Chronic Pharyngitis and Its Link to Dry Heaving: What You Should Know - Otolaryngology

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Chronic pharyngitis leads to dry retching?


Hello, Doctor: I was recently diagnosed with chronic pharyngitis.
Recently, I've been feeling the urge to gag when eating, but it mostly results in burping.
After burping, I feel a bit better.
I would like to ask if this is normal.

Yang, 20~29 year old female. Ask Date: 2019/02/16

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues that may be related to gastroesophageal reflux.
If symptoms persist without improvement, it is recommended to consult a gastroenterologist for an examination.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/02/16

More Info


Chronic pharyngitis is a condition characterized by the persistent inflammation of the pharynx, which can lead to a variety of symptoms, including a sore throat, difficulty swallowing, and a sensation of something being stuck in the throat. One of the less commonly discussed symptoms associated with chronic pharyngitis is the occurrence of dry heaving or the urge to gag without producing vomit. This can be particularly distressing for patients and may lead to concerns about the underlying causes.

The link between chronic pharyngitis and dry heaving can be attributed to several factors. First, the inflammation and irritation of the pharyngeal tissues can trigger a reflex response in the body. When the throat is inflamed, it can become hypersensitive, leading to a gag reflex that may not be associated with actual nausea or the presence of food in the stomach. This reflex can manifest as dry heaving, especially after eating or drinking, as the body reacts to the irritation in the throat.

Additionally, chronic pharyngitis can be associated with gastroesophageal reflux disease (GERD). In GERD, stomach acid flows back into the esophagus and can irritate the throat, leading to symptoms similar to those of chronic pharyngitis. The irritation caused by acid reflux can also trigger the gag reflex, resulting in dry heaving. If you find that your symptoms worsen after eating certain foods or lying down, it may be worth discussing the possibility of GERD with your healthcare provider.

Another consideration is the role of post-nasal drip, which often accompanies chronic pharyngitis. When mucus accumulates in the throat due to sinus issues or allergies, it can lead to irritation and a sensation of needing to clear the throat. This can also provoke dry heaving as the body attempts to expel the excess mucus.

It is important to note that while experiencing dry heaving in conjunction with chronic pharyngitis can be common, it is essential to monitor the frequency and severity of these episodes. If the dry heaving becomes persistent or is accompanied by other concerning symptoms, such as significant weight loss, difficulty swallowing, or blood in the vomit, it is crucial to seek medical attention. These could be signs of a more serious underlying condition that requires further evaluation.

In managing chronic pharyngitis and its associated symptoms, several strategies may be helpful. Staying well-hydrated can help soothe the throat and reduce irritation. Additionally, avoiding irritants such as smoke, strong odors, and allergens can help minimize symptoms. Over-the-counter medications, such as antihistamines or throat lozenges, may provide relief from throat irritation. If GERD is suspected, lifestyle modifications, including dietary changes and avoiding late-night meals, may also be beneficial.

In conclusion, while experiencing dry heaving in the context of chronic pharyngitis can be distressing, it is often related to the inflammation and irritation of the throat. Understanding the potential links between chronic pharyngitis, GERD, and post-nasal drip can help in managing symptoms effectively. If you have ongoing concerns or if your symptoms worsen, it is advisable to consult with a healthcare professional for a thorough evaluation and tailored treatment plan.

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