Functional globus is a feeling of something in the throat that cannot be explained after exclusion of other causes. Criteria for its diagnosis were provided by the Rome II conference.
Globus is an intermittent or persistent sensation in the throat that may be described as:
(1) tightness
(2) something being stuck
(3) a lump or knot
(4) a foreign body
(5) choking
(6) constriction
Criteria for the diagnosis of functional globus - all of the following:
(1) A duration of symptoms >= 12 cumulative weeks over the past 12 months (may or may not be consecutive).
(2) The sensation is experienced between meals (when not eating or not drinking).
(3) Exclusion of other causes following a complete examination.
Exclusions:
(1) dysphagia
(2) odynophagia
(3) pathologic gastroesophageal reflux
(4) achalasia
(5) other esophageal motility disorder with recognized pathologic basis
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