A throat tickle is an uncomfortable sensation in the throat that feels like a tickle or a scratchy irritation. It often feels like something is stuck in the throat or that there is a need to cough or clear the throat.
In most cases, a throat tickle can be resolved through proper care or on its own. However, if you notice the condition getting worse, schedule an appointment with your doctor for a proper diagnosis and treatment plan.
What can cause a tickle in your throat?
A throat tickle can be caused by a variety of factors, some of which include:
External Factors
External influences may be the cause of your throat tickle. These influences may include the following:
- Cold, dry air: This can irritate the mucus membranes in your throat.
- Air pollution: Pollutants in the air, like traffic exhaust, smoke, and chemical fumes can stimulate your cough reflex.
- Cigarette smoke: Whether it is first- or second-hand smoke, it can irritate your throat and cause a tickle.
Pharyngitis
Pharyngitis is an inflammation of the pharynx, which is the part of the throat that is behind the mouth and nasal cavity and extends down to the oesophagus. It is commonly referred to as a sore throat [2] and can be caused by a variety of factors, such as the common cold virus [3] or group A streptococcus.
Laringitis
A throat tickle can be an indication of laryngitis [4], which is a condition that can cause loss of voice. Some of the most common causes of laryngitis include:
- Straining your vocal cords through yelling or singing a lot
- Raising your voice in a noisy environment
- Talking for extended periods of time
In addition to these, laryngitis can also be caused by viral and bacterial infections. To have a deeper understanding of laryngitis, it's advisable to learn more about this condition.
Allergies
A throat tickle caused by allergies may be due to the immune system's response to an allergen, such as pollen, dust, or pet dander [5].
Allergies can be managed by avoiding triggers and taking allergy medications, such as antihistamines and nasal sprays.
An allergic reaction can be caused by a wide range of elements, including:
- Pollen
- Pet dander
- Insect stings
- Mould
- Foods
- Medications
It's important to see a doctor immediately in the case of extreme allergic reactions that result in the swelling and closing of the throat or loss of consciousness [6]. These may be signs of anaphylaxis, a life-threatening allergic reaction.
Common Cold
A common cold can cause a throat tickle due to inflammation and irritation of the throat tissues caused by the cold virus.
As the cold progresses, other symptoms such as runny nose, congestion, and sneezing may also develop.
Typically, common cold symptoms last no more than 7 to 10 days. However, if the cold is severe or lasts longer than expected, it may indicate another underlying condition, such as influenza or sinusitis.
Sinusitis
Sinusitis is a condition that happens when the sinuses (air-filled cavities in the skull) become inflamed or infected.
When the sinuses become infected or inflamed, they can produce excess mucus, leading to congestion and blockage of the nasal passages. This blockage can cause postnasal drip, which is when excess mucus runs down the back of the throat, causing a tickling sensation. This can lead to a persistent cough, sore throat, and difficulty swallowing.
- Other symptoms of sinusitis include [7]:
- Facial pain or pressure
- Headache
- A reduced sense of smell or taste
- Chronic cough
This condition, also known as a sinus infection, can persist for several weeks or even months and may recur multiple times throughout the year [8]. Sinusitis can initially be caused by a viral infection, but there is also a possibility of developing a bacterial or fungal infection as the condition progresses.
Acid Reflux
A tickling sensation in your throat could be the result of stomach acid travelling back up to your oesophagus, causing a tickling feeling. This condition is known as acid reflux or gastroesophageal reflux disease (GERD) [9]. Acid reflux can happen when the opening between your oesophagus and stomach doesn’t close properly.
Common causes of acid reflux include:
- Overeating
- Eating certain foods
- Lying down too soon after eating
Although occasional acid reflux is common and can be managed at home, it's important to see a doctor if you experience frequent reflux to avoid potential damage to your oesophagus.
Throat Cancer
A throat tickle could indicate a more severe issue, such as throat cancer [10]. Some of the risk factors for developing throat cancer are:
- Smoking
- Alcohol consumption
- HPV infection
Some of the symptoms that may indicate the presence of throat cancer, include:
- Unexpected weight loss
- Changes in voice
- Lumps near the throat area
If you suspect that you may have throat cancer, it is critical to seek medical attention immediately.
How a throat tickle feels
A tickle in the throat can be experienced as an itchy or scratchy sensation in the back of the mouth, sometimes accompanied by a rough patch. Hoarseness and difficulty speaking may also be present.
If post-nasal drip is the cause of the tickle, it can lead to throat irritation and discomfort. You may also experience the sensation of a lump in your throat due to tonsil swelling.
Home remedies for treating a throat tickle
If you think your throat tickle is a symptom of a minor health condition or due to an external trigger like pollen or smoke in the air, you can try the following home remedies:
- Salt water gargle: Mix no more than 1/2 teaspoon of salt with 240ml of water and gargle for a short time. Spit out the solution after gargling.
- Throat lozenges or hard candies: Sucking on a lozenge or hard candy can help produce saliva, which can keep your throat moist and alleviate the tickle.
- Over-the-counter medication: Consider taking an OTC pain reliever or a throat spray.
- Adequate rest: If you believe the tickle is due to your body fighting off a virus, it is important to take it easy and get enough sleep.
- Clear liquids: Drink plenty of water and warm beverages like herbal tea, but avoid beverages with alcohol or caffeine that can cause dehydration and dry your throat.
- Add moisture and heat: Dry and cold air can make your throat feel uncomfortable. Consider adding a humidifier to your room and turning up the thermostat to a comfortable temperature, which will also help soothe irritated airways.
- Avoid known triggers: You may be aware of elements that cause your throat to tickle, such as allergens like pollen or dust. Try to avoid exposure to these triggers.
If your throat tickle is accompanied by other serious symptoms, such as a high fever, chills, or breathing difficulties, it’s important to see your doctor for further assessment.
Outlook
If you are experiencing a throat tickle, the cause could be something minor, such as exposure to an irritant or a cold. Or it could be a symptom of a more serious condition like acid reflux or throat cancer.
To relieve the tickle, you can attempt various home remedies. However, if the tickle persists or is accompanied by more severe symptoms, it is recommended to seek medical attention.
