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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.
Causes of a Scratchy Throat. Here are some of the possible causes of a scratchy throat: Common cold or flu (influenza) Bacterial or viral tonsillitis/pharyngitis (tonsillopharyngitis) or laryngitis; Allergies; Gastroesophageal reflux disease (acid reflux) Excessive talking or shouting; Mouth breathing for long periods; Postnasal drip; Snoring; Smoke inhalation including cigarette smoking; The treatment of a scratchy throat largely depends on the causes.