Find information on Globus Sensation diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about Globus Hystericus, Globus Pharyngeus, and related terms for accurate diagnosis coding and improved patient care. Explore symptoms, causes, and treatment options for Globus Sensation, along with relevant ICD-10 codes like R45.0 and differential diagnoses. This comprehensive guide helps healthcare professionals document and code Globus Sensation effectively.
Also known as
Globus hystericus
Sensation of a lump or foreign body in the throat.
Somatization disorder
Multiple, recurring, and clinically significant somatic complaints.
Symptoms and signs involving appearance and behavior
Abnormal findings related to appearance or behavior, not elsewhere classified.
When to use each related code
| Description |
|---|
| Globus sensation (lump in throat) |
| Functional dyspepsia |
| Zenker's diverticulum |
Q: What are the most effective differential diagnosis strategies for Globus Sensation when other organic causes have been ruled out?
A: When organic pathologies like esophageal motility disorders, reflux, or structural abnormalities have been excluded, the differential diagnosis of Globus Sensation shifts towards functional and psychological factors. Consider implementing a structured approach that begins with a detailed patient history encompassing symptoms like anxiety, depression, stress, and somatization disorders. Explore how psychological factors, such as suppressed emotions or unresolved emotional conflicts, may be contributing to the perceived sensation. Further evaluation may include validated questionnaires like the Hamilton Anxiety Rating Scale or Beck Depression Inventory to assess psychological comorbidities. If psychological factors are suspected, a collaborative approach with mental health professionals can be beneficial. Learn more about the interplay between psychological well-being and Globus Sensation to optimize patient management strategies.
Q: How can I reassure and effectively manage a patient presenting with Globus Pharyngeus who has significant anxiety related to the symptom despite negative diagnostic findings?
A: Reassuring a patient with Globus Pharyngeus and anxiety after negative diagnostic tests requires a compassionate and evidence-based approach. Begin by acknowledging their discomfort and validating their concerns. Clearly communicate that Globus Pharyngeus is a benign condition and often related to heightened muscle tension in the throat, sometimes exacerbated by stress or anxiety. Consider implementing relaxation techniques like diaphragmatic breathing or mindfulness exercises. Explore how cognitive behavioral therapy (CBT) can help patients manage anxiety and reduce symptom awareness. Educate the patient about the mind-body connection and the impact of stress on physical sensations. Providing reassurance and demonstrating empathy can build trust and facilitate better symptom management. Learn more about patient-centered communication strategies for effectively managing functional disorders.
Patient presents with complaints consistent with globus sensation, described as a persistent feeling of a lump or foreign body in the throat, sometimes referred to as globus pharyngeus or globus hystericus. The patient denies dysphagia, odynophagia, or any difficulty swallowing solids or liquids. Onset of symptoms is reported as [Onset - gradual/sudden], and the patient notes [Duration of symptoms]. The sensation is described as [Character of sensation - intermittent/constant, mild/moderate/severe], and is [Aggravating/Alleviating factors - e.g., worsened by stress, improved with swallowing]. Review of systems is negative for significant weight loss, reflux symptoms, voice changes, or neck mass. Physical examination, including assessment of the oral cavity, pharynx, and larynx, reveals no abnormalities. No signs of inflammation, erythema, or lesions are observed. The patient's voice is clear, and cranial nerve examination is within normal limits. Differential diagnosis includes esophageal motility disorders, GERD, anxiety disorders, and psychogenic causes. Given the absence of physical findings and concerning symptoms, the diagnosis of globus sensation is suspected. Plan includes reassurance and education regarding the benign nature of this condition. Management may include stress reduction techniques and cognitive behavioral therapy if deemed appropriate. Patient will be monitored for any changes in symptoms and further evaluation will be considered if symptoms worsen or new symptoms develop. Follow-up is scheduled in [Timeframe]. ICD-10 code R45.0, globus pharyngeus, is considered.