{"id":9219,"date":"2020-07-03T14:00:39","date_gmt":"2020-07-03T21:00:39","guid":{"rendered":"https:\/\/www.everywomanover29.com\/blog\/?p=9219"},"modified":"2020-07-03T23:11:11","modified_gmt":"2020-07-04T06:11:11","slug":"anxiety-and-globus-pharyngeus-lump-in-the-throat-gaba-to-the-rescue","status":"publish","type":"post","link":"https:\/\/www.everywomanover29.com\/blog\/anxiety-and-globus-pharyngeus-lump-in-the-throat-gaba-to-the-rescue\/","title":{"rendered":"Anxiety and globus pharyngeus (lump in the throat): GABA to the rescue?"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-9220\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2020\/07\/globus-pharyngeus-gaba.png\" alt=\"globus pharyngeus and gaba\" width=\"940\" height=\"492\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2020\/07\/globus-pharyngeus-gaba.png 940w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2020\/07\/globus-pharyngeus-gaba-300x157.png 300w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2020\/07\/globus-pharyngeus-gaba-768x402.png 768w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2020\/07\/globus-pharyngeus-gaba-610x319.png 610w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>Low levels of GABA, a calming neurotransmitter can lead to anxiety, fears and panic attacks. With low GABA, the anxiety is a physical kind of anxiety with muscle tension or muscle spasms.\u00a0 Today you\u2019ll read how low GABA may be one possible root cause of globus pharyngeus, which you may have experienced as a rather scary golf-ball-like lump or constriction in the throat.<\/p>\n<p>Let me describe globus pharyngeus and then I\u2019ll share my story with globus pharyngeus, why low GABA may be a factor (and supplemental sublingual GABA to the rescue) and other possible root causes that should be considered.<\/p>\n<p>This 2015 paper, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4582871\/\" target=\"_blank\" rel=\"noopener noreferrer\">Globus pharyngeus: an update for general practice<\/a>, defines it as follows:<\/p>\n<blockquote><p>Globus pharyngeus or globus sensation is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling.<\/p><\/blockquote>\n<p>Globus means globe or sphere and it can actually feel like you have a golf-ball sized object in your throat.<\/p>\n<p>You may have experienced it without even knowing the medical name. Only a few of my clients and those in my community have ever heard the term. I also only learned about the name many years after my episode.<\/p>\n<p>What is very surprising is that, according to the above paper, up to 45% of the population have experienced it.<\/p>\n<h2>My story with globus pharyngeus<\/h2>\n<p>I\u2019m one of the 45% and for me it was a terrifying experience.\u00a0 As you may know, I experienced anxiety, PMS, fears and panic attacks in my late 30s and early 40s (it\u2019s why I do this work).<\/p>\n<p>Fortunately I only had one episode. It truly felt like I had a golf-ball in my throat and was horrifying. I knew I needed to swallow so I could get rid of this obstruction but at the same time I was terrified to swallow in case it got stuck and choked and killed me.<\/p>\n<p>I remember going to the mirror to try and see this golf-ball sized object in my throat. I was so surprised that I couldn\u2019t see anything.<\/p>\n<p>Looking back, I suspect the addition of <a href=\"https:\/\/www.everywomanover29.com\/blog\/source-natural-gaba-calm-anxiety\/\" target=\"_blank\" rel=\"noopener noreferrer\">GABA Calm<\/a>\u00a0to my protocol prevented further episodes. I was also using progesterone cream at the time and this promotes GABA production too.<\/p>\n<p>I\u2019ve had many clients report that looking back they also realized their episodes stopped once they addressed their low GABA levels.<\/p>\n<p>I was also under a great deal of stress at the time: work stress (long hours and my adrenals were a mess) and physical stress (due to amalgam removal, gluten issues, perimenopausal changes and much more).<\/p>\n<h2>Globus pharyngeus and GABA<\/h2>\n<p>The fact that the <a href=\"https:\/\/www.mayoclinic.org\/parts-of-the-throat-pharynx\/img-20005644\" target=\"_blank\" rel=\"noopener noreferrer\">throat or pharynx<\/a>\u00a0\u201c<em>is a muscular tube that runs from the back of your nose down into your neck<\/em>\u201d is one reason for considering a muscle spasm and low GABA as a root cause.<\/p>\n<p>The amino acid GABA, when used sublingually, eases muscle spasms within 15 seconds to 2 minutes. Some examples where we see this:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.everywomanover29.com\/blog\/gaba-physical-tension-stiff-tense-muscles-type-anxiety\/\" target=\"_blank\" rel=\"noopener noreferrer\">Physical tension with anxiety<\/a><\/li>\n<li><a href=\"https:\/\/www.everywomanover29.com\/blog\/how-gaba-eases-agonizing-rectal-pain-spasms\/\" target=\"_blank\" rel=\"noopener noreferrer\">Rectal spasms or proctalgia fugax<\/a><\/li>\n<li><a href=\"https:\/\/www.everywomanover29.com\/blog\/vagus-nerve-rehab-gaba\/\" target=\"_blank\" rel=\"noopener noreferrer\">Throat spasms caused by vagus nerve issues<\/a><\/li>\n<\/ul>\n<p>If you\u2019re in the midst of an episode it\u2019s impossible to open a capsule of GABA into your mouth. Until a client knows how much they can tolerate we start with 100-125 mg and increased based on the trial.\u00a0 Taking the powder and dabbing it with a wet finger and putting the finger to the inside cheek a few times is the best way for quick relief.<\/p>\n<p>A product that is GABA-only in a capsule such as Enzymatic Therapy GABA or ProThera 500mg GABA are my choices for in-the moment relief (more on these <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-pyroluria-supplements\/\" target=\"_blank\" rel=\"noopener noreferrer\">in my supplement store here<\/a>).<\/p>\n<p><a href=\"https:\/\/www.everywomanover29.com\/blog\/source-natural-gaba-calm-anxiety\/\" target=\"_blank\" rel=\"noopener noreferrer\">Source Naturals GABA Calm<\/a>\u00a0is my most popular GABA product and is my choice for everyday use.<\/p>\n<p>Of course, I recommend this approach to doing nothing. The authors state: \u201c<em>simple reassurance may be all that is required<\/em>\u201d or \u201c<em>Advise patients to resist the urge to dry swallow.<\/em>\u201d We can do better.<\/p>\n<p>Once your GABA levels are sufficient, it\u2019s less likely to happen unless you\u2019re under a great deal of stress and\/or there are psychological factors at play:<\/p>\n<blockquote><p>There is increased reporting of stressful life events prior to development of symptoms and research suggests that as many as 96% of patients with globus sensation report an exacerbation of symptoms during times of emotional intensity.<\/p><\/blockquote>\n<p>During times of added stress, folks may experience other \u201c<em>physical symptoms such as palpitations, poor sleep, and feelings of panic.<\/em>\u201d<\/p>\n<h2>Other root causes and possible solutions<\/h2>\n<p>The above paper does also list other root causes and solutions that would need to be investigated if GABA doesn\u2019t help or possibly in conjunction with GABA support: tonsil issues, hiatus hernia, reflux in 23 -68% of individuals (I would look for the root cause rather than using a proton pump inhibitor\/PPI), sinusitis, post-nasal drip, goitre, an actual foreign body, high consumption of alcohol\/caffeine\/tobacco and cancer (which they state is rare).<\/p>\n<p>Interestingly, speech and language therapy has been shown to improve globus pharyngeus in two studies, possibly due to the reassurance experienced.<\/p>\n<p>The paper concludes as follows:<\/p>\n<blockquote><p>Finally the link between anxiety and globus sensation must be considered. Evidence supports the use of cognitive behavioural therapy, but very little evidence exists for the use of anxiolytics or antidepressants.<\/p><\/blockquote>\n<p>I\u2019ll add to this: the link between low GABA and globus sensation must also be considered, especially if you experience the physical type of low GABA anxiety. GABA to the rescue!<\/p>\n<p>Based on the research, low serotonin, vagus nerve function, thyroid health and h\/pylori may also be factors. I suspect food sensitivities play a role. And pyroluria too, because of the additional loss of zinc and vitamin B6 which is needed for GABA production. I\u2019ll leave all this for a follow-up blog.<\/p>\n<p>Have you experienced a globus sensation episode? And what did it feel like?<\/p>\n<p>Did you get a diagnosis or is the term new to you?<\/p>\n<p>Has GABA helped &#8230; in the moment or if you look back on your use of GABA for anxiety?<\/p>\n<p>Did you discover other root causes and solutions? Please do share.<\/p>\n<p>Please share if\u00a0 you have pyroluria and your episodes were triggered by a very stressful event<\/p>\n<p>And feel free to post your questions.<\/p>\n<p>If you\u2019re a practitioner I\u2019d love to hear your feedback too.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Low levels of GABA, a calming neurotransmitter can lead to anxiety, fears and panic attacks. With low GABA, the anxiety is a physical kind of anxiety with muscle tension or muscle spasms.\u00a0 Today you\u2019ll read how low GABA may be one possible root cause of globus pharyngeus, which you may have experienced as a rather [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9220,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[303,1172,663],"tags":[46,1884,1883,1880,59,842,1877,1881,1878,124,1879,1882,770],"class_list":["post-9219","post","type-post","status-publish","format-standard","has-post-thumbnail","category-amino-acids-2","category-anxiety","category-gaba","tag-anxiety","tag-choked","tag-choking","tag-constriction-in-the-throat","tag-gaba","tag-gaba-calm","tag-globus-pharyngeus","tag-golf-ball","tag-lump-in-the-throat","tag-panic-attack","tag-spasm","tag-swallow","tag-vagus-nerve","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anxiety and globus pharyngeus (lump in the throat): GABA to the rescue? - everywomanover29 blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.everywomanover29.com\/blog\/anxiety-and-globus-pharyngeus-lump-in-the-throat-gaba-to-the-rescue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anxiety and globus pharyngeus (lump in the throat): GABA to the rescue? - everywomanover29 blog\" \/>\n<meta property=\"og:description\" content=\"Low levels of GABA, a calming neurotransmitter can lead to anxiety, fears and panic attacks. 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