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Always clearing your throat? You could be doing more harm than good - Expert

Written By Gragrah on Saturday, March 02, 2013 | 3/02/2013 01:57:00 pm


Throat clearing may harm the throat and vocal chords


It is a vicious cycle - the more someone clears their throat, the more they feel they need to clear it
Colleagues who habitually clear their throats have long been the bane of many office workers’ lives.
But they now have a good reason to be silenced, after experts warned that the process can do more harm than good.
Dr Brian Rotskoff, of the Claritin Allergy Centre in Chicago, says that too much habitual throat clearing harms the throat and vocal chords if left untreated.
Too much habitual throat clearing harms the throat and vocal chords if left untreated

He believes that if someone is frequently clearing their throat for more than three months, the condition becomes chronic and can gradually alter the voice.

But once someone becomes used to clearing their throat, it can become more of a behavioural issue - i.e. the more they clear their throat, the more they will feel like they need to clear it.
Dr Rotskoff, who specialises in a variety of throat conditions like asthma, nasal allergies, and sleep apnoea, often sees chronic throat clearers and coughers whose voices are affected.


Habitual throat clearing can also be caused by stress

He told Reuters Health: ‘Throat clearing is a symptom, not a condition.
‘Often it's the spouse of a throat clearer that pushes them in my door.
'It's like chronic snoring - because it's pain-free, those around you are the most bothered.’

He adds that says that the need to clear your throat usually begins with causes like a cold or upper respiratory infection, but sometimes patients are unclear of the onset and can remember always having a constant tickle around their voice box
Like a chronic cough, and sometimes nasal congestion, throat clearing results from something affecting the throat or airways.
It can be caused by something actually being stuck in the back of the throat, but the sensation often tickles the throat without anything actually being there.

‘Your throat and vocal cords take repeated abuse with constant clearing,’ said Rotskoff. ‘The resulting inflammation only reinforces the urge to clear and the cycle continues. Even if you don't feel discomfort there can be lasting damage to your throat and voice.’

WHY DO PEOPLE START HABITUALLY CLEARING THEIR THROATS?

Asthma
Hay fever
Acid reflux
Side effects from blood pressure medication
Habit
Unexplained chronic cough
Some experts say habitual throat clearing is a reflex action which people can have when they are under stress.
'It's common among young entrepreneurs, carers of sick relatives or anyone living with constant pressure in their lives,' says Dr Adam Frosh, a consultant ear, nose and throat specialist at the Lister Hospital, Hertfordshire.
But it can also be linked to allergies.
Phillip Song, a laryngologist at Massachusetts Eye and Ear Infirmary in Boston, argues that pollen and moulds can cause itchiness in the nose and throat which causes the desire to clear the throat.
Treatment for habitual throat clearing depends on the original cause of the problem.
There are medications available that ease reflux, allergies and asthma and voice therapy can help break the cycle.
Almost half of the population have experienced globus pharyngeus – feeling as if you have persistent phlegm or tightness in your throat
Sufferers feel the regular need to clear their throat of phlegm but an examination will find nothing physically wrong.



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