Burning throat at night/morning

Posted by catherine111 @catherine111, Aug 3 6:17am

I have a persistent burning feeling in my throat in the middle of the night and when I get up in the morning. I don't notice it throughout the day unless I think about it. My doctor looked at my throat, said it was red (redder than usual), and said I probably have an issue with my esophogus, such as a form of acid reflux. A friend said it might be silent reflux (laryngopharyngeal reflux or LPR). I've done some online research and it all supports the dietary/lifestyle changes my doc recommends (low-acid; not eating 3 hours before bed). But the throat thing is my ONLY symptom. No heartburn, no nausea, no coughing, no regurgitation. Has anyone else experienced this isolated symptom and found it to indeed be silent reflux or similar?

Also, back in February I had a benign lesion removed from my tonsil. It fairly small but had started to interfere with breathing and swallowing.

All feedback and shared experiences are welcome — thank you!

Interested in more discussions like this? Go to the Digestive Health group.

Hi @catherine111 and welcome to Mayo Clinic Connect. You might want to read the below article. With your only symptom being a sore throat, you may have postnasal drip.

"Why does my throat hurt at night and in the morning? – Excess mucus in the throat can lead to itching, irritation, and soreness. Postnasal drip typically increases when a person is lying down. As a result, a sore throat may worsen at night or first thing in the morning. Exposure to certain allergens at night may also worsen postnasal drip and sore throat." — Sore throat at night: Causes, treatments, and remedies: https://www.medicalnewstoday.com/articles/sore-throat-at-night

How long has this been going on?

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My main symptom of acid reflux is a burning feeling on the tongue and mouth. So, yes, it could be a sign of acid reflux. I also don't have coughing/regurgitation/nausea. Once in a blue moon I have heartburn, but generally not. An ENT can look further down your throat and see if he sees a sign of reflux, but it's not always a reliable indicator.
I suggest you assume it's acid reflux and do appropriate diet/lifestyle changes and see if that helps. If not, you should go to a gastroenterologist, or even the GP can recommend an antacid such as pepcid and you can try a low dose first and see if it helps. Even if you resolve the problem with changes/medication, assume it takes time for the burning feeling to heal.

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@catherine111 and @t98 – I have GERD. I stop eating or drinking three hours before I go to bed. I take a Prevacid at bedtime. I have the head of my bed raised by risers (available at any bedding store or Amazon). All these measures help tremendously.

The cause of my GERD is a small hiatal hernia. A gastroenterologist should be able to determine what is causing your acid reflux. But while you are waiting for your appointment, try not eating three hours before bedtime, take some over the counter acid controller and get those risers for the top of your bed. Fasting three hours before bed and sleeping on an inclined bed will help the most.

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@t98

My main symptom of acid reflux is a burning feeling on the tongue and mouth. So, yes, it could be a sign of acid reflux. I also don't have coughing/regurgitation/nausea. Once in a blue moon I have heartburn, but generally not. An ENT can look further down your throat and see if he sees a sign of reflux, but it's not always a reliable indicator.
I suggest you assume it's acid reflux and do appropriate diet/lifestyle changes and see if that helps. If not, you should go to a gastroenterologist, or even the GP can recommend an antacid such as pepcid and you can try a low dose first and see if it helps. Even if you resolve the problem with changes/medication, assume it takes time for the burning feeling to heal.

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I had something called Burning Mouth Syndrome sometime ago. The organization, AAOM, might be able to help you.

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@ppat4pr

I had something called Burning Mouth Syndrome sometime ago. The organization, AAOM, might be able to help you.

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Thanks.
I did look into burning mouth syndrome and did testing to make sure I didn't have a vitamin/mineral deficiency that could cause it, but since I have a history of GERD and then taking pepcid before bed (in addition to Nexium in the AM) has reduced the symptoms, it's clear that it's acid reflux related. But, thank you so much for the suggestion.

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@t98

My main symptom of acid reflux is a burning feeling on the tongue and mouth. So, yes, it could be a sign of acid reflux. I also don't have coughing/regurgitation/nausea. Once in a blue moon I have heartburn, but generally not. An ENT can look further down your throat and see if he sees a sign of reflux, but it's not always a reliable indicator.
I suggest you assume it's acid reflux and do appropriate diet/lifestyle changes and see if that helps. If not, you should go to a gastroenterologist, or even the GP can recommend an antacid such as pepcid and you can try a low dose first and see if it helps. Even if you resolve the problem with changes/medication, assume it takes time for the burning feeling to heal.

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Try Gaviscon and/or Mylanta. The Mylanta in Australia only comes in chewable tablet form. I find a 20ml of Gaviscon and then chew one tablet and that works.
My problem is from Acid Reflux as a side effect from a POEM Procedure to try and fix a condition called Achalasia. Unfortunately the procedure did not work for me but left an uncomfortable Acid Reflux to contend with. Sincerely hope this helps you. The medications are quite harmless. Take care.

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@denisepowell

Try Gaviscon and/or Mylanta. The Mylanta in Australia only comes in chewable tablet form. I find a 20ml of Gaviscon and then chew one tablet and that works.
My problem is from Acid Reflux as a side effect from a POEM Procedure to try and fix a condition called Achalasia. Unfortunately the procedure did not work for me but left an uncomfortable Acid Reflux to contend with. Sincerely hope this helps you. The medications are quite harmless. Take care.

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Thanks for the suggestion.
I use gaviscon and it's very helpful. As you probably know, the Gaviscon creates a barrier, so it's best not to eat or drink after taking it, because that reduces the barrier. So, I suggest you first take the mylanta before the gaviscon.

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Sorry to hear all your symptoms,
My dr told me OTC like gaviscon really does not do anything . He put me on an rx seems to help bad things they all have slide effects.
I have tried the slant thick tilt pillow but did not help me.
I stay away from acidic foods as well citrus, chocolate , red sauce, alchohol etc

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@johnbluffside

Sorry to hear all your symptoms,
My dr told me OTC like gaviscon really does not do anything . He put me on an rx seems to help bad things they all have slide effects.
I have tried the slant thick tilt pillow but did not help me.
I stay away from acidic foods as well citrus, chocolate , red sauce, alchohol etc

Jump to this post

@johnbluffside – I find raising the head of my head on risers has helped the most with my reflux. I also take a Prevacid capsule before I lie down at night.

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@ppat4pr

I had something called Burning Mouth Syndrome sometime ago. The organization, AAOM, might be able to help you.

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I also had that years ago. It was secondary to GERD not primary Burning Mouth Syndrome.

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Very glad you are over it now.

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@johnbluffside

Sorry to hear all your symptoms,
My dr told me OTC like gaviscon really does not do anything . He put me on an rx seems to help bad things they all have slide effects.
I have tried the slant thick tilt pillow but did not help me.
I stay away from acidic foods as well citrus, chocolate , red sauce, alchohol etc

Jump to this post

Do you stop eating 3 hours before bed? I'm on Protonix Bid for many years. My doctor said Gaviscon good. I needed a supplement before bed last night so I tried Gaviscon liquid. I actually slept through the night. I do use 3 pillows. It was huge for me to stay in the bed and not have to go to the recliner. I know the Gaviscon really helped.

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