Can Acid Reflux Cause Throat Irritation? Your Symptoms

Gastroesophageal reflux-related issues?

In November 2020, I underwent an endoscopy which revealed mild gastroesophageal reflux disease (GERD) with some erosion in the stomach.
Recently, I have been experiencing an itchy throat, but I eat normally and do not have a strong urge to cough.
I usually drink a cup of American coffee every day.
I would like to ask the doctor if gastroesophageal reflux can cause throat itching.
Additionally, due to the current pandemic, it is inconvenient to see a doctor.
If the itching is indeed caused by GERD, will it resolve on its own? Thank you for your guidance.

Junwei, 30~39 year old female. Ask Date: 2021/05/24

Dr. Zhang Kebin reply Gastroenterology and Hepatology

Dear Mr.
Jun-Wei,
In November 2020, you underwent an upper gastrointestinal endoscopy which revealed mild gastroesophageal reflux disease (GERD) with some mucosal erosion in the stomach.
Recently, you have experienced a scratchy throat, but you are eating normally and do not have a strong urge to cough.
You also mentioned that you drink a cup of American coffee daily.
You are inquiring whether gastroesophageal reflux could be a cause of your throat irritation and whether it can resolve on its own.
The typical symptoms of GERD include acid regurgitation and heartburn, but atypical symptoms can also include throat irritation.
Given your coffee consumption, it is indeed possible that your symptoms are related to GERD.

I recommend trying to eliminate coffee from your diet and adopting smaller, more frequent meals to reduce gastric pressure.
Additionally, avoid lying down immediately after eating.
These changes may help alleviate your symptoms.
However, it is advisable to consult a qualified healthcare provider or a gastroenterologist for a thorough evaluation and personalized advice.
Thank you for your inquiry!

Reply Date: 2021/05/24

More Info

Acid reflux, also known as gastroesophageal reflux disease (GERD), can indeed cause throat irritation and a variety of other symptoms. When stomach acid flows back into the esophagus, it can lead to inflammation and irritation of the throat, resulting in sensations such as itchiness, discomfort, or a scratchy feeling. This occurs because the lining of the throat is sensitive to acidic substances, and when exposed to them, it can become inflamed.

In your case, since you have a history of mild acid reflux as indicated by your endoscopy in November 2020, it is plausible that your current throat irritation could be related to this condition. The symptoms you describe, such as throat itchiness without significant coughing or difficulty swallowing, are consistent with what many patients experience when they have acid reflux. The acid can irritate the throat and larynx, leading to symptoms that may not always be accompanied by the classic signs of reflux, such as heartburn.

The consumption of coffee, particularly in large amounts, can exacerbate acid reflux symptoms for some individuals. Caffeine is known to relax the lower esophageal sphincter, which can allow more acid to escape from the stomach into the esophagus. If you notice that your throat irritation worsens after consuming coffee or other acidic foods and beverages, it might be worth considering reducing your intake to see if your symptoms improve.

As for whether your throat irritation will resolve on its own, it can depend on several factors, including the severity of your acid reflux and any lifestyle changes you may implement. Many individuals find that their symptoms improve with dietary modifications, weight management, and avoiding triggers such as spicy foods, caffeine, and alcohol. Additionally, over-the-counter medications like antacids or proton pump inhibitors can help reduce stomach acid production and alleviate symptoms.

However, if your throat irritation persists or worsens, it is essential to seek medical advice, especially since you mentioned that it has been challenging to see a doctor due to the pandemic. While many symptoms of acid reflux can improve with self-care measures, persistent symptoms may require further evaluation and treatment. In some cases, chronic acid reflux can lead to complications, such as esophagitis or Barrett's esophagus, so it is crucial to monitor your symptoms closely.

In summary, yes, acid reflux can cause throat irritation, and your symptoms may be related to your existing condition. Lifestyle changes and over-the-counter medications may help alleviate your symptoms, but if they persist, it is advisable to consult a healthcare professional for a thorough evaluation and tailored treatment plan.

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