Morning Sore Throat: Causes, Allergies, and Remedies Explained - Otolaryngology

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Sore throat upon waking up?


Hello Doctor: Recently, I've been experiencing a sore throat every morning upon waking up, but it completely resolves after drinking water for about an hour.
I asked my husband, and he said he experiences the same thing—his sore throat lasts until around noon before improving.
Could this situation be due to the air conditioning in the room being too dry? How can I distinguish between allergies and a cold in this case? If it were a cold, the sore throat would typically persist and not just disappear after an hour, and would I need to see a doctor? If the sore throat only occurs upon waking and resolves completely after drinking water, it seems more like an allergy.
What can I do to improve this situation? Thank you.

Xiao Wen, 30~39 year old female. Ask Date: 2021/05/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: The symptoms do not seem to indicate an allergy or a cold.
Typically, a sore throat from a cold does not resolve within an hour.
If the sore throat occurs only upon waking, it may be related to snoring or mouth breathing during sleep, or it could be caused by dry air from air conditioning.
You can place a cup of water in the air-conditioned room or drink water after waking up.
If discomfort persists, it is advisable to seek medical evaluation.
Wishing you safety and health.
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/05/13

More Info


Morning sore throat can be a common issue, especially when waking up, and it can be attributed to several factors, including environmental conditions, allergies, and underlying health issues. Based on your description, it seems that your sore throat resolves after drinking water, which suggests that dryness may be a significant factor.


Possible Causes of Morning Sore Throat
1. Dry Air: If you are using air conditioning at night, it can lead to dry air in your bedroom. Dry air can irritate the throat, leading to soreness upon waking. This is particularly common in the summer months or in climates where air conditioning is frequently used.

2. Allergies: Allergens such as dust mites, pet dander, or pollen can trigger allergic reactions, including throat irritation. If you notice that your symptoms improve when you are away from your home or after drinking water, it may indicate an allergic response.

3. Postnasal Drip: If you have allergies or a sinus issue, mucus can drip down the back of your throat while you sleep, causing irritation and soreness. This can also lead to a sore throat that feels worse in the morning.

4. Infections: While you mentioned that your sore throat resolves quickly, it's important to note that viral infections like the common cold can cause temporary throat pain. However, these typically come with other symptoms such as a runny nose, cough, or fever.


Differentiating Between Allergies and a Cold
- Duration: Allergies can cause persistent symptoms that last as long as you are exposed to the allergen, while a cold usually lasts about a week.

- Symptoms: Allergies often come with itchy eyes, sneezing, and a runny nose, while a cold may include body aches, fatigue, and fever.

- Response to Antihistamines: If you take an antihistamine and notice an improvement in your symptoms, it is likely that allergies are the cause.


Remedies and Improvements
1. Humidifier: Consider using a humidifier in your bedroom to add moisture to the air, especially if you are using air conditioning. This can help alleviate dryness in your throat.

2. Stay Hydrated: Continue drinking water upon waking and throughout the day to keep your throat moist.

3. Allergy Management: If you suspect allergies, consider consulting with an allergist. They may recommend allergy testing and appropriate treatments, such as antihistamines or nasal sprays.

4. Avoid Irritants: Try to minimize exposure to potential allergens in your home, such as dust and pet dander. Regular cleaning and using hypoallergenic bedding can help.

5. Consult a Doctor: If your sore throat persists or worsens, or if you develop additional symptoms like fever or difficulty swallowing, it is advisable to see a healthcare provider. They can evaluate your symptoms and determine if further treatment is necessary.

In summary, your morning sore throat is likely related to dry air or allergies, especially since it resolves after drinking water. Implementing some of the suggested remedies may help alleviate your symptoms. If you have concerns or if symptoms persist, seeking medical advice is always a good step.

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