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Posted August 12, 2008

Throat clearing: It doesn't help, but it could hurt!

By: Heather Bonilha

Throat clearing is like a bad dust job! The mucus goes up and just falls right back down, since we do not spit it out or swallow it. So, throat clearing at best temporarily relieves the annoying sensation in
your throat. But, throat clearing causes more throat clearing. When you clear your throat your vocal folds slam together, this causes your vocal fold tissues to swell. Your body senses this swelling and wants to clear it. On top of that, when you have tissue swelling your body is going to respond to try to heal the tissue. For your vocal folds, your body responds by producing more mucus. So, throat clearing causes an even larger sensation due to more mucus being secreted and your vocal folds
swelling! At worst, throat clearing can cause voice problems such as contact lesions (nodules, polyps, or granuloma) that may require medical or behavioral treatment.

Getting rid of throat clearing:

  1. Increase hydration. Drink more water and sleep with a humidifier on if you wake-up with a dry mouth.
  2. Swallow instead of clear. This is the natural way that we all flush mucus through our system and is harmless to your vocal folds. Clear softly. The louder your clear the more forcefully your vocal folds slam together.
  3. Take care of any medical problems that can be related to throat clearing like reflux or sinus drainage.

If these don't work or your throat clearing occurs with 1) hoarseness, 2) pain in your throat, 3) difficulty breathing, or 4) difficulty swallowing, you should seek an evaluation by an otorhinolaryngologist (ENT) and a speech-language pathologist (SLP) who specializes in voice.

 

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