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Why does my throat hurt more at night?
nursingbug posted:
I am in the middle of what I assume is a cold/allergy issue, my nose is slightly stuffy, but the real issue is my throat- at night it is really raw, very painful to swallow, After I have been up an hour or so it is not all that bad, near to normal, but I do have some coughing. I have never had such a difference from night to day. Last night I really thought I might have an infection, it was so severe. Now has improved.
To complicate matters further, I had a +pg test this am, so I am not taking any otc meds other than tylenol.
So why does it hurt more at night?
Rod Moser, PA, PhD responded:
I can offer you some possibilities, but since I can't examine your throat, this is only a blind guess....

Colds and allergies compromise your nasal airway. One primary purpose of the nose is the humidification of the air we breathe. We tend to breathe more through our mouths when the nasal airway is compromised and this dries out the throat. There can be other issues at play as well, including allergic triggers that may be more prevalent in your bedroom (dust, dust mites, etc.)

Try using a good humidifier. Ultrasonic, cool mist ones are the best in my opinion. Increase your fluid intake. Use saline nasal spray often. Try glyerine-based throat lozenges, like Ricola, to sooth and coat your throat before bedtime (don't fall asleep with them in your mouth!).
nursingbug replied to Rod Moser, PA, PhD's response:
Thanks, I did use a humidifier last night and it did seem to help. I have had this for a week and if I am not better by Monday I will call my doctor.
It is just odd because the intense pain starts before I am in bed, while I am still sitting up.
Rod Moser, PA, PhD replied to nursingbug's response:
Do you feel any post-nasal drainage? The reason for the "intense pain" before you go to bed is a mystery. I cannot think of a medical reason for it, unless it is an allergic phenomena.
cronopio replied to nursingbug's response:
DId you find a solution for your problem?
I am experiencing exactly the same symptoms right now!
an89duck replied to cronopio's response:
I am having the same problem too! I saw a doctor today who diagnosed a sinus infection. I've had those several times in the past and none of them gave me a sore throat. But, like you, mine is so much worse at night. It usually worsens around 9:00 before I have even gone to bed. Sometimes it hurts so badly that I can barely talk. My doctor said it is most likely from drainage, but why would it be so much worse at night? It doesn't seem to make a lot of sense to me....
dancingpinkelephants responded:
I get exactly the same problem, I'm actually trying to fend off a cold and a sore throat now that gets soo much worse when I sleep. The humidifier sounds like a great idea, I will definitely be trying that too. I have a feeling dust mite allergies might have something to do with it too and make it worse when the throat is vulnerable. I'm thinking of getting those high thread count dust mite cases for the pillows and bedding and see what happens. I hope you've managed to fix your sore throat problem or that it has gotten heaps better
rynew replied to dancingpinkelephants's response:
About 3 weeks ago I started with what seemed like the beginning of sinus infection.... symptom, horrible post nasal drip while in bed. Was treated antibiotics... better couple days and then the same symptoms. Was treated with antifungal... better couple days, then same thing again. Was treated with oral steroids because started wet cough and I have asthma and need to stop bronchitis immediately. That cleared. Sinus specialist did a CT to confirm sinuses clear. BUT now although I do not have post nasal drip, I have horrible sore throat at night. Laringitis too.[br>Allergist said that GERD or acid reflux is causing my problems. Am clearing my throat alot. So have been on prescrition strength previcid and zantac to reduce stomach acid to try to stop the apparent reflux into my throat while I sleep. Sleeping with head up on lots of pillows. Don't eat for 4 hours before bed. Use humidifier. Don't eat citrus or tomatoes. No spices or fats to speak of... Still have the sore throat and voice, sometimes dry cough. Don't feel to spry either. I think this is a VIRUS....

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