Excessive Thirst and Thick Phlegm in Allergic Rhinitis - Otolaryngology

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Phlegm issues with thick mucus and symptoms of thirst?


Hello doctor, I have a problem with nasal allergies and recently I've been experiencing sudden intense thirst at times.
No matter how much water I drink, the feeling doesn't improve, but after a while, I suddenly expel a thick mucus.
Once I expel that thick mucus, the feeling of thirst disappears.
Is this related to my nasal allergies? Additionally, I don't have any other mucus or nasal discharge issues throughout the day, except for that thick mucus.
Thank you!

vivian, 30~39 year old female. Ask Date: 2020/12/10

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you continue to have thick phlegm, it may be related to a bacterial infection, such as sinusitis.
If it does not improve, it is advisable to seek medical evaluation for confirmation.
Wishing you safety and health! Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/12/10

More Info


Excessive thirst and the production of thick phlegm can indeed be related to allergic rhinitis, although the connection may not be immediately apparent. Allergic rhinitis, commonly known as hay fever, is an allergic reaction that occurs when your immune system overreacts to allergens in the air, such as pollen, dust mites, or pet dander. This condition can lead to various symptoms, including nasal congestion, sneezing, itchy eyes, and postnasal drip, which can contribute to the sensation of excessive thirst and thick phlegm.

When you experience nasal congestion due to allergic rhinitis, your body produces more mucus to help trap and eliminate allergens. This increased mucus production can lead to postnasal drip, where mucus drips down the back of your throat. The irritation caused by this mucus can stimulate your throat and lead to a sensation of dryness or excessive thirst. You might feel the need to drink more fluids to alleviate this dryness, but if the underlying issue of mucus production is not addressed, you may find that your thirst remains unquenched.

The thick phlegm you describe could be a result of the body's response to the allergens. When the mucus becomes thick and viscous, it can be more challenging to expel, leading to the sensation of needing to cough or clear your throat. Once you manage to expel this thick phlegm, you may notice a temporary relief from the feeling of thirst, as the irritation in your throat is alleviated.

It's also worth noting that dehydration can exacerbate the symptoms of allergic rhinitis. If you are not drinking enough fluids, your body may produce thicker mucus, which can lead to a cycle of increased thirst and difficulty clearing mucus. Additionally, certain medications used to treat allergic rhinitis, such as antihistamines, can have drying effects, which may further contribute to feelings of thirst and thick mucus.

To manage these symptoms effectively, consider the following strategies:
1. Stay Hydrated: Ensure you are drinking enough fluids throughout the day. Water is the best option, but herbal teas or broths can also help keep you hydrated.

2. Use a Humidifier: Adding moisture to the air can help thin mucus and alleviate dryness in your throat and nasal passages.

3. Nasal Irrigation: Using saline nasal sprays or performing nasal irrigation with a neti pot can help clear out allergens and excess mucus from your nasal passages.

4. Consult with a Healthcare Provider: If your symptoms persist or worsen, it is essential to consult with an allergist or an ear, nose, and throat (ENT) specialist. They can help identify specific allergens and recommend appropriate treatments, such as antihistamines, nasal corticosteroids, or other therapies.

5. Monitor Your Environment: Pay attention to potential allergens in your environment and try to minimize exposure. This may include keeping windows closed during high pollen seasons, using air purifiers, and regularly cleaning your living space.

In summary, the excessive thirst and thick phlegm you are experiencing can indeed be linked to your allergic rhinitis. By addressing the underlying causes and managing your symptoms, you can find relief and improve your overall quality of life. If you have further concerns or if your symptoms change, seeking medical advice is always a prudent step.

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