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Cold and Flu Center

A Sore Throat With a Lump

author image Diane Marks
Diane Marks started her writing career in 2010 and has been in health care administration for more than 30 years. She holds a registered nurse license from Citizens General Hospital School of Nursing, a Bachelor of Arts in health care education from California University of Pennsylvania and a Master of Science in health administration from the University of Pittsburgh.
A Sore Throat With a Lump
Allergens can cause a sore throat with a lump.

A sore throat with the feeling of a lump is associated with post nasal drip, according to the American Academy of Otolaryngology. Post nasal drip is a condition where excessive liquid secretions drip in the back of the throat, causing an accumulation of mucus and fluid in the throat and larynx, according to ENT Associates of Corpus Christi, Texas. A persistent sore throat may be a sign of another condition and needs to be assessed by a medical doctor.

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Thin secretions causing a sore throat with a lump from post nasal drip are commonly the result of the common cold, flu, allergies, pregnancy and spicy foods, according to the American Academy of Otolaryngology. Thick secretions are the result of a sinus infection, dry air or certain allergies. As the secretions build up in the back of the throat, the area becomes irritated and inflamed, causing a sensation of a lump in the throat.


A sore throat with a lump resulting from post nasal drip will be accompanied by other symptoms, such as bad breath, coughing and swallowing problems, according to ENT Associates. Bad breath develops because of the trapped mucus that can attract and grow bacteria. A constant cough is common with post nasal drip because of the irritation in the throat. The cough reflex is activated to help clear the throat. Swallowing problems are a normal symptom of post nasal drip because of inflammation and excessive phlegm.


Before the condition can be properly treated, a proper diagnosis must be made by an ear, nose and throat specialist, according to the American Academy of Otolaryngology. Diagnosing the condition will entail X-rays of the sinuses and throat, endoscopic exams and laboratory tests. The purpose of the diagnosis is to determine the cause of the sore throat with a lump. Once the cause is identified, then the condition can be properly treated.


Bacterial infections are treated with antibiotics, allergies are treated with antihistamines and allergy shots and gastroesophageal reflux is treated by implementing lifestyle changes in diet and sleep, according to ENT Associates. According to Medline Plus, home care methods can be used to treat post nasal drip. Drink extra fluids, increase the humidity in the home using a humidifier and use saline sprays and rinses to keep the sinuses moistened.


Post nasal drip may be the result of nasal deformities, sinus infections or chronic allergies. Determine the cause by making an appointment with an ear, nose and throat specialist.

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