Throat Itching Near the Collarbone After a Cold - Pulmonology

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Itching in the lower throat area down to the clavicle region?


Hello, about 2.3 weeks ago, I had a cold with nasal congestion and runny nose, which then turned into an itchy sensation in the lower throat, approximately near the clavicle.
This feels different from my usual cold symptoms of sore throat and coughing up yellow phlegm.
I feel a sensation of discomfort and slight itchiness near the clavicle, and sometimes taking a deep breath provides some relief.
There is no significant cough or fever, but I occasionally cough up phlegm (clear or white).
I have already visited a nearby clinic twice and took the cough suppressant and expectorant prescribed by the doctor, but it hasn't significantly alleviated the itching sensation.
When I asked the doctor, they said it was bronchitis combined with cooler weather, which is causing a slower recovery.
I have never experienced this kind of itching in the throat near the clavicle during previous colds, and I'm unsure if I need to undergo more in-depth examinations.
Thank you, doctor.

Yi, 20~29 year old female. Ask Date: 2018/10/30

Dr. Zhou Ziguang reply Pulmonology


Hello: You can first visit an otolaryngologist to assess the situation and then discuss it with the physician.
(The otolaryngologist has a laryngoscope for examination.)

Reply Date: 2018/10/30

More Info


It sounds like you are experiencing a persistent itching sensation in the throat area near your collarbone following a cold, which has not responded well to typical treatments. This can be concerning, especially since it feels different from your usual cold symptoms. Let's break down what might be happening and what steps you can take.

Firstly, the sensation of itching or discomfort in the throat, particularly in the lower throat area near the collarbone, can be attributed to several factors. After a cold, it is common for the respiratory tract to remain sensitive and inflamed, even after other symptoms have resolved. This lingering irritation can lead to sensations such as itching, tightness, or discomfort. The fact that you mentioned a need to take deep breaths for relief suggests that there may be some residual inflammation or irritation in the airways.

The symptoms you describe, including the occasional clear or white phlegm, could indicate post-nasal drip, which is common after a cold. When mucus drips down the back of the throat, it can cause irritation and a sensation of itchiness or discomfort. This can be exacerbated by environmental factors such as dry air, especially during colder months when heating systems are in use.

Your doctor’s assessment of bronchitis or tracheitis (inflammation of the trachea) is plausible, especially if you are experiencing a cough and the sensation of something being "stuck" in your throat. The fact that you do not have a fever or significant cough is a good sign, but it does not rule out the possibility of a lingering infection or inflammation.

In terms of treatment, if over-the-counter cough suppressants and expectorants have not provided relief, you might consider other options. Here are a few suggestions:
1. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated can help thin mucus and soothe an irritated throat.

2. Humidification: Using a humidifier in your home can add moisture to the air, which may help alleviate throat irritation.

3. Warm Salt Water Gargle: Gargling with warm salt water can provide temporary relief for throat discomfort.

4. Avoid Irritants: Stay away from smoke, strong odors, and other environmental irritants that could exacerbate your symptoms.

5. Allergy Consideration: If you have a history of allergies, consider whether allergens could be contributing to your symptoms. Antihistamines may help if allergies are a factor.

Regarding further evaluation, if your symptoms persist beyond a few more weeks or worsen, it would be prudent to consult with an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, which may include a laryngoscopy to visualize the throat and assess for any underlying issues that may not be apparent in a standard examination.

In summary, while your symptoms may be a continuation of post-viral inflammation, ongoing discomfort warrants further investigation if it does not improve. Monitoring your symptoms and seeking specialized care if necessary will help ensure that any underlying issues are addressed appropriately.

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