Cold Throat

Cold Throat
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In the middle of the night, something is bothering your throat. It’s a cold minty sensation -feels like you just brushed your teeth with mint-flavored toothpaste.
Right now, one out of five American adults has the same feeling as you. So one thing is obvious the reasons are pretty common.
Yes, they are. Acid reflux or GERD is the first and foremost reason behind this cold sensation in the throat.
Other variations of acid refluxes like Laryngopharyngeal Reflux (LPR), Respiratory Tract Infection (RTI), and anxiety are some of the other culprits behind this cold but not-so-cool sensation in the throat.
I will share some more details about the reasons and remedies for this acid reflux cold feeling in throat in this article. Stay with me till the end!
Around 60% of all people with LPR do not suffer from classic signs of Acid Reflux commonly seen in patients with GERD, such as heartburn. Rather they suffer from a minty sensation in the mouth.
So it’s essential to know what that coldness in the throat feels like. Cold breeze over an open wound-that explains the cold sensation best.
Because of the acid reflux, the soft esophagus lining gets damaged, and the sensitive underlayer is exposed. Each time you eat, drink, or even breathe, you either get a chilling sensation or scratching irritations.
You already know the four culprits of the cool feel on the back of your throat. They are:
Let’s take a detailed look at each reason and the remedies you can take to mitigate them.
GERD is the most common culprit when it comes to cold sensations in the throat.
It occurs when the stomach acids travel up to the esophagus. The lower esophageal sphincter prevents stomach content from traveling up.
However, in the case of GERD, the sphincter doesn’t work, and acid travels up to the esophagus.
The inner layer of the esophagus can’t tolerate the acid and gets damaged.
When you breathe in air, the air touches the damaged inner layer of the back of the throat.
Normally, the layer was supposed to be intact. Since it gets damaged by the acid, the underlying nerves have less of a covering.
The nerves get overstimulated due to the air. And that is the reason why you feel the menthol sensation in the throat while breathing in.
Now you may wonder, how does this relate to the cold sensation at the back of your throat?
The acid may come up to even the back of the throat. This acid causes damage to the inner layer of the esophagus.
So, how will you know if you have GERD? Cold sensation in throat is indirect, but there are other direct symptoms.
Below are some of those symptoms you may have along with an old sensation in the throat:
Thus, if you have one or more of these accompanying symptoms along with the cold sensation, it is likely that you’re suffering from GERD.
If you think you have GERD, it’s best to see the doctor. They can evaluate your symptoms and prescribe you proper medicines to control the conditions.
GERD is generally treated with proton pump inhibitors like omeprazole, esomeprazole, and pantoprazole.
However, you can also use older histamine receptor blockers like ranitidine, cimetidine, etc.
This disease is another cause of your cold sensation in the throat. Laryngopharyngeal reflux disease ( LPR ) is also known as silent reflux disease. It affects around 10% of the US population.
The mechanism of laryngopharyngeal reflux disease is quite similar to GERD.
However, in the case of LPR, the stomach contents come up to the larynx and pharynx (your throat).
So, the main damaged area is around the throat rather than the chest.
So, what symptoms will you have if you suffer from LPR? Some of them are given below:
These may sound similar to GERD. However, there is a key difference.
There are no heartburn or chest pain symptoms in LPR.
The reason is that the acidic contents don’t stay in the esophagus for too long. So the esophageal tissue isn’t damaged.
The acid contents mainly affect the larynx and the pharynx. Due to the absence of pain, this disease remains largely undiagnosed.
So, if you’re not having chest pain but suffer from the symptoms above, along with a cold sensation in the throat, you probably have LPR.
Treatment of this disease is similar to GERD. You should see a doctor. They can prescribe proton pump inhibitors or histamine receptor blockers.
We’ve all been affected by the common cold at some point. Common cold and other respiratory tract infections, too, can cause a cold sensation in the throat.
Bacteria, viruses, and microbes can cause Respiratory Tract Infections (RTI). A thick layer of mucus builds up in the throat due to infection.
This can give a funny feeling in the back of the throat. This is known as a postnasal drip.
Now the ones mentioned above aren’t the only symptoms of this disease. RTIs also have other accompanying symptoms like:
If you have these symptoms, visiting your primary care physician is best. They can give you medications to treat the symptoms. If necessary, they may also provide you with antibiotics.
Anxiety can also be the reason you have a cold sensation in your throat. Different psychological imbalances can cause an abnormal feeling of coldness in your throat.
If you have anxiety, you’ll likely be more sensitive and aware than normal.
Hence, while breathing, when the air hits the back of your throat, you may perceive it as ‘too cold.’ Thus, this can cause a cold sensation in throat when inhaling.
However, that doesn’t mean that it’s all in your head. Anxiety can alter some of the body’s normal physiology.
The nerves in your throat may be excited more than usual due to anxiety. This causes a cold sensation.
Anxiety and psychological stress can cause acid secretion. This is another way by which a cold sensation occurs. The stomach produces more acid in these stressful conditions causing GERD or LERD.
If you have an abnormal sensation in your throat with pain or other symptoms, you should get it checked out. Doctors can prescribe proper medication if you’re suffering from a disease.
Below are some things you can do on your own to relieve these symptoms:
Putting changes in your diet can help to prevent this cold sensation. Since it’s mostly caused by GERD, many home remedies, for example:
Thus, changing your diet like this can reduce the cold sensation in your throat.
Some lifestyle changes may be enough to cure you of this cold sensation in throat. Some of them are:
Implementing these changes can help you get rid of this cold feeling.
As we’ve already seen, a cold sensation in the throat also has psychological components. So, it’s necessary to tend to your mental health if you want to be rid of it.
You have to reduce stress in your life as much as possible. Stress is related to many abnormalities and can even cause real physiological symptoms.
You should also try to avoid having negative thoughts and emotions. These can hamper the normal physiology of the body.
Even if you feel absolutely fine mentally, it’s always a good idea to see a psychologist now and then.
A cold feeling in the throat may also accompany other symptoms. Your doctor can provide adequate symptomatic treatment, depending on what you have.
Since acid reflux is a primary cause of this cold feeling, you may try remedies that help. Probiotic therapy helps in this case.
Probiotics are natural bacteria that restore the normal gut balance. Thus, they can boost digestion and thus reduce acid reflux. So, you can check this review on probiotic supplements and try them.
The steps mentioned above are supplementary to actual treatment. You should get yourself checked out as soon as possible. However, the changes we’ve discussed can help reduce this cold feeling.
During this pandemic, it’s natural to be scared of any changes in your throat. You may wonder if this cold feeling is related to COVID.
But let me assure you, if you don’t have any of the symptoms below, it’s unlikely that COVID is the cause. The most common symptoms of COVID are:
A weird cold sensation in the throat can be due to GERD, LERD, anxiety, respiratory tract infection, etc. The most likely cause among these is Gastroesophageal reflux disease (GERD). It affects roughly 10-20% of the people in developed countries.
Yes, anxiety can cause a cold sensation, even a burning feeling in the throat. Anxiety stimulates the release of chemicals in the digestive tract responsible for this.
Cold reflux is the other name for laryngopharyngeal reflux disease. Here, the acid in your stomach backs up to the throat, causing the disease.
To sum it all up, a cold sensation in the throat can be caused by several factors. However, it is nothing to be scared of. You can get rid of it for good with proper treatment and lifestyle changes!
Now, if none of these fix your throat or your serious symptoms, it’s best to go to a physician. Or for any queries, comment down below.
My name is Katelyn, writer extraordinaire...in progress! Becoming a great writer is always a work in progress if you ask me. By day I am a hard-working nursing student. By night you'll catch me typing away, writing content for awesome websites. One of which is my own - Polymathchick.Nursing and writing are two of my passions and careers that I am building up. You know what they say. If you love what you do you'll never work a day in your life!
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Medically Reviewed by Carol DerSarkissian, MD on February 05, 2022
Wonder if your painful sore throat is from a cold, strep throat , or tonsillitis ? Here's help with how to tell.
A sore throat is often the first sign of a cold. However, a sore throat from a cold often gets better or goes away after the first day or two. Other cold symptoms such as a runny nose and congestion may follow the sore throat.
Strep throat, which is an infection due to streptococcus bacteria, is another cause of sore throats and tonsillitis. With strep throat, the sore throat is often more severe and persists.
Tonsillitis is a painful inflammation or infection of the ton sils, the tissue masses located at the back of the throat.
Sore throats can be caused by viruses or bacteria . The most common causes of sore throats are viruses. Viral sore throats are often accompanied by other cold symptoms that may include a runny nose, cough , red or watery eyes , and sneezing . Other causes of sore throat include smoking, pollution or irritants in the air, allergies, and dry air.
In addition to a sore throat, other common cold symptoms include:
Although there is no cure for a sore throat caused by a cold virus, there are ways to help you feel more comfortable. Drinking warm liquids, gargling with warm salt water, sucking on ice chips, or taking an over-the-counter medicine may relieve symptoms of pain or fever. When you are sick with a cold, it is also important to get enough rest, eat a healthy diet, and drink plenty of fluids.
Over-the-counter cold medications may relieve cold and sore throat symptoms. However, the benefits of these drugs are minimal. Some cold medications include:
Antibiotics should not be used to treat a cold virus and sore throat. Antibiotics are effective only against bacteria. They will not work on sore throats associated with colds, which are caused by viruses.
Stre p throat is caused by an infection of streptococcus bacteria. Strep throat spreads by having contact with an infected person's saliva or nasal secretions. Although strep throat is more common in children ages 5 to 15, it also occurs in adults. To diagnose strep throat, your doctor can check a rapid strep test or send a throat swab to the lab for a culture. In some cases, they may be able to diagnose strep based on your reported symptoms and other signs, such as white spots in the throat area, fever, and swollen lymph nodes in the neck.
Strep throat can cause more serious illnesses, such as rheumatic fever, a disease that may harm the heart valves. That's why it's important to get proper medical treatment. With proper treatment, strep throat is usually cured within 10 days.
Strep throat symptoms are usually more severe than symptoms of a sore throat with a cold and may include the following:
The symptoms of a cold and strep throat can be very similar. If you think you have symptoms of strep throat, visit your healthcare provider. Your doctor will ask you about your symptoms and do a physical exam , and you may be given a strep test.
A rapid strep test checks for streptococcus bacteria infection in the throat. The test is painless and takes very little time. The tip of a cotton swab is used to wipe the back of the throat. The swab is then tested right away. If the strep test is positive, you have strep throat. If the strep test is negative, you likely do not have strep throat. However, if there are strong signs of strep throat, your healthcare provider can do a different throat swab test that is sent to the lab to see if strep bacteria can be grown (cultured) from it. A throat culture takes a couple of days for results.
Strep throat is treated using antibiotics, which kill the bacteria causing the infection. Antibiotics are often taken as pills or given as a shot. Penicillin and amoxicillin are common antibiotics used to treat strep throat. Other antibiotics are prescribed for people who are allergic to penicillin.
Follow your healthcare provider's instructions for antibiotic use. Take all of the medication, even if you feel better. You should feel better within a day or two. A person with strep throat should stay home until 24 hours after starting the antibiotic.
If your strep throat is not getting better, let your healthcare provider know right away. Do not stop taking your prescribed medicine unless your health care provider tells you to. Call your healthcare provider if these symptoms occur:
Sometimes, a sore throat is caused by tonsillitis, an inflammation of the tonsils. Tonsillitis can be caused by viruses or bacteria. While the tonsils' job is to help fight infection, the tonsils can also become infected. When they do, the result is tonsillitis and a very painful sore throat.
In addition to a sore throat, a cold usually causes nasal symptoms, such as runny nose or congestion. With tonsillitis, your tonsils become swollen and may have telltale white or yellow spots. Other symptoms with tonsillitis include the following:
If the tonsillitis infection is bacterial like strep throat, then antibiotics are given. If the tonsillitis infection is viral, antibiotics will not help. The virus must run its course for the sore throat to resolve. For either type of throat infection, the following treatment measures may help:
If the tonsillitis infections occur repeatedly, or if the tonsils are interfering with sleep and breathing, the doctor may recommend a tonsillectomy, which is the surgical removal of the tonsils.
What would you like to learn about next?
National Heart Lung and Blood I nstitute: "Guidelines for the Diagnosis and Management of Asthma."
American Academy of Family Physicians: "Strep Throat" and "Sore Throat: Easing the Pain of a Sore Throat."
Do echinacea and vitamin C really help a cold?
Get a good night’s rest with these remedies.
Eat these to fight colds, flu, and more.
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.

Medically Reviewed by Dany Paul Baby, MD on April 19, 2022
Your nose is running, you've got a cough , and your throat is raw. Is it a cold, allergies , or the flu ?
There are similarities to all three, but a few telltale signs can help you tell them apart.
It usually begins with a sore throat , and before you know it, you've also got these symptoms:
You usually don't get a fever with a cold. If you do, it may be a sign you've got the flu or an infection with a bacteria.
For the first few days that you're sick, your runny nose will be watery, but it turns thicker and darker after that. You may also get a mild cough that can last into the second week of your cold.
Since a cold can trigger an asthma attack, people with asthma should check with your doctor to see if you need to change your regular treatment plan.
If you cough up thick or dark mucus or you get a fever, you may have an infection with a bacteria. See your doctor to find out how to treat it. Also see them if your cough doesn't get better after a few weeks.
Your symptoms usually start between 1 and 3 days after you get infected with a cold virus. They typically last for about 3 to 7 days. By then the worst is over, but you may feel stuffed up for a week or more.
You're most contagious during the first 3 days that you're sick, but it's still possible to spread it during the first week.
Sometimes you might mistake cold symptoms for hay fever . If they begin quickly and are over in 1 to 2 weeks, chances are it's not an allergy .
Allergies are caused by an overactive immune system, your defense against germs. Your body overreacts to things like dust or pollen . It then releases chemicals like histamine . This causes the passageways in your nose to swell, leading to a runny nose , coughing, and sneezing .
Hay fever isn't contagious, but some people may inherit a tendency to get it.
For in-depth information, see WebMD's " Common Cold or Allergies ?"
Take your temperature. A mild case of the flu often has symptoms like a cold, but a cold rarely raises your temperature above 101 degrees F.
Besides a fever, the flu often gives you muscle aches and a headache .
For in-depth information, see WebMD's " Flu or Cold Symptoms? "
Except in newborns, colds aren't dangerous. The symptoms usually go away without any special treatment. But when you're sick it can wear down your body's resistance, making you more open to an infection by a bacteria.
See your doctor if your cold symptoms are severe and you aren't getting better. They'll likely check your throat and ears, and listen to your lungs . They may take a throat culture by brushing your throat with a long cotton-tipped swab. This will show whether you have an infection that needs treatment with antibiotics .
SOURCES: National Institute of Allergy and Infectious Diseases: "Common Cold." Canadian Center for Occupational Health and Safety: "Common Cold." Palo Alto Medical Foundation: "The Common Cold." University of Virginia Health System: "Upper Respiratory Infection (URI or Common Cold)."
Do echinacea and vitamin C really help a cold?
Get a good night’s rest with these remedies.
Eat these to fight colds, flu, and more.
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.

This content does not have an English version.
This content does not have an Arabic version.

Sore throats. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/content/sore-throats. Accessed Feb. 18, 2019.
Sore throat. Merck Manual Professional Version. http://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/approach-to-the-patient-with-nasal-and-pharyngeal-symptoms/sore-throat. Accessed Feb. 18, 2019.
Seven tips to help you prevent a sore throat. American Academy of Otolaryngology — Head and Neck Surgery. https://www.enthealth.org/be_ent_smart/seven-tips-to-help-you-prevent-a-sore-throat/. Accessed Feb. 18, 2019.
Sore throat. Centers for Disease Cont
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