Chronic throat clearing

Posted by rosemaryhow @rosemaryhow, Nov 2, 2022

I think I can deal with pain easier than this. It felt like I had my GERD under control, or at least I learned how to manage it. Then out of nowhere, I began having this very thick,tenacious mucous in my throat day and night, to the point that it awakened me and I was gagging on it.My PCP thought it was my sinuses, but ENT said it was a GI issue. GI said never heard of it. Have had many tests and x-rays.It is difficult to be with people as they say "why are you clearing your throat all the time" Has anyone experienced this with GI issues?

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Profile picture for drterry @drterry

Have you had any xrays of your neck? Sometimes people develop osteophytes, bony protrusions that stick out into your pharynx. That can trigger a cough reflex. Is your GERD under control?

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Yes I had reflux surgery 4 years ago. It seemed to make it worse

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@vinman789 Hello, and welcome to Connect. I clear my throat a lot, but it is because of allergies and asthma. When I am exposed to something that triggers me, my lungs produce phlegm as a protection and this phlegm must move upward to be cleared out. That also depends on lung movement and breathing properly to effectively move the phlegm or it can get stuck and cause infections. I have some physical tightness on one side of my body and have had one side of my ribs not expand enough and that has lead to chest infections starting on that side.

If you have never been tested for allergies, that may be something to consider. You can also try over the counter antihistamines or something like Mucinex which thins the phlegm and makes it easier to clear. I don't know if you smoke, but smoking paralyzes the cilia which are the hair like projections of the cells lining the airways. These are beating to move the phlegm upward. That creates some difficulty clearing the airways if the cilia stop working.

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I have been tested for allergy’s and I’m mildly allergic to some rare kind of grass

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Profile picture for vinman789 @vinman789

I have had a problem for years that I always have something caught in my throat.
I can’t swallow it and I can’t clear my throat to bring it up either
At first they thought it was reflux and I had the reflux surgery and it didn’t help.
I have had numerous endoscopy and they can’t find anything wrong
I have seen three ENT doctors and have gotten no relief
The current doctor has me on an anti depressant and omenprazel.
I have up coming appointments with speech therapist and a follow up with an neurologist
This is getting to the point where it’s affecting me physically and mentally
There are times when I’m embarrassed to leave my house. Who wants to be near someone when he clears their throat constantly
I’m getting to the point where I’m afraid of becoming a recluse
Oh I have also seen nose specialist and it’s not post nasal drip either
Has anyone had this and overcome it?
I’m at the end of my rope

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I found an allergy to wheat and dairy. Cut out and got better. Also Mulleine tea helped

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Profile picture for cberry211 @cberry211

Has anyone suggested that it may be a tic? Tics are autonomic (you don't have control) movements or speech that are part of a disorder known as Tourette's syndrome. I have a friend that has a tic of clearing her throat. Tic can sometimes be managed by medications but you should perhaps consult a psychiatrist or neurologist if this hasn't already been ruled out.

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I was going to say the exact same thing. It sounds like a tic.
Does anyone in your family have this issue? I've heard/read it can be hereditary.

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Profile picture for vinman789 @vinman789

I have had a problem for years that I always have something caught in my throat.
I can’t swallow it and I can’t clear my throat to bring it up either
At first they thought it was reflux and I had the reflux surgery and it didn’t help.
I have had numerous endoscopy and they can’t find anything wrong
I have seen three ENT doctors and have gotten no relief
The current doctor has me on an anti depressant and omenprazel.
I have up coming appointments with speech therapist and a follow up with an neurologist
This is getting to the point where it’s affecting me physically and mentally
There are times when I’m embarrassed to leave my house. Who wants to be near someone when he clears their throat constantly
I’m getting to the point where I’m afraid of becoming a recluse
Oh I have also seen nose specialist and it’s not post nasal drip either
Has anyone had this and overcome it?
I’m at the end of my rope

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My husband is constantly clearing his throat and also coughing. He underwent throat cancer surgery 2 months ago. We assumed it was because of that because no one seems to know. He has tried just about everything. He cannot swallow so that limits what he can try.

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Profile picture for vinman789 @vinman789

I have had a problem for years that I always have something caught in my throat.
I can’t swallow it and I can’t clear my throat to bring it up either
At first they thought it was reflux and I had the reflux surgery and it didn’t help.
I have had numerous endoscopy and they can’t find anything wrong
I have seen three ENT doctors and have gotten no relief
The current doctor has me on an anti depressant and omenprazel.
I have up coming appointments with speech therapist and a follow up with an neurologist
This is getting to the point where it’s affecting me physically and mentally
There are times when I’m embarrassed to leave my house. Who wants to be near someone when he clears their throat constantly
I’m getting to the point where I’m afraid of becoming a recluse
Oh I have also seen nose specialist and it’s not post nasal drip either
Has anyone had this and overcome it?
I’m at the end of my rope

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I can relate as have had it for years with no relief in sight. I, too, have tried 'all of the above' without success. It is not a tic, lol, as there is mucous. Still, post nasal drip, acid reflux, and sinus problems have all been ruled out. It is annoying, embarrassing and extremely frustrating. I try to avoid talking on the phone just for that reason. I also have tried a few suggestions made by others on this site, most recently, Lanolin in the nose, but it did not help me.
Thanks to all who have been willing to share!

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Profile picture for vinman789 @vinman789

I have had a problem for years that I always have something caught in my throat.
I can’t swallow it and I can’t clear my throat to bring it up either
At first they thought it was reflux and I had the reflux surgery and it didn’t help.
I have had numerous endoscopy and they can’t find anything wrong
I have seen three ENT doctors and have gotten no relief
The current doctor has me on an anti depressant and omenprazel.
I have up coming appointments with speech therapist and a follow up with an neurologist
This is getting to the point where it’s affecting me physically and mentally
There are times when I’m embarrassed to leave my house. Who wants to be near someone when he clears their throat constantly
I’m getting to the point where I’m afraid of becoming a recluse
Oh I have also seen nose specialist and it’s not post nasal drip either
Has anyone had this and overcome it?
I’m at the end of my rope

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Could it be silent reflux, which can affect the throat, sinuses, and ears through the action of Pepsin, a digestive enzyme? You can learn more and decide for yourself at https://jamiekoufman.com. She is an ENT who specializes in silent reflux (LPR). Another one is Jonathan Aviv, who advocates not only a low-acid diet but a whole food diet too. My GI doctor and ENT have no idea what LPR is, and were of no help whatsoever. I am now on the low acid, whole food diet, using Gaviscon Advance, aloe vera juice, sleeping with head inclined, and am seeing progress in dealing with the symptoms. Maybe worth a try as you pursue further investigation with doctors. BTW, some of the ENTs specializing in silent reflux say that PPIs don't work on that condition. Let us know when you finally have found relief. Good luck!

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Profile picture for baguette @baguette

Could it be silent reflux, which can affect the throat, sinuses, and ears through the action of Pepsin, a digestive enzyme? You can learn more and decide for yourself at https://jamiekoufman.com. She is an ENT who specializes in silent reflux (LPR). Another one is Jonathan Aviv, who advocates not only a low-acid diet but a whole food diet too. My GI doctor and ENT have no idea what LPR is, and were of no help whatsoever. I am now on the low acid, whole food diet, using Gaviscon Advance, aloe vera juice, sleeping with head inclined, and am seeing progress in dealing with the symptoms. Maybe worth a try as you pursue further investigation with doctors. BTW, some of the ENTs specializing in silent reflux say that PPIs don't work on that condition. Let us know when you finally have found relief. Good luck!

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Hi@baguette. I’m curious about Gaviscon Advance. Having tried Omeprazole for years, but now on Pepcid, I was wondering if the Gaviscon with its sodium alginate better coats the stomach, therefore preventing the acid from coming up?

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Profile picture for wendymb @wendymb

Hi@baguette. I’m curious about Gaviscon Advance. Having tried Omeprazole for years, but now on Pepcid, I was wondering if the Gaviscon with its sodium alginate better coats the stomach, therefore preventing the acid from coming up?

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The point of Gaviscon Advance is to create what is called a raft, i.e., a foamy plug at the top of the stomach that keeps the stomach contents in the stomach from two to four hours. I think it does coat the stomach (if I have irritation in my esophagus drinking GA soothes it), but the main point is to plug up the stomach. BTW, there is a difference between GA from the UK and Gaviscon produced in the US. The GA is better, and does not have aluminum. It is available on Amazon.

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Profile picture for baguette @baguette

The point of Gaviscon Advance is to create what is called a raft, i.e., a foamy plug at the top of the stomach that keeps the stomach contents in the stomach from two to four hours. I think it does coat the stomach (if I have irritation in my esophagus drinking GA soothes it), but the main point is to plug up the stomach. BTW, there is a difference between GA from the UK and Gaviscon produced in the US. The GA is better, and does not have aluminum. It is available on Amazon.

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Thank you. Yes I noted that Gaviscon Advancd has sodium alginate, while original Gaviscon does not. Did not know it’s only in Europe. Will try it in addition to Pepcid for my chronic cough. Appreciate your reply.

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