Why Does Drinking Soy Milk Cause Sore Throat? Allergies Explained - Internal Medicine

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Sore throat after drinking soy milk?


I would like to ask why my throat hurts every time I drink soy milk.
Is it due to an allergy? I also experience pain when I drink unsweetened soy milk.

10, 20~29 year old female. Ask Date: 2017/08/09

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your question.
Soy milk is a mild beverage, but if you experience a sore throat while consuming it, please consider consulting an otolaryngologist to check for any mucosal damage.
After that, you may want to consider issues related to immune function or allergies.
The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.

Reply Date: 2017/08/09

More Info


Drinking soy milk can lead to a sore throat for several reasons, and it may not necessarily be due to an allergy. Here are some potential explanations for why you might experience discomfort after consuming soy milk:
1. Soy Protein Sensitivity: Some individuals may have a sensitivity to soy protein, which can manifest as throat irritation or discomfort. This is different from a full-blown allergy, which would typically involve more severe symptoms such as hives, swelling, or difficulty breathing. If you suspect that you might have a sensitivity, it may be worth consulting with a healthcare professional for further evaluation.

2. Histamine Release: Soy products can trigger the release of histamines in some individuals, leading to symptoms similar to an allergic reaction. This histamine response can cause inflammation and irritation in the throat, resulting in soreness. Even if you are consuming unsweetened soy milk, the histamine response can still occur.

3. Acidity and pH Levels: Soy milk, like many plant-based milks, can have a different pH level compared to cow's milk. If your throat is sensitive to acidic or alkaline substances, this change in pH could lead to irritation. Additionally, if you have a pre-existing condition such as acid reflux, consuming soy milk might exacerbate throat discomfort.

4. Additives and Preservatives: Some commercially available soy milk brands contain additives, preservatives, or flavorings that could irritate your throat. If you are consuming flavored soy milk or products with added ingredients, consider switching to a more natural or organic brand that contains fewer additives.

5. Temperature of the Soy Milk: If you are drinking soy milk at a very hot temperature, it could cause thermal irritation to your throat. Hot liquids can lead to a burning sensation or soreness, especially if consumed quickly.

6. Underlying Conditions: If you have allergies or sensitivities to other foods, it is possible that your throat discomfort is related to a broader issue. Conditions such as post-nasal drip, allergies to pollen or dust, or even a viral infection can cause throat irritation that may be exacerbated by consuming soy milk.

If you consistently experience a sore throat after drinking soy milk, it is advisable to keep a food diary to track your symptoms and any other foods you consume. This can help identify patterns and potential triggers. Additionally, consulting with an allergist or a healthcare provider can provide clarity on whether you have a soy allergy or sensitivity, and they may recommend allergy testing or dietary adjustments.

In summary, while soy milk is a nutritious alternative to dairy milk, it can cause throat discomfort for various reasons, including protein sensitivity, histamine release, pH levels, additives, temperature, or underlying health conditions. If the problem persists, seeking professional medical advice is the best course of action to ensure your health and well-being.

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