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Globus (Throat-Tightness) Treatment in Manitoba

That persistent feeling of a lump, tightness or fullness in your throat — when every scope and scan comes back clear — is called globus. It's real, it's common, and it responds to the same brain-gut approach used for IBS.

What is globus?

Globus is a disorder of gut-brain interaction (DGBI) — specifically a functional esophageal disorder in the Rome IV classification. There is no tumour and no structural blockage; instead, the nerves of the throat and upper gut become hypersensitive, so normal sensations are amplified into a constant lump-like feeling. Stress and heightened nervous-system arousal typically make it worse.

Why your tests are normal

ENT exams, scopes and imaging look for structural disease. Globus is a disorder of signalling and sensitivity, not structure — so a clear scope does not mean nothing is wrong. It means the problem lives in the brain-throat-gut axis, which is exactly where effective treatment is aimed.

How brain-gut therapy helps

Gut-directed hypnotherapy, cognitive behavioural therapy (CBT) and acceptance and commitment therapy (ACT) calm the oversensitive nerve signalling and the stress-arousal cycle that keeps globus going. By retraining how the brain processes throat and upper-gut sensations, many people experience meaningful, lasting relief — without medication.

What treatment looks like

A brief, structured course of virtual sessions with a specialised brain-gut psychotherapist, with symptom tracking so your plan adjusts to your progress. Self-referrals welcome; our care team responds within two business days.

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Virtual care across Manitoba · Self-referrals welcome · Response within 2 business days

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Frequently asked questions

Is globus dangerous?
Globus is a benign functional condition. That said, persistent or new throat symptoms should always be assessed by a physician first to rule out other causes.
Do I need a referral?
No. We accept self-referrals from anywhere in Manitoba, as well as physician referrals.
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