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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.
Here are some of the possible causes of a scratchy throat: 1  Common cold or flu (influenza) 2  Bacterial or viral tonsillitis/pharyngitis (tonsillopharyngitis) or laryngitis. 3  Allergies. 4  Gastroesophageal reflux disease (acid reflux) 5  Excessive talking or shouting. 6  Mouth breathing for long periods. 7  Postnasal drip. 8  Snoring.