The Dangers of Acidic Drinks
Acidic beverages are among the primary culprits that can exacerbate the pain and irritation of pharyngitis. The inflamed lining of the throat is already sensitive, and acidic liquids can cause a stinging or burning sensation upon swallowing. This includes popular choices that many mistakenly believe to be helpful during a cold.
Citrus Juices and Sodas
Despite being rich in Vitamin C, citrus juices like orange, lemon, and grapefruit are highly acidic and should be avoided. The acid can directly irritate the sensitive pharyngeal tissue, worsening inflammation and prolonging discomfort. Similarly, carbonated sodas, even those that aren't citrus-flavored, have a high acidity level due to carbonation and other additives. The fizzing bubbles can also be harsh on a sore throat.
Tomato-Based Drinks
Tomato juice and other tomato-based beverages are also high in acid and should be avoided when dealing with a sore throat. The acidic nature of tomatoes can cause significant irritation, leading to more pain when you swallow. Opt for gentler, less acidic alternatives to stay hydrated and nourished.
Why Dehydrating Drinks are a Problem
Dehydration is a significant concern when you have pharyngitis, as it can cause the throat tissues to become dry and more inflamed. Certain drinks actively contribute to dehydration, making recovery more difficult.
Alcohol and Caffeine
Both alcohol and caffeine have diuretic effects, meaning they cause your body to lose fluids more quickly. Alcoholic beverages, including wine, beer, and hard seltzers, are also acidic and can cause a double-dose of irritation. Caffeinated drinks like coffee and some teas can contribute to dehydration, although the effect is generally mild. It's best to switch to non-caffeinated herbal teas during your recovery.
The Issue with Very Hot or Very Cold Liquids
While many people find relief from either warm or cold beverages, extremes in temperature can be harmful to an already sensitive throat.
Excessive Heat
Very hot liquids can scald or further irritate the inflamed throat lining, similar to how they would injure healthy skin. The warmth of a hot tea is often soothing, but it is important to let beverages cool to a comfortably warm temperature before drinking. Hot teas with ingredients like honey and lemon are beneficial when lukewarm, not steaming hot.
Excessive Cold
For some, a very cold drink can numb the pain temporarily. However, for others, an extremely cold beverage can cause a shock to the sensitive tissues, potentially increasing discomfort. Sucking on ice chips can be helpful, but very cold water may worsen symptoms for some individuals. The key is to find a temperature that feels most soothing for your personal symptoms.
The Dairy Debate: Mucus and Pharyngitis
The link between dairy products and mucus production is a common concern for people with sore throats. While the scientific evidence is mixed, some individuals report that dairy makes their mucus feel thicker and harder to swallow.
Is Dairy Problematic for a Sore Throat?
Some studies have found no definitive link between dairy intake and increased mucus production in people with colds. However, a 2019 study published in The Laryngoscope found that a dairy-free diet did reduce mucus secretions in some self-reporting participants. The response to dairy can be very individual. If you notice that milk, cheese, or other dairy products make your throat feel more coated or phlegmy, it's best to avoid them until your pharyngitis symptoms subside.
Comparison of Irritating vs. Soothing Drinks
| Type of Drink | Why it's Harmful with Pharyngitis | Soothing Alternative |
|---|---|---|
| Citrus Juices | High acidity irritates the inflamed throat lining | Apple juice (low-acid), water-rich fruits |
| Coffee & Caffeinated Teas | Diuretic properties can cause dehydration and increase inflammation | Herbal teas (chamomile, ginger) with honey |
| Alcoholic Beverages | Dehydrating and acidic, which dries out and irritates the throat | Non-alcoholic broths or warm water with honey |
| Carbonated Drinks | High acidity and bubbles can cause harsh irritation | Still water, coconut water, or diluted low-acid juices |
| Very Hot Liquids | Can scald and inflame the delicate tissues of the throat | Warm (not hot) tea, broth, or lemon water |
| Dairy Products (for some) | Can cause thickened mucus and a coated sensation | Almond milk, oat milk, or creamy yogurt (if tolerated) |
What to Drink Instead
Focus on hydration and soothing liquids to help your throat heal. Warm liquids like herbal tea with honey can coat the throat and provide antimicrobial benefits. Plain water is always the best choice for hydration. Broths, especially warm, can be both soothing and hydrating. For those who prefer cool relief, popsicles or cold water can help numb the throat and reduce inflammation. Staying well-hydrated helps your body fight the infection and keeps your throat from feeling dry and scratchy.
Conclusion
When a painful bout of pharyngitis strikes, being mindful of what you drink is crucial for a comfortable and speedy recovery. Avoiding acidic, caffeinated, and alcoholic beverages can prevent further irritation and dehydration. Pay attention to the temperature of your drinks, opting for warm or cool rather than extreme temperatures, and consider temporarily cutting back on dairy if it seems to worsen your mucus. By making these simple, smart beverage choices, you can effectively manage your symptoms and support your body's healing process. Always consult a healthcare provider if your sore throat lasts longer than a week, worsens, or is accompanied by other severe symptoms.
What to drink instead when you have a sore throat
Herbal teas, warm water with honey and lemon, and clear broths are excellent, soothing choices for a sore throat. Staying well-hydrated with plain water is also highly recommended. For cold relief, popsicles or ice water can help numb the pain.
