A feeling of a lump in the throat is one of the commonest symptoms that is seen by ENT specialists. It may be associated with incessant throat clearing, excessive mucus in the throat (or a feeling of excessive mucus in the throat) or hoarseness. Laryngopharyngeal reflux remains a common cause of a feeling of a lump in the throat. A feeling of a lump in the throat may be also due to globus pharyngeus which is a condition where something is felt in the throat even though there isn’t something physically there. Globus pharyngeus is, however, a diagnosis of exclusion i.e. this diagnosis can only be arrived at when all other possible causes of the symptom have been excluded.
A detailed history of your symptoms is required. A careful examination of your neck, mouth and back of your throat is also necessary. Almost inevitably a camera examination (flexible nasoendoscopy) of the voice box and other parts of the throat (not easily seen by a simple look at your throat) will be needed to arrive at a diagnosis. Very few people may need further investigations e.g. a scan or an x-ray.