Feeling a round lump in your throat when swallowing, along with pain and poor digestion, can be distressing and may have several underlying causes that need proper evaluation.

1. Possible Causes of the Sensation and Symptoms

   • This sensation, often called globus sensation, can be caused by acid reflux irritating the throat, muscle tension, or inflammation in the esophagus. Poor digestion and pain may be related to acid reflux or other gastrointestinal issues.
   • Sometimes, infections or throat inflammation can also cause these symptoms.

2. Recommended Medical Evaluation

   • It is important to see an ENT (ear, nose, and throat) specialist or a gastroenterologist for a thorough examination.
   • They may recommend a throat examination, endoscopy, or tests to check for acid reflux or other digestive problems.

3. Medication Options

   • If acid reflux is diagnosed, doctors often prescribe acid reducers such as proton pump inhibitors (e.g., omeprazole) or H2 blockers to reduce stomach acid.
   • Pain relief suitable for throat discomfort can be recommended by your doctor.
   • Digestive aids may be prescribed if poor digestion is confirmed.
   • Antibiotics like Taxim-O 200 Tablet (containing Cefixime) are used only if a bacterial infection is diagnosed by a doctor and should not be taken without medical supervision.

4. Lifestyle and Dietary Modifications

   • Avoid spicy, acidic, or fatty foods that can worsen reflux.
   • Eat smaller, more frequent meals and avoid lying down immediately after eating.
   • Maintain good hydration and avoid smoking or alcohol.

5. When to Seek Urgent Care

   • If you experience difficulty swallowing, unintentional weight loss, persistent severe pain, or breathing difficulties, seek immediate medical attention.

Please consult an ENT specialist or gastroenterologist promptly to get an accurate diagnosis and appropriate treatment tailored to your symptoms.To narrow down potential causes, we will need some more information.I understand you're feeling discomfort. To assist you better, could you please share your age and gender?