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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason Of Dry And Scatchy Throat During Prenancy ?

I am 28 weeks pregnant and for about 2 weeks i have had a very bad intermmittent dry and scratchy throat. It wakes me up at night and sometimes starts as soon as i lay down. I get it sometimes during the day. I had it with my other pregnancies. I am very well hydrated, i do not drink caffeine. I have tried honey lemon. Otc meds and nothing s working. I have a hx of hiatal hernia and acid reflux. Do u think it might be that?
Mon, 30 Apr 2012
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  User's Response
Hi
As you suspected you have acid reflux
Normally lower end of food pipe (oesophagus) called cardia made of ring of muscle fibre opens while food passes down to stomach and soon after that it closes and remains so till next time food passes down. This prevents the stomach contents with gastric juice(acidic) flowing up the food pipe.
During pregnancy enlarging uterus increases intra-abdominal pressure causing cardia to open. So the stomach contents are pushed up, sometimes up to throat and even spill over to voice box. This causes irritation there inducing cough.
While lying down the pull of gravity is eliminated. So stomach contents can easily flow upwards.
So keep the head end of bed up by elevating that side of cot itself making it to slant and not by keeping pillows.
Take frequent meals but small quantity especially before going to bed.
Avoid bending forwards (increases pressure inside abdomen)
With these measures if your symptoms persist you may take an antacid
Even with this if your problem persists see an ENT specialist or a Gastroenterologist
Wish you good health
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What Could Be The Reason Of Dry And Scatchy Throat During Prenancy ?

Hi As you suspected you have acid reflux Normally lower end of food pipe (oesophagus) called cardia made of ring of muscle fibre opens while food passes down to stomach and soon after that it closes and remains so till next time food passes down. This prevents the stomach contents with gastric juice(acidic) flowing up the food pipe. During pregnancy enlarging uterus increases intra-abdominal pressure causing cardia to open. So the stomach contents are pushed up, sometimes up to throat and even spill over to voice box. This causes irritation there inducing cough. While lying down the pull of gravity is eliminated. So stomach contents can easily flow upwards. So keep the head end of bed up by elevating that side of cot itself making it to slant and not by keeping pillows. Take frequent meals but small quantity especially before going to bed. Avoid bending forwards (increases pressure inside abdomen) With these measures if your symptoms persist you may take an antacid Even with this if your problem persists see an ENT specialist or a Gastroenterologist Wish you good health