Feeling of a Lump in the Throat: Thoughts of a Radiologist
Author(s) -
G. M. Ardran
Publication year - 1982
Publication title -
journal of the royal society of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107688207500407
Subject(s) - throat , medicine , reflux , abnormality , swallowing , hernia , feeling , hiatal hernia , surgery , radiology , general surgery , psychology , social psychology , disease , psychiatry
Radiological examination of over 300 patients complaining of feeling a lump in the throat and difficulty in swallowing, but in whom there was no visible lump, showed that in most cases there was no significant abnormality above the thoracic inlet. Oesophageal examination revealed no abnormality in one-third; definite gastric reflux with or without hiatus hernia in one-third; and impaired clearance of fluid in the horizontal position in the remainder. Reflux and impaired clearance were either seen spontaneously or were induced after the ingestion of hydrochloric acid of the same pH as gastric juice.
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