This page was printed from the Northern & Eastern Devon Formulary and Referral site at
Please ensure you are using the current version of this document
To distinguish between globus pharyngeus and significant throat pathology.
Symptoms suggesting benign globus pharyngeus:
On physical examination does the patient have:
If the patient has any of the following refer as Head and Neck 2 week wait:
On the day emergency advice/admission should be sought if the patient presents with:
Of note, a recent multicentre, double blind, randomised, placebo controlled trial has demonstrated that PPIs offered no symptomatic benefit over matched placebo for patients with persistent throat symptoms.
If symptoms are no better in 6 weeks after watchful waiting +/-alginate or new symptoms are presented, consider a referral to ENT.
e-Referral Service Selection
This guideline has been developed by Royal Devon and Exeter Healthcare Foundation Trust based on local guidelines.
This guideline has been signed off by the Northern Locality on behalf of NHS Devon CCG.
Publication date: November 2017
Updated: September 2021