Treatment of secondary globus is lesion specific.  In primary Globus Pharyngus, patient reassurance is essential.  Medical therapy revolves around decrease of acid production (PPI).  This treatment is usually given in a twice a day dose over a period of three months followed by review.  Other medication effecting the motility of the swallowing mechanism can be given.  Librax can be added as it has a dual function of being a mild angiolytic and also decreasing spasm of the smooth swallowing muscles.  Speech therapy is important to aid swallowing and in voice rehabilitation.  Diet and behavioural modification with weight loss is also useful together with avoiding caffeine, smoking and alcohol.