Dry Throat: Allergies or Something Else? - Otolaryngology

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My throat is very dry?


Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient.
I would like to request your assistance.
For the past two or three days, I have been waking up with a very dry throat, feeling as if it is being constricted, and I constantly feel the need to drink water.
I also feel a slight stickiness at the back of my nose, but it is not enough to blow my nose.
The edges of my tongue have some indentations.
I would like to know if this is an allergic reaction.
Can I take antihistamines?

22, 20~29 year old female. Ask Date: 2020/05/08

Dr. Zheng Jueyi reply Otolaryngology


Hello: A dry throat may be related to mouth breathing during sleep, such as snoring, or gastroesophageal reflux.
If there are no obvious symptoms like frequent sneezing or a runny nose, it may not necessarily be an allergic reaction.
Taking antihistamines could potentially lead to increased dryness.
It is recommended to drink more water and pay attention to your diet.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/05/08

More Info


Dry throat can be an uncomfortable and concerning symptom, especially when it persists over several days. Based on your description, it seems you are experiencing a combination of symptoms that could be attributed to several factors, including allergies, environmental conditions, or even underlying health issues.

Firstly, the sensation of a dry throat upon waking, along with a feeling of tightness, is often associated with several common causes. One possibility is allergic rhinitis, which occurs when allergens such as pollen, dust mites, or pet dander trigger an immune response. This can lead to post-nasal drip, where mucus accumulates in the back of the throat, causing irritation and dryness. The "sticky" feeling you mentioned in your nasal passages could also indicate that mucus is present but not flowing freely, which is common in allergic reactions.

Another potential cause could be environmental factors. If you are in a dry climate or using heating or air conditioning, these can significantly lower humidity levels, leading to dryness in the throat and nasal passages. Additionally, dehydration can exacerbate these symptoms, so it’s important to ensure you are drinking enough fluids throughout the day.

The presence of teeth marks on the edges of your tongue, known as scalloping, can sometimes indicate dehydration or a swollen tongue, which may be related to allergic reactions or other systemic issues. It’s essential to consider your overall hydration status and any other symptoms you may be experiencing.

Regarding the use of antihistamines, they can be effective in treating symptoms associated with allergies, such as nasal congestion, sneezing, and itchy or watery eyes. However, antihistamines can also have a drying effect on mucous membranes, which may not be ideal if your primary symptom is a dry throat. If you decide to take an antihistamine, consider using a second-generation antihistamine (like loratadine or cetirizine) as they tend to have fewer sedative effects and are less likely to cause significant dryness compared to first-generation antihistamines (like diphenhydramine).

If your symptoms persist or worsen, it is advisable to consult a healthcare professional. They can provide a thorough evaluation and may recommend allergy testing or other diagnostic measures to determine the underlying cause of your symptoms. Additionally, they can suggest appropriate treatments, which may include nasal saline sprays, humidifiers, or prescription medications if allergies are confirmed.

In summary, while your symptoms could be indicative of allergies, they may also stem from environmental factors or dehydration. Antihistamines may help, but be cautious of their drying effects. Staying hydrated and possibly using a humidifier could alleviate some discomfort. If symptoms persist, seek medical advice for a comprehensive evaluation and tailored treatment plan.

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