If you have a sore throat each morning don't ignore it - it could be a sign of something sinister (Image: Getty) Morning sore throat: Waking up with a rough, grating throat might not just be a sign you need to drink more water. According to pharmacist Dr Richard Middleton, you might have reflux issues. “Night-time reflux, sometimes called silent reflux, can occur without waking you, leaving you wondering why your throat is sore in the morning,” he says.
“It occurs at night when lying down as gravity no longer helps keep stomach acid in place. “Production of saliva, which helps neutralise acidity, also decreases during sleep and you tend to swallow less too, which would normally help push stomach acid downward. If this is left untreated it may lead to more serious complications such as oesophagitis, Barrett’s oesophagus and, over time, can even increase your risk of oesophageal cancer.
” Dr Middleton recommends eating smaller meals later in the day. “Your evening meal should be eaten at least three hours before bed, and don’t drink before going to bed as this also makes reflux more likely,” he advises. “Sleep on your left side and raise the head of your bed or use pillows to ensure your chest and shoulders are elevated, so gravity can help.
” A pharmacist can offer advice and over-the-counter medicines to help if night-time reflux is still troublesome after this. See your doctor if, despite making these changes, symptoms continue for more than three weeks. .