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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.

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