Lump in throat feeling on and off. after laying down i get what feels like painful throat spasms. have reflux at times, post nasal drip is bad and fm.

Doctor can examine: New throat symptoms can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants. Usually, a person sees the doctor if the sore throat is bothersome, recurrent, or doesn't go away quickly (mainly to look for strep). An older adult with a "lump" sensation needs an in-person exam and follow-up.