Persistent Throat Phlegm: Causes and Solutions for Relief

Q: Persistent Throat Phlegm: Causes and Solutions for Relief

Hello： The symptoms do indeed resemble chronic pharyngitis, which is associated with gastroesophageal reflux, post-nasal drip from allergic rhinitis, and smoking. <br>In addition to medication to control gastroesophageal reflux and allergies, it is also recommended to quit smokin

Persistent phlegm in the throat?

Hello Doctor, I have recently been experiencing a sensation of phlegm in my throat for about two weeks.
I'm not sure if it's post-nasal drip, but I feel the need to clear my throat or spit it out to feel more comfortable.
It often feels like I'm reabsorbing phlegm that I need to expel, but it quickly returns, and I notice that the phlegm is quite thick.
I only have a few coughs, and I haven't had a cold, fever, or sore throat.
I also seem to have increased saliva production.
A few months ago, I underwent an endoscopy and was diagnosed with gastroesophageal reflux disease (GERD) and esophagitis.
I've been on medication for gastric ulcers for over three months.
Additionally, I have a history of severe nasal allergies and I smoke.
Could this be a case of pharyngitis? Is it possible that this is related to a lung issue? Please help clarify, thank you!

mmyy, 30~39 year old female. Ask Date: 2016/04/13

Dr. Zheng Jueyi reply Otolaryngology

Hello: The symptoms do indeed resemble chronic pharyngitis, which is associated with gastroesophageal reflux, post-nasal drip from allergic rhinitis, and smoking.
In addition to medication to control gastroesophageal reflux and allergies, it is also recommended to quit smoking and to be mindful of dietary choices by avoiding spicy foods, sweets, and caffeinated beverages.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/13

More Info

Persistent throat phlegm can be quite bothersome, and your symptoms suggest a few possible underlying causes. Given your history of gastroesophageal reflux disease (GERD), nasal allergies, and smoking, it’s essential to consider how these factors might be contributing to your current condition.

Possible Causes
1. Post-Nasal Drip: This is one of the most common causes of persistent throat phlegm. When you have nasal allergies, mucus production increases, and this excess mucus can drip down the back of your throat, leading to a sensation of needing to clear your throat frequently. This can happen even if you don’t have a cold or flu.

2. Gastroesophageal Reflux Disease (GERD): Since you have a history of GERD, it’s possible that stomach acid is irritating your throat, leading to increased mucus production as a protective response. This can also cause a sensation of a lump in the throat or the need to clear your throat often.

3. Chronic Bronchitis or Lung Issues: While you mentioned that you don’t have a cough or fever, chronic bronchitis can cause mucus production without significant coughing. Smoking can exacerbate this condition, leading to increased mucus in the airways.

4. Throat Irritation: Smoking can irritate the throat and airways, leading to increased mucus production. Additionally, environmental factors such as dry air or exposure to pollutants can contribute to throat irritation and phlegm.

Solutions for Relief
1. Hydration: Staying well-hydrated can help thin the mucus, making it easier to clear. Aim to drink plenty of water throughout the day.

2. Humidifier: Using a humidifier in your home can add moisture to the air, which may help soothe your throat and reduce mucus production.

3. Nasal Irrigation: Consider using a saline nasal spray or a neti pot to help clear out excess mucus from your nasal passages. This can alleviate post-nasal drip.

4. Avoid Irritants: If you smoke, consider reducing or quitting, as smoking can significantly worsen throat irritation and mucus production. Additionally, try to avoid other irritants such as strong odors, dust, and allergens.

5. Medications: Over-the-counter antihistamines can help reduce mucus production if allergies are a contributing factor. If GERD is suspected to be a significant cause, discussing your current medication with your doctor may be beneficial, as they might adjust your treatment plan.

6. Consult a Specialist: If your symptoms persist or worsen, it may be wise to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend further tests to rule out any underlying conditions.

Conclusion
Persistent throat phlegm can stem from various causes, including post-nasal drip, GERD, chronic bronchitis, or throat irritation due to smoking. Addressing lifestyle factors, staying hydrated, and possibly using medications can provide relief. However, if symptoms continue, seeking medical advice is crucial to ensure proper diagnosis and treatment. Remember, managing underlying conditions like GERD and allergies is essential for long-term relief.

Similar Q&A

Persistent Throat Mucus: Causes and Effective Treatment Options

Hello, doctor: I have been experiencing phlegm in my throat for a long time, especially after consuming sweet or spicy foods, or sometimes for no apparent reason. I usually take a herbal remedy called Qili San, but it hasn't been very effective. What treatment options are av...

Dr. Zhou Ziguang reply Pulmonology
Hello: Persistent phlegm in the throat can sometimes be due to chronic bronchitis, but it may also be caused by post-nasal drip. Certain irritating foods may increase mucus production. For throat issues, you can consult an otolaryngologist.

Managing Persistent Phlegm: Solutions for Throat Discomfort

Hello, doctor. I am a high school freshman, and I often experience excessive phlegm that I have been unable to improve. I have tried seeing doctors and taking medication, but as soon as I stop taking the medication, the symptoms return. When I have a lot of phlegm, it often gets ...

Dr. Cai Zhenggu reply Otolaryngology
Hello Miss Xiao Li: Based on the symptoms you described, your condition is consistent with post-nasal drip, which means mucus is flowing back into your throat, causing discomfort. I recommend that you drink plenty of water and consider coming to our ENT department for steam thera...

Persistent Phlegm in Throat: Causes and Solutions Explained

Dear Doctor: I have had phlegm in my throat for many years, and seeing doctors hasn't helped. Some doctors have suctioned the phlegm during the visit, but it returns shortly after. The doctors haven't explained why this happens. Additionally, I experience nasal congesti...

Dr. Xu Yingzhuo reply Otolaryngology
There are many reasons for persistent phlegm in the throat, and the first step is to determine the source of the phlegm. The throat serves as a crossroads, connecting the nasal cavity and oral cavity above, and the esophagus and lungs below. Therefore, any issue in these areas ca...

Effective Remedies for Persistent Phlegm in the Throat

It has been ten days since last week, and my throat initially felt very dry. Later, I developed persistent phlegm, which has been inconvenient, but I do not have any other cold symptoms. What can I do to treat the phlegm issue?

Dr. Zhao Chongliang reply Internal Medicine
The initial thirst may indicate a mild cold, followed by increased phlegm as a response of the immune system to an upper respiratory tract infection. If you smoke, it is advisable to quit. If the phlegm is yellowish-white and not thick, increasing water intake can help reduce thr...