Hi I'm a diabetic and on metformin I thought to increase from 2 to 3 a day about 4 weeks ago and ever since then I woke up with this lump feeling in my throat and food gets stuck in it but it's not sore at all and I can drink hot beverages just fine no pain just annoying doctors have put me on omeprazole at the moment think it's globus doctors had a look at my throat no infections or anything
Hi, guest. Let's address some of your points:
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Metformin: Metformin is a common medication used to treat type 2 diabetes. Adjusting dosages should always be done under the supervision of a healthcare provider, as increasing the dose can affect blood sugar control and might result in side effects.
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Globus Sensation: The feeling of a "lump" in the throat without any actual lump being present is often referred to as globus sensation. It's not typically associated with difficulty swallowing food or liquids. While it's not usually painful, it can be very annoying, as you mentioned. Various factors can contribute to this sensation, including acid reflux, which might be why you were prescribed omeprazole (a medication that reduces stomach acid).
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Omeprazole: If your doctor prescribed omeprazole thinking that acid reflux might be causing or contributing to your symptoms, it's essential to take the medication as directed and discuss any changes in your symptoms with your doctor.
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Other Causes: Several other conditions can cause difficulty swallowing (dysphagia) or the sensation of food getting stuck. These include esophageal strictures, motility disorders of the esophagus, and other conditions. It's crucial to differentiate between a globus sensation and actual dysphagia.
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Follow-Up: Given that you're diabetic and you've adjusted your medication, it's vital to have regular follow-ups with your primary care provider or endocrinologist to ensure that your blood sugar is well-controlled and that you're not experiencing side effects from the medication. Regarding the throat issue, if the symptom persists or worsens, or if you're concerned, consider seeking further evaluation. This might involve seeing an ear, nose, and throat (ENT) specialist or undergoing additional tests such as an endoscopy.
Lastly, it's essential to keep open communication with your healthcare providers, informing them of all medication changes, symptoms, and concerns. They can provide guidance tailored to your specific situation. If at any point you feel uncertain about the advice or treatments you're receiving, consider seeking a second opinion.
I totally get where you're coming from. Sometimes it's better to take a step back than to risk making a situation worse. There's wisdom in knowing when to walk away or let things be. No shame in that. Take care!