Can allergic rhinitis cause pharyngeal pain?

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Last updated: May 26, 2025View editorial policy

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From the Guidelines

Yes, allergic rhinitis can cause throat pain. When allergens trigger an allergic reaction in the nasal passages, the resulting inflammation and excess mucus production often leads to post-nasal drip, where mucus drains down the back of the throat. This constant drainage can irritate the throat tissues, causing soreness, scratchiness, and pain. Additionally, people with allergic rhinitis frequently breathe through their mouth, which can dry out the throat and contribute to discomfort.

Key Points to Consider

  • The symptoms of allergic rhinitis, as defined by the clinical practice guideline 1, include nasal congestion, rhinorrhea, sneezing, and/or nasal itching, which can lead to post-nasal drip and throat pain.
  • The diagnosis and management of rhinitis, as outlined in the updated practice parameter 1, emphasize the importance of considering the nature of presenting symptoms, such as rhinorrhea, nasal congestion, sneezing, and postnasal drainage, which can contribute to throat pain.
  • Treatment options for allergic rhinitis, such as antihistamines, nasal corticosteroid sprays, and saline nasal rinses, can help reduce throat pain associated with the condition.
  • Staying hydrated, using a humidifier, and avoiding known allergens can also help reduce throat pain associated with allergic rhinitis.

Recommendations for Management

  • Antihistamines like cetirizine (10mg daily) or loratadine (10mg daily) can be used to reduce the allergic response.
  • Nasal corticosteroid sprays such as fluticasone (1-2 sprays per nostril daily) can be used to decrease inflammation.
  • Saline nasal rinses can be used to flush out allergens and thin mucus.
  • Staying hydrated, using a humidifier, and avoiding known allergens can also help reduce throat pain associated with allergic rhinitis.

From the Research

Allergic Rhinitis and Throat Pain

  • Allergic rhinitis is a common condition that affects the nasal passages and can cause a range of symptoms, including nasal congestion, sneezing, and itching of the eyes, nose, and throat 2.
  • While the primary symptoms of allergic rhinitis are related to the nasal passages, some patients may also experience throat pain or discomfort 2.
  • The exact relationship between allergic rhinitis and throat pain is not fully understood, but it is thought that the inflammation and congestion caused by allergic rhinitis can lead to throat irritation and pain 3.
  • Studies have shown that patients with allergic rhinitis are more likely to experience throat symptoms, including sore throat and hoarseness, than those without the condition 4.
  • Treatment for allergic rhinitis typically focuses on relieving nasal symptoms, but may also help to alleviate throat pain and discomfort 5.
  • In some cases, combination therapy with intranasal corticosteroids and antihistamines may be more effective in reducing throat symptoms than either treatment alone 6.

Symptoms of Allergic Rhinitis

  • Nasal congestion
  • Sneezing
  • Itching of the eyes, nose, and throat
  • Rhinorrhea (runny nose)
  • Postnasal drainage
  • Throat pain or discomfort (in some cases)

Treatment Options

  • Intranasal corticosteroids
  • Antihistamines (oral or intranasal)
  • Combination therapy with intranasal corticosteroids and antihistamines
  • Avoidance of allergens and triggers 2, 3, 4, 5, 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Rhinitis.

Primary care, 2014

Research

Allergic Rhinitis: Rapid Evidence Review.

American family physician, 2023

Research

Concomitant corticosteroid nasal spray plus antihistamine (oral or local spray) for the symptomatic management of allergic rhinitis.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2016

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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