Chronic Throat Phlegm: Causes, Symptoms, and Remedies

Chronic sputum production?

I have had clear, colorless phlegm in my throat for several years, and it's difficult to cough it all out.
If I force myself to expel it completely, I usually end up with a sore throat the next day, followed by cold symptoms (pharyngitis leading to fever).
When I sing, my falsetto often breaks, and if I try to reach higher notes, it's hard to control the pitch, and the tone becomes strange.
I start from falsetto and gradually sing down to the lower notes in one breath, but there is a noticeable break between the falsetto and the chest voice, like this: (9 represents high notes, 1 represents low notes) 9 8 7 6 3 2 1.
Occasionally, the phlegm that gets stuck in my throat disappears on its own, and then singing feels very natural.
However, a few hours later, the phlegm returns.
I have never smoked and do not enjoy spicy foods, but when I do eat something spicy, the pain usually starts in my throat before it reaches my tongue.
I would like to ask the doctor: 1.
Is there something unusual growing in my throat? 2.
I usually drink plenty of water; are there other ways to care for my throat? Thank you.

Fii, 10~19 year old female. Ask Date: 2016/10/11

Dr. Ji Zhaoyun reply Otolaryngology

Dear Mr.
Fii,
The situation you described may be indicative of chronic pharyngitis.
I recommend seeking medical attention for a laryngoscopy to rule out any masses or unusual growths, as well as considering pharmacological treatment.
In addition to medication, please observe the following lifestyle recommendations: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Regarding your voice issues, there are numerous potential causes, including laryngitis, vocal cord edema, vocal cord nodules, and poor vocal cord function.
It is advisable to visit an otolaryngologist for an endoscopic examination to determine the exact cause.
For daily care, please follow these guidelines:
1.
Rest your voice and try to avoid producing breathy sounds, shouting, or high-pitched noises.
Ensure you get plenty of rest and stay hydrated.
2.
Do not smoke.
3.
Avoid coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can aid in symptom improvement.
Wishing you safety and good health.
Sincerely,
Dr.
Chi Chao-Yun
Director, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2016/10/11

More Info

Chronic throat phlegm can be a frustrating and uncomfortable condition, especially when it interferes with daily activities like singing or speaking. Based on your description, it sounds like you are experiencing persistent clear phlegm in your throat, which can lead to throat pain and even respiratory infections like pharyngitis. Let’s explore the potential causes, symptoms, and remedies for this condition.

Causes of Chronic Throat Phlegm
1. Post-Nasal Drip: One of the most common causes of chronic throat phlegm is post-nasal drip, where mucus from the nasal passages drips down the back of the throat. This can be triggered by allergies, sinus infections, or even environmental irritants.

2. Allergies: Allergic reactions to dust, pollen, pet dander, or mold can lead to increased mucus production, causing phlegm to accumulate in the throat.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the throat and lead to the production of excess mucus as the body attempts to protect the throat lining.

4. Chronic Respiratory Conditions: Conditions such as asthma or chronic bronchitis can also cause persistent phlegm due to inflammation and irritation of the airways.

5. Infections: Recurrent infections, whether viral or bacterial, can lead to chronic phlegm production. This includes conditions like chronic sinusitis or recurrent throat infections.

6. Environmental Factors: Exposure to smoke, pollution, or dry air can irritate the throat and lead to increased mucus production.

Symptoms
The symptoms you described, such as difficulty in clearing phlegm, throat pain, and changes in your singing voice, are common in individuals with chronic throat phlegm. Other symptoms may include:
- A persistent cough
- A sensation of something stuck in the throat
- Hoarseness or changes in voice quality
- Throat irritation or soreness
- Increased mucus production, especially in the morning

Remedies and Management
1. Hydration: Drinking plenty of water is crucial. Staying hydrated helps thin the mucus, making it easier to expel. Aim for at least 8-10 glasses of water a day.

2. Steam Inhalation: Inhaling steam can help moisten the throat and loosen mucus. You can do this by taking a hot shower or using a humidifier in your room.

3. Saline Gargles: Gargling with warm salt water can soothe throat irritation and help clear mucus.

4. Avoid Irritants: Stay away from smoke, strong odors, and allergens that can exacerbate your symptoms. If you have allergies, consider using antihistamines as directed by your healthcare provider.

5. Dietary Adjustments: While you mentioned avoiding spicy foods, it may also be beneficial to limit dairy products, as they can sometimes thicken mucus for some individuals.

6. Voice Rest: If you are a singer, it’s important to rest your voice when you feel strain. Avoid talking loudly or for extended periods when experiencing throat discomfort.

7. Consult a Healthcare Provider: If symptoms persist, it’s essential to consult with a healthcare professional. They may recommend further evaluation, such as allergy testing or imaging studies, to rule out any underlying conditions.

Addressing Your Concerns
1. Presence of Abnormal Growths: While it’s understandable to worry about the presence of abnormal growths in the throat, chronic phlegm is often due to the causes mentioned above. However, if you have concerns about unusual symptoms or changes in your throat, it’s best to consult an ENT specialist for a thorough examination.

2. Throat Care: In addition to hydration, consider using throat lozenges or sprays that contain soothing ingredients. Regularly practicing good vocal hygiene, such as warming up your voice before singing, can also help maintain vocal health.

In conclusion, chronic throat phlegm can stem from various causes, and managing it often requires a multifaceted approach. By staying hydrated, avoiding irritants, and seeking medical advice when necessary, you can help alleviate your symptoms and improve your throat health.

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