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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does My Throat Hurt More In The Late Evenings?

I have had a sore throat for 3 days. No fever. Just at the tail end of a cold/cough that started two weeks ago. Sinus drainage was green but eventually cleared. Minimal draining now. Did start an iron supplement 3 days ago for anemia. Don t know if that matters. Did have a strep test today which was negative. The weird thing is that in the mornings my throat pain is minimal but by 2pm it begins to worsen and gets progressively worse as the evening wears on. Then is minimal the next morning and then worsens again.
Mon, 23 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

For sore throats occurring only in the evening, you may want to look to your environment--you may be allergic to a pollen, mold or pet dander found in the air. Additionally, the air you breathe may simply be too dry, particularly if you are in a heated home or building in the evening. If outside, external irritants may be the product, including smoke. Sore throat may signal gastroesophageal reflux disease, which sends stomach acids back up the esophagus--this can be intensified after meals, such as dinner. If you enter the evening after intense periods of talking or yelling, you may simply be suffering from muscle strain. Avoid cool drinks and freeze water avoid smoking and caffeine drinks. Use water vapor inhalation and salt water gargling thrice a day for five days. Use tablet Levocetirizine twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.
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Why Does My Throat Hurt More In The Late Evenings?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For sore throats occurring only in the evening, you may want to look to your environment--you may be allergic to a pollen, mold or pet dander found in the air. Additionally, the air you breathe may simply be too dry, particularly if you are in a heated home or building in the evening. If outside, external irritants may be the product, including smoke. Sore throat may signal gastroesophageal reflux disease, which sends stomach acids back up the esophagus--this can be intensified after meals, such as dinner. If you enter the evening after intense periods of talking or yelling, you may simply be suffering from muscle strain. Avoid cool drinks and freeze water avoid smoking and caffeine drinks. Use water vapor inhalation and salt water gargling thrice a day for five days. Use tablet Levocetirizine twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.