For people who speak for a living, it can be especially frustrating. “It could be very disruptive when you’re on the phone, when you’re in meetings,” says Dr. Matt Hershcovitch, an ENT and sinus specialist in Burbank, Calif. “You can’t speak for more than 30 seconds without having to cough and clear your throat.”
Environmental allergies and chronic rhinosinusitis—ongoing inflammation in the nose and sinuses—are among the most common causes, says Dr. Florence Hsu, a Yale Medicine allergist and immunologist. Inflammation can increase mucus production, sending drainage down the back of your throat.
Your nose can also react to things you aren’t allergic to. Smoke, strong smells, spicy food, and changing weather can trigger what’s called nonallergic rhinitis, Hershcovitch says. Your nasal lining becomes overly reactive, producing extra mucus.
And sometimes, the feeling that something is stuck doesn’t mean there’s a stubborn blob you need to dislodge. Irritation from drainage or reflux can leave your throat feeling inflamed, Hershcovitch says, creating what doctors call a “globus sensation”: the feeling of a lump or something lingering there even when nothing is physically blocking it.
Why antihistamines aren’t always the answer
Antihistamines target the effects of histamine, a chemical involved in allergic reactions, Hsu explains. Even when allergies are involved, other parts of the inflammatory response may require a different treatment, such as a steroid nasal spray.
Saline nasal rinses—using a squeeze bottle or neti pot—can help wash out mucus and allergens, Hsu says. If you’re preparing the rinse yourself, use distilled, sterile, or previously boiled and cooled water, not water straight from the tap, and follow the device’s cleaning instructions.
It’s also worth looking for triggers at home and work, including dust mites and pet dander, Hsu says. To help reduce airborne allergens, Hershcovitch suggests using an air purifier and keeping its filters clean.
When to stop playing drugstore roulette
What happens next depends on what your doctors find. You might need a different medication, treatment for reflux, or, in some cases, a procedure to address a structural problem or blocked sinuses, Hershcovitch says.
If you’re wondering why this suddenly became your problem, Hershcovitch offers some reassurance: “This is a very manageable one,” he says. “It’s not something you did or didn’t do.”
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