Functional Swallowing Symptoms and Globus: Recovery Pages

Eleven original entries, eleven detailed pages. Both the initial list at a67567b and the pre-expansion baseline at 74138f3 contain eleven entries. The earlier audit incorrectly reported ten; the corrected history map preserves every entry. These are treatment, assessment and care components, not eleven independently proven therapies.

Start with the safety plan

Dysphagia is swallowing difficulty; globus is usually a lump sensation between swallows. Neither the term FND nor a reassuring test is a reason to overlook changed symptoms. Use the symptom overview and flare guidance and your assessed swallowing plan before food, drink or posture practice. There is no generic food challenge in this collection.

Detailed pages

1. Understanding Your Swallowing Assessment and Plan — When uncertainty about the diagnosis or safe eating is making every meal feel like a test. [Professional consensus; diagnostic explanation and continuing care]
2. Comfortable Breathing and Supported Positioning for Meals — When assessment identifies bracing, awkward seating or excess effort around a meal. [Professional consensus and general dysphagia guidance; individual positioning required]
3. Reducing Extra Jaw, Neck and Throat Effort — When a clinician identifies excess muscle effort or bracing that contributes to discomfort. [Professional consensus; manual techniques require trained assessment]
4. Practising With Assessed Food Textures and Amounts — When the swallowing team has identified a safe starting intake and a reason to practise a specific change. [Professional consensus and dysphagia safety guidance; no universal texture ladder]
5. Making Meals More Manageable in Different Settings — When a safe intake is established but pressure, sensory load or unfamiliar settings restrict participation. [Professional consensus; individualized participation planning]
6. Stepping Back From Repeated Throat Checking — When assessment suggests repeated test swallows or throat checking are adding irritation or symptom focus. [Professional consensus; applies only to unnecessary checking, not protective swallowing]
7. Using a Gentle External Focus During Assessed Practice — When a clinician finds that excessive conscious monitoring interferes with an otherwise assessed swallowing task. [Professional consensus; external focus does not establish airway safety]
8. Working With Fear of Choking Without Pressure — When fear or vigilance is restricting eating after safety has been assessed, including after a frightening event. [Professional consensus; preliminary formulation-based evidence, not a universal exposure protocol]
9. Treating Other Conditions That Make Swallowing Harder — When dryness, pain, dental, reflux, gastrointestinal, neurological or other problems may be adding to symptoms. [Coordinated clinical care; treatment follows the identified condition]
10. A Prescriber-Led Medication Discussion for Assessed Globus — Selected people with assessed globus for whom a prescriber judges a medication discussion appropriate. [Adjacent globus trial evidence; benefit for functional dysphagia is not established]
11. Reviewing Diet and Equipment Restrictions Together — When an existing restriction may no longer be needed, or its burden warrants reassessment. [Clinical and dysphagia guidance; safety and nutritional review before removal]

Evidence and continuing support

Most guidance comes from professional consensus. A six-client exemplar series offers an individualized framework, not controlled efficacy evidence. Medication research concerns adjacent esophageal disorders, with some support for globus but unconvincing evidence for functional dysphagia. Continuing nutrition, hydration, access and reassessment matter even when a technique is unhelpful. See each page for its full citations and limitations.

Research and Sources

• Baker J, Barnett C, Cavalli L, et al. Management of functional communication, swallowing, cough and related disorders: consensus recommendations for speech and language therapy. JNNP. 2021;92:1112–1125. FND-CIT-0025. Source. Professional consensus.
• Wang Z, Zheng Z, Wei X, et al. Efficacy of gut-brain neuromodulators in functional esophageal disorders: a systematic review. BMC Gastroenterology. 2026. FND-CIT-0042. Source. Adjacent globus evidence.
• American Speech-Language-Hearing Association. Adult Dysphagia. Practice Portal. Accessed September 18, 2026. FND-CIT-0115. Source. General safety guidance.
• Miles A, Baker J, Barker-Collo S, Leadley S. Functional dysphagia: Developing a framework for assessment and treatment. International Journal of Speech-Language Pathology. 2026;28:155–170. Online March 11, 2025. FND-CIT-0116. Source. Expert framework and six illustrative cases; not a controlled trial.