Lumpy feeling in throat relieved on taking food is attributed to?
**Core Concept**
The question is testing the understanding of globus pharyngeus, a condition characterized by a persistent sensation of a lump in the throat. This symptom is often associated with esophageal disorders, particularly those affecting the lower esophageal sphincter (LES).
**Why the Correct Answer is Right**
The sensation of a lump in the throat can be relieved by taking food due to the action of peristalsis, which is the coordinated muscular contractions of the esophagus that propel food bolus towards the stomach. The LES is a ring-like muscle that separates the esophagus and stomach. When food enters the esophagus, the LES relaxes to allow the food to pass into the stomach. This relaxation of the LES can provide temporary relief from the sensation of a lump in the throat.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not directly relate to the sensation of a lump in the throat or the relief provided by taking food.
**Option B:** This option is incorrect because it refers to a different condition, achalasia, which is characterized by difficulty swallowing and regurgitation of food, but does not typically provide relief with eating.
**Option C:** This option is incorrect because it refers to a different symptom, dysphagia, which is difficulty swallowing, but does not specifically describe the sensation of a lump in the throat.
**Clinical Pearl / High-Yield Fact**
A key clinical correlation is that patients with globus pharyngeus often report that taking food provides temporary relief from the sensation of a lump in the throat. This symptom can be a warning sign of underlying esophageal disorders.
**Correct Answer: D. Esophageal disorders affecting the lower esophageal sphincter (LES).**