Throat Dryness: Are Throat Lozenges the Cause? - Otolaryngology

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Sore throat, eat throat lozenges?


Hello Doctor: Last week I had tonsillitis, but this week I have recovered; my throat is neither swollen nor painful.
Sometimes when my throat feels dry, I take throat lozenges, but after consuming them, my tongue becomes very coated and feels drier.
Is this because I am still recovering from my illness, or could it be an allergic reaction to the ingredients in the lozenges? Here are the ingredients of the lozenges: Menthol 7.5 mg, beta carotene, eucalyptus oil, flavors, glucose syrup, honey, soy lecithin, sucralose, sucrose, water.

Yo, 20~29 year old female. Ask Date: 2020/04/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: The menthol in throat lozenges may trigger gastroesophageal reflux, or the overly cooling ingredients may irritate the throat.
If you feel uncomfortable, it is recommended to drink plenty of water.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/26

More Info


Throat dryness can be a common issue, especially after experiencing conditions like tonsillitis. It’s understandable that you are concerned about the potential causes of your throat dryness and the effects of throat lozenges. Let’s break down the situation.

Firstly, it’s important to recognize that throat dryness can stem from various factors. After an infection such as tonsillitis, the throat may still be recovering, leading to lingering symptoms like dryness. This is often due to inflammation and irritation that can persist even after the acute phase of the illness has resolved. Additionally, environmental factors such as dry air, especially in winter months or in air-conditioned spaces, can exacerbate throat dryness.

Regarding the use of throat lozenges, they are commonly used to soothe throat discomfort and can provide temporary relief from dryness. However, the ingredients in the lozenges you mentioned—menthol, eucalyptus oil, glucose syrup, honey, and others—can have varying effects on individuals. Menthol and eucalyptus oil are known for their cooling and soothing properties, but they can also cause a sensation of dryness in some people, particularly if used excessively.
The thickening of your tongue (舌苔) after consuming the lozenges could be attributed to several factors. One possibility is that the sugars and syrups in the lozenges may promote a thicker coating on the tongue, especially if you are not drinking enough water. Additionally, if you are experiencing dryness, your body may be producing less saliva, which can lead to a thicker appearance of the tongue.
It’s also worth considering whether you might have a sensitivity or mild allergic reaction to one of the ingredients in the lozenges. While it’s not common, some individuals may react to certain flavorings or additives, leading to symptoms like dryness or irritation.
If you find that your throat remains dry despite using lozenges, or if you experience other symptoms such as increased irritation, it may be beneficial to consult with a healthcare professional. They can help determine whether your symptoms are a continuation of your previous illness or if they are related to the lozenges or other factors.

In the meantime, consider the following tips to alleviate throat dryness:
1. Stay Hydrated: Drink plenty of water throughout the day to keep your throat moist and support overall hydration.

2. Humidify Your Environment: Using a humidifier can help add moisture to the air, which can be particularly beneficial in dry climates or during winter months.

3. Limit Irritants: Avoid smoking and exposure to secondhand smoke, as well as other irritants like strong perfumes or cleaning products.

4. Choose Sugar-Free Lozenges: If you continue to use throat lozenges, consider opting for sugar-free varieties to reduce the risk of thickening on the tongue.

5. Monitor Your Symptoms: Keep track of any changes in your throat condition and how it correlates with the use of lozenges or other factors.

In summary, while throat lozenges can provide temporary relief, they may also contribute to a sensation of dryness in some individuals. If your symptoms persist or worsen, it’s advisable to seek medical advice for a thorough evaluation and tailored recommendations.

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