Why does my throat always hurt in the morning

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Continue Learning about Viral Throat Infections
21 Aug Do You Often Wake Up with a Sore Throat? It Could Be a Sign of Sleep Apnea?
In This Article
1. You've Got Allergies
2. It's an Environmental Irritant
3. It's Cold, Dry Air
4. You Have Acid Reflux
5. It's a Vocal Cord Injury
6. You Have a Deviated Septum
7. Serious Illnesses
How to Soothe a Sore Throat
When to Call the Doctor for a Sore Throat

You might have a sore throat in the morning because of the way you slept the night before. If your mouth was open for the majority of your sleep, then you breathed in the dry air that irritated your throat. You might want to keep the air in your home humidified to reduce the chances of waking up with a sore throat. Air pollution, allergies, and smoking can also contribute; you may wish to filter air coming in through vents or air conditioners, consider allergy medication, or quit smoking if you think these may be factors.

Continue Learning about Viral Throat Infections

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

21 Aug Do You Often Wake Up with a Sore Throat? It Could Be a Sign of Sleep Apnea?

Posted August 21, 2017 in Whats New

Sleep disorders can be very damaging to your health, because they often have significant effects on your body in the long-term without many easily identifiable symptoms in the short-term. In the case of sleep apnea, you may have some symptoms that are easy to attribute to other conditions, so you may struggle to get an accurate diagnosis that will facilitate the right treatment. When it is diagnosed, sleep apnea is very treatable with CPAP surgery, oral appliances, or surgery, so you should pay attention to the subtle signs that sleep apnea can bring about.

Sleep apnea and sore throat symptoms
If you have sleep apnea, you may feel a sore or scratchy throat in the morning when you wake up, because snoring irritates the throat. Snoring is a common trait of sleep apnea sufferers, and it may not be obvious to you while you sleep. However, it may be harder to ignore a sore, scratchy throat as well as hoarseness when you speak. If these symptoms are present each morning, sleep apnea is likely the culprit.

Other signs of sleep apnea
In addition to discomfort in the throat, sleep apnea can cause ongoing fatigue, irritability, muscle soreness, and memory problems. Over time, sleep apnea may lead to depression, weight gain, or anxiety as well as cardiovascular problems like high cholesterol and hypertension. That’s why it’s important to discuss your symptoms with your doctor and request a sleep study to receive an accurate diagnosis.

If you're waking up with a dry throat, the air in your home is probably to blame.

Image Credit: klebercordeiro/iStock/GettyImages

Often the culprit is post-nasal drip — thick, sticky mucus from the sinuses that drips down the back of the throat. It can be triggered by a number of different conditions, and may contain inflammatory components including white blood cells or bacteria that can irritate the throat, explains Omid Mehdizadeh, MD, an otolaryngologist and laryngologist at Providence St. John's Health Center in Santa Monica, California.

There are other possible offenders too. Here are some of the most common reasons why you're waking up with a sore throat and how to soothe the scratchiness. Plus, learn when throat discomfort warrants a call to the doctor.

1. You've Got Allergies

Though itching and sneezing might be the first symptoms you think of, seasonal allergies can also leave you with a sore, scratchy throat. Pollen, dust, mold or dander can trigger inflammation in the airways, causing throat discomfort, Dr. Mehdizadeh says.

Fix it: Pinpointing your allergy triggers and taking steps to reduce your exposure is a must for managing your symptoms, according to the American College of Allergy, Asthma & Immunology (ACAAI). Over-the-counter or prescription medications like antihistamines and some natural remedies can also provide relief.

2. It's an Environmental Irritant

You don't have to have allergies for stuff floating around in the air to give you a sore throat. Irritants like fumes or dust can also cause discomfort.

"They can incite an immunologic reaction in the nose and throat, which typically results in inflammation and increased mucus production," Dr. Mehdizadeh explains.

Fix it: Again, steering clear of the offending substances is your best strategy. Using an air filter can help outdoor gunk in the air from making its way into your home, and you can try other methods to improve indoor air quality.

If mold is an issue, run a dehumidifier to keep your indoor humidity below 50 percent, recommends the Cleveland Clinic.

3. It's Cold, Dry Air

Very chilly or parched conditions can trigger the body to ramp up mucus production in an attempt to keep your airways moist, Dr. Mehdizadeh says. And when that extra mucus starts to make its way down your throat, things can start to get uncomfortable. (It can make you stuffy and congested, too.)

Fix it: Add some moisture back into the air by running a humidifier. No need to turn your space into a steam bath, which can set the stage for mold. Just aim to keep your home's humidity level between 30 and 50 percent, the Cleveland Clinic recommends.

4. You Have Acid Reflux

Reflux can irritate your throat and cause soreness, hoarseness or a dry cough, according to the Cleveland Clinic. And because it tends to be worse at night, you might be more likely to notice the throat discomfort when you wake up in the morning.

Fix it: Managing your acid reflux will help ease your throat pain. Avoid foods that trigger your heartburn and try not to eat within three hours before going to bed.

When you do turn in for the night, elevate your head with an extra pillow, the Mayo Clinic recommends. And finally, ask your doctor about taking a heartburn medication if lifestyle changes aren't enough.

5. It's a Vocal Cord Injury

Gave a big speech or spent hours singing along at a concert? Using your voice for too long or too loudly can strain your vocal cords and temporarily cause them to become swollen and irritated, Dr. Mehdizadeh says. As a result, you might sound hoarse (or lose your voice completely) and have some throat pain.

Fix it: Give your vocal cords some TLC to help them heal.

"Voice rest, hydration, humidification, neck massage and avoiding throat clearing are the most effective ways to ease the discomfort and expedite the return of your voice," Dr. Mehdizadeh says.

6. You Have a Deviated Septum

Sometimes deviated septums — when the cartilage that separates the nostrils is pushed to one side — go completely unnoticed. But other times they can cause congestion and increased mucus production, which could potentially irritate your throat, Dr. Mehdizadeh says.

Deviated septums can also cause frequent headaches or facial pain, noisy breathing or nosebleeds, per the Cleveland Clinic.

Fix it: Tell your doctor if you think you have a deviated septum. If the condition is causing recurrent sinus and mucus problems, your doctor can refer you to an otolaryngologist to discuss possible treatment options.

7. Serious Illnesses

In rare cases, a persistent sore throat could be the sign of serious health problems such as throat cancer or HIV. Usually these problems are accompanied by other symptoms like trouble swallowing, a lump in the neck, bloody mucus or flu-like symptoms, according to the Mayo Clinic.

Fix it: See your doctor to discuss your symptoms. Treatment will depend on your diagnosis.

How to Soothe a Sore Throat

If it's not caused by a cold, a dry throat in the morning can usually be managed by addressing the underlying cause. But when you wake up and need sore throat relief ASAP, these steps can help:

Drink something warm. Warm liquids like tea with honey or broth can hydrate your throat and soothe the irritation.
Or try a cold treat. Popsicles or ice cream can have a numbing effect and take down some of the inflammation, notes the American Academy of Family Physicians.
Saltwater gargle. Mix 1/4 to 1/2 teaspoon of table salt into 4 to 8 ounces of warm water, recommends the Mayo Clinic. Gargle for a few seconds, then spit.
Suck on a lozenge or hard candy. Both can help coat and soothe your throat. Consider cough drops that contain the active ingredient cepacol, Dr. Mehdizadeh says.
Add some steam. If you don't have a humidifier, try running a hot shower with the door shut for a few minutes, the Mayo Clinic recommends.

When to Call the Doctor for a Sore Throat

A mild sore throat isn't usually cause for concern, and at-home measures should help you feel better within a few days. But if the throat discomfort lasts for more than five days, call your doctor, Dr. Mehdizadeh recommends.

The Mayo Clinic notes that you should also seek medical attention if your sore throat is accompanied by other symptoms like: