancy or obstruction of the gullet will always be accompanied by difficulty in swallowing, it is characteristic of benign globus that the symptom actually improves while the patient is eating and drinking, and re-establishes itself again afterwards. It is further distinguished from organic obstruction of the swallowing passage by the absence of any loss of weight. The patients are generally otherwise quite well, although they may be extremely anxious because of their symptoms.