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The biggest cause, however, for the throat lump, and for the sensation that something is stuck there, is ANXIETY â including anxiety over bulbar-onset ALS. Anxiety begets the lumpy feeling in the throat. This is why, in many novels, for example, a character whoâs nervous is described as feeling âa lump in her throat.â.
There are 2 ways that anxiety can cause a burning throat: 1  acid reflux â you produce more stomach acid than normal when youâre anxious. 2  hypersensitivity â when youâre anxious for long periods of time a large amount of adrenaline builds up in your system, causing hypersensitivity throughout your body.