Itchy Throat and Yellow Phlegm: Possible Causes and Solutions - Otolaryngology

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Sore throat + yellow phlegm?


Hello Doctor, I recently moved back to my parents' house and noticed that my throat has become very itchy.
When I wear a mask at home or when I'm outside, the itchy throat symptoms disappear.
Although they went away for a few days, they have returned recently, and now my throat not only feels itchy but also feels swollen, with a sensation of something sticky lodged in it.
When I cough forcefully, I produce yellow phlegm, but by the afternoon and evening, the yellow phlegm disappears, leaving only white, sticky phlegm.
I do not have a fever, sore throat, or runny nose.
Could you please tell me what might be causing this condition? Thank you!

Bian Bian, 20~29 year old female. Ask Date: 2021/01/23

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues that may be related to allergies, such as post-nasal drip, or chronic irritation from gastroesophageal reflux, can occur.
If symptoms persist and cause discomfort, it is advisable to consult an otolaryngologist for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/23

More Info


It sounds like you are experiencing symptoms that could be related to several potential causes, particularly given your recent move back to your parents' home. The combination of an itchy throat, a sensation of swelling, and the presence of yellow phlegm can be indicative of various conditions, including allergies, environmental irritants, or even a mild respiratory infection.


Possible Causes:
1. Allergic Reactions: Since you mentioned that your symptoms seem to improve when you wear a mask or are outside, it is possible that you are experiencing allergic reactions to something in your home environment. Common allergens include dust mites, pet dander, mold, or pollen. Allergies can cause an itchy throat and post-nasal drip, which may lead to the production of phlegm.

2. Environmental Irritants: If your parents' home has recently been cleaned or if there are any strong odors (like cleaning products, smoke, or perfumes), these could irritate your throat and respiratory system. This irritation can lead to increased mucus production, resulting in phlegm.

3. Infections: Although you do not have fever or significant throat pain, a mild viral infection could still be a possibility. Viral infections can cause symptoms like an itchy throat and phlegm production. The yellow color of your phlegm may indicate that your body is fighting off an infection, as yellow phlegm often contains immune cells that are working to clear out pathogens.

4. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can cause throat irritation and the sensation of something being stuck in your throat. This can also lead to increased mucus production and phlegm, particularly if you experience symptoms that worsen after eating or lying down.


Solutions and Recommendations:
1. Identify and Avoid Triggers: If allergies are suspected, try to identify potential triggers in your home. This could involve cleaning your living space to reduce dust and allergens, using air purifiers, or keeping windows closed during high pollen seasons.

2. Stay Hydrated: Drinking plenty of fluids can help thin mucus and soothe an itchy throat. Warm teas with honey can be particularly soothing.

3. Use Saline Nasal Sprays: Saline sprays can help moisten your nasal passages and reduce post-nasal drip, which may alleviate some of your symptoms.

4. Over-the-Counter Remedies: Antihistamines may be helpful if allergies are suspected. Decongestants can also help reduce mucus production. However, it is advisable to consult with a healthcare provider before starting any new medication.

5. Consult a Healthcare Professional: If your symptoms persist or worsen, it would be wise to consult a healthcare professional. They can provide a thorough examination and possibly recommend allergy testing or other diagnostic measures to determine the underlying cause of your symptoms.

In summary, your symptoms of an itchy throat and yellow phlegm could be due to allergies, environmental irritants, mild infections, or even GERD. Identifying potential triggers and taking steps to alleviate your symptoms can be beneficial. If the situation does not improve, seeking medical advice is essential for proper diagnosis and treatment.

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