Unexplained Throat Taste: Mucus-Like and Medicinal Flavors Explained - Otolaryngology

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When swallowing saliva, there is an unusual taste in the throat, resembling the taste of phlegm and also reminiscent of medication?


When swallowing saliva, there is an unusual taste in the throat, resembling the taste of phlegm or medication.
However, there are no symptoms of a cold, no phlegm, and no sensation of something being stuck.
Sometimes, swallowing saliva results in this taste, and the cause is unclear.

Amei, 40~49 year old female. Ask Date: 2020/10/07

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the conditions you mentioned could possibly be chronic pharyngitis, chronic tonsillitis, sinusitis, or bronchopulmonary lesions.
It is recommended to undergo a laryngoscopy to rule out any masses and to consider medication treatment.
If necessary, a consultation with a pulmonologist may also be required.
In addition to medication, please pay attention to the following daily living tips: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods.
Wishing you safety and good health.
Ministry of Health and Welfare Taichung Hospital.

Reply Date: 2020/10/07

More Info


Unexplained throat taste, particularly when described as having a mucus-like or medicinal flavor, can be perplexing and concerning. This phenomenon can arise from various underlying causes, and understanding these can help in addressing the issue effectively.

Firstly, it is essential to recognize that the sensation of taste and smell is closely linked. The taste buds on the tongue can detect basic tastes such as sweet, sour, salty, bitter, and umami, while the olfactory receptors in the nose contribute significantly to the perception of flavor. When there is a disruption in either of these systems, it can lead to unusual tastes or sensations in the throat.

One common cause of an unusual taste in the throat is post-nasal drip, which occurs when excess mucus accumulates in the nasal passages and drips down the back of the throat. This can happen due to allergies, sinus infections, or even environmental irritants. The mucus can carry a taste that might be described as medicinal or unpleasant, especially if it is mixed with other substances in the throat.

Another potential cause could be gastroesophageal reflux disease (GERD). In GERD, stomach acid flows back into the esophagus, which can lead to a sour or bitter taste in the mouth and throat. This reflux can also cause irritation and inflammation in the throat, contributing to the sensation of an unusual taste.

Certain medications can also lead to changes in taste perception. For instance, some antihistamines, antibiotics, and medications for high blood pressure can cause dry mouth or alter taste sensations, leading to a medicinal or unusual flavor in the throat. If you are taking any medications, it might be worth discussing this with your healthcare provider to see if they could be contributing to your symptoms.

Additionally, oral health issues such as gum disease, tooth decay, or infections can also lead to abnormal tastes. Bacteria in the mouth can produce substances that alter taste perception, and poor oral hygiene can exacerbate this issue. Regular dental check-ups can help identify and address any underlying oral health problems.

Lastly, psychological factors should not be overlooked. Stress and anxiety can manifest in various physical symptoms, including changes in taste perception. If there is no clear medical explanation for the unusual taste, it might be beneficial to explore any psychological factors that could be contributing to your symptoms.

In conclusion, the sensation of an unexplained throat taste that resembles mucus or medicinal flavors can stem from various causes, including post-nasal drip, GERD, medication side effects, oral health issues, and psychological factors. If this sensation persists or is accompanied by other symptoms, it is advisable to consult with a healthcare professional, such as an ear, nose, and throat (ENT) specialist, who can conduct a thorough evaluation and recommend appropriate treatment options. Maintaining good oral hygiene, managing allergies or reflux, and discussing any medications with your doctor can also help alleviate this unusual taste sensation.

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