Causes and treatment of sore throat in the morning

Morning sore throat is considered a fairly common disorder at any age. Sometimes this condition occurs regularly, becoming most intense in the early hours and disappearing throughout the day. If an adult or child has a sore throat in the morning, this may indicate infectious and inflammatory processes occurring in the body. You should not try to get rid of the problem yourself - the best solution in such a situation would be to contact a specialist .

Why does a morning sore throat appear - infectious processes

A common cause of sore throat in the early hours is the development of:

1. Chronic tonsillitis.
2. Pharyngitis.
3. Laryngitis.

A sore throat in the morning is common during high flu season. This viral pathology occurs with aching joints, nasal congestion, general weakness, and a rapid increase in body temperature.

Another cause of morning sore throat is a fungal infection of the pharynx (candidiasis), which occurs against the background of activation of pathogens from the genus Candida in the body (in 98% of cases). These fungi belong to the opportunistic flora, which can clearly manifest themselves in the event of hypothermia, weakened immunity, or the presence of other negative factors.

Chronic tonsillitis

This disease is the leading cause of discomfort in the throat in the morning. If chronic tonsillitis led to the development of pathology, the pain is often mild.

The diagnosis of “chronic tonsillitis” is established by a specialist with frequent relapses of the disease (up to 5-6 exacerbations over 12 months). In addition to the main symptom (sore throat in the morning), this disorder can cause low-grade body temperature (from 37 to 37.5 degrees). The patient may also experience slight plaque or plugs on the surface of the tonsils and bad breath.

Exacerbation of chronic tonsillitis provokes the development of more pronounced symptoms in the form of redness of the throat, swelling of the tonsils, swelling of the lymph nodes, and an increase in body temperature to 39-40 degrees.

Pharyngitis

Often the throat hurts in the morning, and then goes away with pharyngitis. Chronicity of this disease leads to increased pain in the early hours of the day, and the absence of discomfort during the day and evening. The clinical picture is complemented by dryness in the oropharynx, accumulations of mucus on its back wall, and deterioration in the quality of night sleep. Many patients are bothered by the feeling of a “lump” in the throat, leading to the need to constantly cough and swallow saliva.

The atrophic form of the disease is characterized by a dry crust covering the throat. At the stage of exacerbation, the patient develops swelling and redness in the throat, and the mucous membranes become unhealthy loose. Often the pathological process affects the tonsils.

During the acute form of pharyngitis, in addition to morning soreness, myalgia (muscle pain), signs of intoxication of the body, rash, weakness and loss of appetite appear in the throat.

Laryngitis

Laryngitis most often affects people who are forced to constantly strain their vocal cords due to professional activities. Also, this pathology is found in children under the age of 3 years, and is explained by insufficient formation of the ligamentous apparatus. The progression of the disease provokes the development of unpleasant sensations during swallowing, a “barking” type of cough, temporary loss of voice, an increase in body temperature from 37 to 39 degrees, and shortness of breath.

Laryngitis is especially dangerous for children. With intense swelling of the membranes of the larynx, the narrow passages are blocked, leading to an acute lack of air.

Active substances in treatment

Effective and practical remedies for sore throat relief are freely available in pharmacies. However, finding those that will help a specific person is difficult. Something different helps everyone, and in addition, the modern pharmaceutical market offers many different drugs. In addition to lozenges, special rinsing solutions and aerosols are effective.

Among the active substances, the following are most effective:

• benzalkonium chloride;
• dichlorobenzenemethanol;
• benzoconine;
• benzydamine;
• hexedidine.

All these substances have antibacterial, antispasmodic or analgesic effects. They eliminate the cause of inflammation in the throat, alleviate the accompanying signs of inflammation and immediately relieve sore throat.

If locally acting drugs do not help the symptoms disappear within 5–7 days in adults and 2–3 days in children, the morning sore throat develops into a constant one, accompanied by fever, general malaise and weakness, you should consult a doctor. Consultation with a specialist is advisable for pregnant and lactating women.

Causes of sore throat that are non-infectious in origin

Non-infectious causes that provoke pain in the throat include inhaling dry, too cold or hot air, living in an unfavorable climate, gastric juice getting into the pharynx, and ronchopathy (night snoring).

Active smokers are more likely to develop a sore throat after sleep. Unpleasant sensations are provoked by nicotine, which penetrates the mucous membranes and causes their irritation. The pathology becomes more pronounced if the passion for tobacco products is combined with frequent consumption of alcoholic beverages.

With constant smoking, a sore throat may be present not only in the morning. Sometimes this symptom manifests itself in the evening.

If the mucous membrane was damaged the day before, the next morning you may also experience pain in the throat area. This happens when you eat hard foods. Also, the cause of discomfort can be a chemical burn caused by prolonged inhalation of harmful fumes.

Preventive actions

In order to reduce the likelihood of a sore throat, you should follow certain rules:

• Do not be in smoking areas. Tobacco smoke negatively affects the condition of the mucous membrane;
• Try, whenever possible, not to use painkillers. They reduce pain, but do not affect the cause of its occurrence;
• Control your breathing. Inhalation should be through the nose;
• It is necessary to control air humidity in residential areas. Dry air negatively affects the condition of the mucous membrane;
• It is necessary to eliminate bad habits - smoking and drinking alcohol.
• The diet should be balanced and contain sufficient amounts of vitamins.

The content of the article

A sore throat can also differ in nature and have accompanying symptoms. The symptom of a sore throat at night and in the morning indicates that it is in this time interval that adverse events should occur.

The development of this trait depends on the influence of the environment. In addition, a sore throat at certain times of the day may be due to processes that occur in the body only in the evenings.

What medications treat morning sore throat?

The treatment regimen for morning sore throat is determined by the cause that caused this pathology. To eliminate unpleasant symptoms and normalize well-being, the following can be used:

• drugs that eliminate severe drying of the mucous membranes;
• antiviral and antibacterial agents;
• antifungal medications;
• homeopathic products.

Preparations for moisturizing the throat mucosa

The use of pharmaceutical drugs in the form of aerosols (Inhalipt, Yox, Hexoral) helps maintain a normal level of moisture in the mucous membranes of the oropharynx. Sprays are used in consultation with a doctor.

Spraying in the oral cavity is carried out up to 5 times a day. Such drugs have a local therapeutic effect and practically do not enter the general bloodstream. Due to this feature, patients rarely develop adverse reactions that take the form of swelling, redness or itching.

Antiviral and antibacterial agents

Antiviral therapy for the appearance of morning sore throat is carried out using:

1. Viferon.
2. Kagotsela.
3. Interferon.
4. Arbidola.
5. Groprinosin.
6. Amiksina.

If your throat hurts in the morning due to a herpetic sore throat, the patient is prescribed Acyclovir. In cases where the causative agent of the pathology is bacterial flora, specialists prescribe antibiotics such as penicillins, macrolides, and cephalosporins. It is not recommended to use such drugs without medical prescription. Dosages and duration of therapy must be agreed with your doctor.

Antifungal medications

For mild pain in the pharynx associated with fungal activity, local medications are used:

• Clotrimazole;
• Amphotericin.

Special solutions are intended for rinsing - Miramistin, Lugol, Chlorhexidine. Progressive candidiasis requires the prescription of capsules or tablets - Nystatin, Levorin, Fluconazole.

Homeopathic products

Such medications are prescribed to patients with tonsillitis, pharyngitis, and laryngitis. The following helps relieve pain and discomfort in the throat:

1. Tonsilotren.
2. Argentuma.
3. Phytolaxa.
4. Akonita.

Homeopathy is becoming a good way to counter chronic forms of throat diseases and helps avoid frequent relapses. In some cases, long-term use of such products is required. When tonsillitis and other pathologies are chronic, courses with homeopathic remedies are carried out at least 2 times a year.

Against the background of antiviral, antibacterial or antifungal therapy, the use of complexes containing high doses of vitamin C, probiotics, and immunostimulants is additionally indicated.

Reflux esophagitis

There is also a disease not related to the pathology of the ENT organs, the leading symptoms of which are pain in the chest and throat. These symptoms develop after eating, if the patient takes a horizontal position or bends the body down. They are due to the fact that as a result of insufficiency of the sphincter between the esophagus and the stomach, food and gastric juice are thrown back, which has an irritating effect on the mucous membrane and is accompanied by the development of pain.

Additional symptoms in this case are belching and heartburn. In adults, the disease can manifest itself as a constant cough and a hoarse voice. To determine the cause of this condition, it is necessary to undergo esophagoscopy.

Depending on the identified pathology, treatment measures may involve the use of conservative methods, such as the use of antispasmodics and antacids. In addition, in the case of a hiatal hernia, surgical treatment cannot be ruled out. To reduce clinical manifestations, patients need to take their last meal several hours before bedtime; it is contraindicated to take a horizontal position of the body after eating, or to perform physical exercises with the torso bending.

A specialist should collect all existing complaints, interpret them and prescribe treatment. By contacting an otolaryngologist, the patient will receive qualified advice regarding the existing pathology of the ENT organs. In this case, you may need to consult related specialists, a gastroenterologist, or an allergist.

Sore throat is one of the most common complaints when visiting a general practitioner. Unpleasant sensations can occur at different times of the day, but nighttime symptoms are the least understood. What they indicate in a particular case is worth asking your doctor.

Traditional methods

If your throat hurts every morning, you can relieve the unpleasant condition with the help of:

• honey with lemon;
• chamomile infusion;
• figs with milk.

At home, you can prepare an effective absorbable remedy for a sore throat. To do this, you need to combine a whole glass of natural liquid honey with juice squeezed from 3 lemons. During the day, the resulting mixture must be dissolved in the mouth several times (in case of severe pain, with 10-minute breaks).

Rinse with chamomile infusion. One teaspoon of dried flowers is brewed with boiling water (300 ml). After the product has cooled, filter it and gargle several times throughout the day. Before each procedure, it is necessary to prepare a fresh composition.

Figs (7-8 pcs.) must be boiled in a small amount of fresh cow's milk (no more than 1 glass). After the product boils, remove it from the heat and cool. Take the resulting product several times a day, in small sips. The last dose is taken shortly before bedtime.

A condition that causes pain

A pathological condition in which a sore throat is noted mainly at night, is typical for people of certain professions: singers, lecturers, teachers. In these cases, throughout the day the patient constantly experiences overstrain of the tissues of the larynx and, above all, the vocal cords. The consequence of this is the development of a hypertrophic form of laryngitis.

Pharyngoscopy reveals growth of “singer’s nodules” on the vocal cords. The presence of these formations leads to hoarseness, soreness and sore throat at the end of the day.

Clinical symptoms can regress only if the laryngeal structures are given rest.

People in these professions are advised to spend the maximum amount of time without straining their ligaments, and to maintain a conversation in a quiet voice. In severe cases, when it is not possible to change lifestyle and profession, they resort to removing growths on the ligaments.

Acute hypertrophic laryngitis can also affect a person from another profession. Inflammation of the larynx can be caused by a viral or bacterial infection, hypothermia, or smoke in the air. However, in this case, the symptoms will be the same throughout the day. A worsening situation at the end of the working day often indicates occupational hazards.

Preventing morning sore throat

If you are prone to morning sore throat, it is recommended to avoid overstraining the vocal cords and promptly treat diseases of the ENT organs. It is useful to drink mineral water at room temperature after waking up - this helps to moisturize the tissues of the oropharynx and eliminate excess mucous secretions.

An important measure to avoid a sore throat in the morning is to stop smoking and eating heavy, spicy food in the evening . Shortly before going to bed, you can drink a glass of kefir or eat low-fat yogurt. If you are prone to allergies, you must periodically take a course of antihistamines prescribed by a specialist.

Allergy

A common reason why your throat hurts only at night may be allergies. The clinical manifestations of this disease are different. The most common are nasal congestion, rhinitis, watery eyes, difficulty breathing, and rash. A sore and sore throat and a dry cough are also often signs of an allergic condition.

The development of the reaction in this case is due to the possibility of exposure to the allergen during this particular period of time. Most often such dangerous agents are

• furnishings, carpets, pillow fluff;
• food for fish;
• fur and fluff of animals in the bedroom;
• book dust;
• houseplants.

The most effective treatment for allergies is eliminating the allergen. You need to start by eliminating all dangerous objects. If the allergen is found, the condition will quickly return to normal, and nothing will interfere with a normal night's rest. The use of antihistamines will also help improve your well-being.

Sore throat in the morning, then goes away: causes and treatment

Diseases of the nasopharynx and upper respiratory tract often bother people during the cold season. This causes discomfort, pain, and difficulty swallowing. But sometimes the throat hurts in the morning, and the rest of the day the patient does not feel sick. Unpleasant sensations go away after drinking warm water or milk, rinsing with decoctions of medicinal herbs.

Common causes of sore throat in the morning

If pain is felt upon awakening and then goes away in the evening, the cause may be diseases of the larynx and nasopharynx. The condition of the mucous membrane is affected by:

• infections;
• excessively dry and dusty air;
• bad habits;
• allergic manifestations;
• gastrointestinal motility disorder;
• vasomotor rhinitis;
• pathological snoring;
• inflammatory processes in the paranasal sinuses;
• endocrine and autoimmune diseases;
• degenerative-dystrophic changes in the cervical spine.

During the day, the perception of weak pain signals by the nervous system is dulled, and the hydration of the mucous membrane improves due to the influence of saliva, as well as drinking liquids and swallowing food.

The stagnation in the nasopharynx of mucus draining from the paranasal sinuses, which irritated the throat at night, stops. In an upright position, nasal congestion is reduced or relieved, and nasal breathing is restored.

The patient feels relief until the symptoms disappear completely.

A common cause of sore throat is infection. Ways of its penetration:

• airborne;
• contact (through household items and contact with infected people);
• oral-genital, vertical (for HPV);
• lymphogenous and hematogenous dissemination;
• leakage of infected mucus from the paranasal sinuses.

Infectious agents: bacteria, fungi, protozoa and viruses.

Viral infections

Damage to the cells of the ciliated epithelium of the nasopharynx and larynx is caused by:

1. Parainfluenza and ARVI viruses (adenoviruses, rhinoviruses, respiratory syncytial viruses). Runny nose, cough, sneezing, cephalgia, low-grade fever. The disease lasts 7-10 days.
2. Coxsackie viruses (enteroviruses). The temperature rises to +39... +40 °C, headache, weakness, nausea, diarrhea, and rashes develop. Swallowing is difficult due to damage to the throat mucosa. Symptoms disappear within 7-14 days.
3. Influenza viruses. Severe dryness in the nasopharynx and larynx, especially in the morning. Cough without phlegm, feeling tired, weak, body aches, high fever. After 3-5 days, recovery occurs.
4. Epstein-Barr virus. Weakness, muscle soreness, migraine, catarrhal symptoms in the upper and lower respiratory tract, hyperthermia. Lymphadenopathy making swallowing difficult. The disease lasts up to 60 days. The patient remains a virus carrier for life.
5. Human papillomaviruses. The course of the disease is asymptomatic; when the virus is activated, it multiplies. Warty formations appear in the nasopharynx and larynx, causing chronic cough, hoarseness and discomfort. Over time, malignant transformation is possible.

Chronic bacterial or fungal infections

Causes of inflammation of the upper respiratory tract: protozoa (Trichomonas), intracellular and membrane parasites (chlamydia, ureaplasma, mycoplasma), fungi (candida), bacteria (Staphylococcus aureus, hemolytic streptococci). Forms of the disease: pharyngitis, tonsillitis and laryngitis. Symptoms:

• burning, raw pain in the throat after sleep, relieved by warm drinks;
• discharge of purulent mucus or plugs;
• putrid odor from the mouth;
• hyperemia of the pharynx;
• white spots or plaque in the throat;
• soreness, cough;
• hyperthermia;
• lethargy, migraine.

Bacterial inflammation occurs as a result of decreased immunity, including after ARVI, influenza, general or local hypothermia.

Manifestations of a fungal infection of the throat:

• cutting and stabbing pains, worse at night and in the morning;
• pain when swallowing;
• smell of sour milk from the mouth;
• plaque on the mucous membrane, similar to cottage cheese;
• hyperemia, tickling, cough.

Pharyngomycosis occurs against a background of weakened immunity, including diabetes mellitus, immunosuppressive therapy, chemotherapy, and HIV infection.

Dry air

Favorable conditions for health: air humidity 40-60%, temperature +18…+22 °C. If your throat hurts at night, it may be that the air in the room is excessively dry and contains a lot of dust.

This happens when the heating system operates intensively, especially in panel houses.

Brick walls prevent sudden changes in temperature and humidity, and regular wet cleaning eliminates dust.

Woolen carpets can also cause coughing, sore throat and sore throat: the entry of fibers into the nasopharynx causes mechanical irritation and leads to the development of allergies. To humidify the air, you can buy a special device or hang a cloth soaked in water on the heating radiator. Windows (or vents) in the bedroom should, if possible, be left ajar at any time of the year.

Exposure to toxic substances, smoke, dust, etc.

Toxic contaminants in the air have a negative impact on health. Atmospheric harmful substances (microparticles, gases, aerosols, allergens) affect the nasopharyngeal mucosa, causing local and general damaging effects on the body.

Workers in the mining, flour milling, tobacco and pharmaceutical industries, as well as the chemical and papermaking industries are susceptible to occupational diseases of the upper respiratory tract. Harmful substances deplete the protective functions of the mucous membrane, causing its damage and atrophy.

Accumulating in the nasopharynx, particles of metal, silicon, coal, cement contribute to microtraumas (abrasions, bedsores). Over time, epithelial cells degenerate and polyps form. The functions of glands clogged with microparticles are disrupted, secretion decreases, and the mucous membrane becomes dry. The process involves the paranasal sinuses and larynx.

Organic dust from flour mills, textiles and woodworking plants leads to allergies.

Aerosols, gases and vapors interact with mucous secretions and have a cauterizing effect (especially alkalis and acids). Necrosis of areas of the epithelium occurs.

Smoke and soot that arise from incomplete combustion of fuel also have a negative effect.

Penetrating through the mucous membrane into the bloodstream, toxic substances suppress the immune system, which leads to the colonization of the nasopharynx with pathogenic microorganisms.

So if your throat hurts the next morning after a working day, you need to contact an otolaryngologist-occupational pathologist.

Pathological snoring syndrome

Obstructive sleep apnea syndrome is manifested by pathological snoring and episodes of temporary cessation of breathing. Causes:

1. Excess weight. The fatty layer makes breathing difficult, squeezing the nasopharynx.
2. Age-related changes in respiratory tract tissues.
3. Tranquilizers, muscle relaxants, narcotic drugs.
4. Irritation and swelling of the mucous membrane as a result of smoking.
5. Excessive muscle relaxation after alcohol abuse.
6. Anomalies in the structure of the nasopharynx and jaws.
7. Proliferation of tissues of the lymphoid pharyngeal ring.
8. Impaired conductivity of the nasal cavity due to polyps, adenoids, deviated nasal septum, vasomotor or allergic rhinitis.
9. Endocrine pathologies (hypothyroidism, pituitary diseases).
10. Muscle relaxant effect of progesterone during pregnancy.
11. Violation of muscle tone in neurological diseases.
12. Incorrectly selected pillow, uncomfortable body position during sleep.

Other reasons

Other reasons: tobacco smoke, reflux of gastric contents into the throat, cervical osteochondrosis, excessive stress in singers, teachers and lawyers.

Thermal and chemical irritation of the mucous membrane during smoking causes a constant hacking cough. Blood circulation in tissues deteriorates, the epithelium atrophies and metaplasias.

When the tone of the lower esophageal sphincter is disrupted, gastric contents reflux into the pharynx. This is facilitated by the horizontal position of the body. At night, hydrochloric acid and pepsin corrode the mucous membrane, and in the morning the throat hurts.

Eating excessively hard, coarse, spicy food and strong alcoholic drinks during dinner irritates the mucous membranes, causing microdamage and pain.

Symptoms of morning pain

Symptoms of a sore throat depend on the causes that cause it and the condition of the body. Diseases that affect the mucous membrane of the respiratory tract can occur in both acute and subtle forms.

In the first case, the disease is accompanied by fever, weakness, stabbing and cutting sensations in the nasopharynx and larynx, and the release of thick, difficult to expectorate purulent mucus.

Low-symptomatic forms of the disease cause minor discomfort, but are dangerous because the patient may not attach importance to his condition for a long time.

Diagnostics

If there is no improvement within 2-3 weeks or negative dynamics are observed, you should consult an otolaryngologist. The doctor will conduct an examination and prescribe the necessary tests. Long-term self-medication leads to complications and chronicity of the disease.

How to cure

After diagnosis, it is recommended:

• use of antibacterial, antiviral or antifungal medications;
• treatment with anti-inflammatory aerosols and medicinal solutions;
• physiotherapy;
• laser or surgical removal of tumors.

At home, folk remedies are used: rinsing with a decoction of chamomile or sage, sucking lozenges, drinking milk with honey.

Preventive actions

Preventing a sore throat:

1. Treatment of GERD (as recommended by the doctor).
2. When working in hazardous industries: use personal protective equipment, regular medical examinations.
3. Healthy lifestyle: maintaining normal body weight, hygiene, sleep patterns, physical exercise.

To prevent the development of dangerous diseases of the upper respiratory tract, you need to get rid of bad habits and undergo regular medical examinations.

Yulia Kalashnik

Source: https://VipLor.ru/gorlo/po-utram-bolit

How to get rid of pain

Treatment of sore throat in the morning should be symptomatic, but the attending physician must determine the necessary medications.
Self-treatment is dangerous due to its uncontrollable consequences, so you should not risk your health. The classic treatment for a sore throat is as follows:

1. If the inflammation is bacterial, the patient is prescribed topical antibiotics - Bioparox, Fluimucil, Grammidin. The use of these drugs will relieve symptoms of catarrhal symptoms. Local medications reduce the tendency of disease development and chronic inflammation in the respiratory tract.
2. Subsequently, the patient is prescribed anti-inflammatory drugs - Erespal, Fenspiride, Inspiron. Medicines block the production of toxins and stimulate the improvement of the immune system. Also, products in this category relieve swelling in the mucous membrane and reduce the production of exudate.
3. For severe pain, use painkillers “Paracetamol”, “Nurofen”, “Nise”, “Efferalgan”. They not only relieve high fever. But they also improve the overall well-being of the patient.
4. To prevent an allergic reaction, the patient is prescribed corticosteroids - Prednisolone, Dexamethasone, Hydrocortisone.
5. Lozenges will help to quickly relieve severe pain . The best lozenges are Strepsils, Septolete, Faringosept, Doctor Mom, Grammidin, Angin Neo, Trachisan. You can get rid of painful sensations in children with the help of “Decatylene”, “Septolete”, “Travisil”.
6. You can relieve pain not only with tablets and pills, but also with sprays . In this group, it is best to choose such products as Hexoral and Angilex, Theraflu Lar and Stopangin. Treat the child with herbal preparations, for example, Ingalipt.
7. Don't forget to gargle several times a day. As a solution, use products such as “Miramistin”, “Chlorhexidine”, “Angilex”, “Heksikon” or herbal preparations “Rotokan” or “Chlorophyllipt”.

You can find out how to relieve a sore throat with a sore throat here.

Non-infectious causes of morning pain

Often the reason for a sore throat in the morning is not illness, but other factors.

This:

• dry air;
• tobacco smoke;
• pathological snoring;
• reflux of gastric juice;

Dry air

Often the cause of discomfort in the morning is dry air in the bedroom. The pain is felt most clearly at this time of day. Why in the morning? At night we breathe deeper than during the day and practically do not swallow. Thus, the mucous membrane is not moisturized, which causes pain in the morning. In extreme cases, this results in small sores in the throat through which bacteria can enter.

You can correct the situation using a simple humidifier or a wet towel on a radiator. Don't forget to ventilate the room regularly! Then in the morning the pain will not bother you.

Exposure to toxic substances (smoke, dust, etc.)

For smokers, a sore throat in the morning is a typical occurrence. Constant exposure to tobacco smoke dries out the mucous membranes of the respiratory tract. In long-term smokers, a process called epithelial dysplasia or metaplasia progresses.

The degeneration of epithelial cells leads to insufficient hydration of the mucosal surface and to its partial atrophy. Atrophic pharyngitis develops. Pathological changes in the pharyngeal mucosa lead to constant pain, which is most pronounced in the morning.

Pathological snoring syndrome

Snoring occurs due to narrowing of the upper airways, making it difficult for air to pass through the throat. Thus, the air stream penetrates with force into the lungs. In this case, vibration of the walls of the pharynx, epiglottis, and uvula is observed.

The above leads to the fact that the next morning a person wakes up with a sore throat, discomfort, accompanied by dryness and sore throat.

Nocturnal reflux of bile and gastric juice into the esophagus

During sleep, our body is in a horizontal position and the stomach is aligned with the esophagus. When actively digesting food at night, our stomach can throw some of the gastric juice into the esophagus. This is a strong acid that causes a burning sensation and an unpleasant sensation in the morning.

To correct the situation, you need:

1. Sleep on a high pillow;
2. Don't eat at night.

The reflux of gastric contents into the esophagus is not normal and indicates pathologies of the cardia and esophagus, which can lead to esophageal cancer. To exclude these diseases, you must contact a gastroenterologist and undergo an endoscopic examination.