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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 likely to be other possible causes, so ask your doctor about your symptoms. 1  Habitual throat clearing. 2  Dry throat - see also causes of dry throat Anxiety. Smoking. 3  Enlarged tonsils.  Enlarged 1  adenoids. Upper respiratory tract infection. 2  Allergies. Acid reflux. 3  Postnasal drip. Tourette syndrome.