Persistent Throat Issues: Causes and Solutions

My throat feels increasingly strange?

Hello Doctor: About 5 or 6 years ago, I started coughing frequently due to sensitivity to the air, which seemed to have caused some old injuries.
However, after visiting doctors for about 1 or 2 years, nothing was found.
Now, I generally feel fine, but I occasionally expel some reddish-yellow, clotted substances, while the usual discharge is just white mucus.
First, I want to ask if you have encountered such a case? My throat continues to produce mucus, and I'm unsure what it is.
I have suspected it might be nasal bleeding, but it doesn't seem like that.
What I mainly want to ask is that I have had severe morning breath upon waking up, often accompanied by a sore throat.
Usually, rinsing my mouth and drinking water helps, but it feels like bacteria from my mouth are traveling to my throat or vice versa.
This morning, in addition to the bad odor, I noticed a rough patch under my tongue, which came off when I rubbed my tongue.
Could it be that there are so many bacteria in my mouth that it's causing this patch? Could this be related to an immune system issue? Is it connected to the throat injury, or should I just consult a dentist?

Hóulóng bù xíng..., 10~19 year old female. Ask Date: 2022/06/02

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Based on your description, it seems to be symptoms of tonsil stones; however, this needs to be confirmed by an otolaryngologist.

2.
According to your description, I am unsure if you have diabetes or are using steroids, which could suggest a possible oral candidiasis infection.
It is indeed recommended to consult a dentist for confirmation.
Thank you for your inquiry.

Reply Date: 2022/06/02

More Info

Persistent throat issues can be quite bothersome and may stem from various underlying causes. Based on your description, it seems you have been experiencing throat discomfort, excessive mucus production, and oral hygiene issues for several years. Let's break down the potential causes and solutions for your symptoms.

Possible Causes
1. Chronic Postnasal Drip: Given your history of sensitivity to air and frequent coughing, it’s possible that you are experiencing chronic postnasal drip. This condition occurs when excess mucus accumulates in the back of the throat, often due to allergies, sinus infections, or irritants in the environment. The mucus can lead to a sensation of a lump in the throat and may cause coughing or throat clearing.

2. Gastroesophageal Reflux Disease (GERD): GERD can also contribute to throat discomfort and the sensation of a foreign body in the throat. Acid reflux can irritate the throat and lead to symptoms such as a sore throat, cough, and bad breath.

3. Oral Hygiene Issues: The presence of a rough patch under your tongue and persistent bad breath may indicate an overgrowth of bacteria or fungi in your mouth. Conditions like oral thrush (a fungal infection) or bacterial infections can lead to these symptoms. Poor oral hygiene can exacerbate these issues, leading to a cycle of discomfort.

4. Immune System Factors: If you suspect that your immune system might be compromised, it could lead to recurrent infections or an inability to clear bacteria effectively from your throat and mouth. Chronic inflammation or infections can also contribute to the symptoms you are experiencing.

5. Environmental Irritants: If you are sensitive to certain environmental factors, such as dust, smoke, or strong odors, these could be contributing to your throat issues. Continuous exposure to irritants can lead to chronic throat irritation and mucus production.

Recommended Solutions
1. Consult a Specialist: Given the complexity of your symptoms, it would be beneficial to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, including a laryngoscopy, to assess the condition of your throat and identify any underlying issues.

2. Improve Oral Hygiene: Maintaining good oral hygiene is crucial. Brush your teeth at least twice a day, floss daily, and consider using an antibacterial mouthwash. If you suspect a fungal infection, consult a dentist or an oral health specialist for appropriate treatment.

3. Stay Hydrated: Drinking plenty of water can help thin mucus and keep your throat moist. This can alleviate some discomfort and reduce the sensation of a lump in your throat.

4. Manage Allergies: If allergies are a contributing factor, consider using antihistamines or nasal corticosteroids to reduce inflammation and mucus production. Identifying and avoiding allergens can also help.

5. Dietary Adjustments: If you suspect GERD, dietary changes may be necessary. Avoiding spicy foods, caffeine, and acidic foods can help reduce reflux symptoms. Eating smaller, more frequent meals may also be beneficial.

6. Regular Check-ups: Regular visits to your healthcare provider can help monitor your symptoms and adjust treatment as necessary. If you have ongoing issues with your immune system, your doctor may recommend further testing or treatment options.

7. Consider Lifestyle Changes: Reducing exposure to environmental irritants, such as quitting smoking or avoiding secondhand smoke, can significantly improve throat health. Additionally, managing stress through mindfulness or relaxation techniques can also support overall health.

In summary, your persistent throat issues could be due to a combination of factors, including chronic postnasal drip, oral hygiene issues, and possibly GERD. Seeking professional medical advice is essential to accurately diagnose and effectively treat your symptoms. By improving your oral hygiene, managing allergies, and consulting with specialists, you can work towards alleviating your throat discomfort and improving your overall health.

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