Why does the upper part of my throat hurt while the lower part doesn't?

Nov 27, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, pain in the upper part of the throat with no pain in the lower part may be caused by dry air, dietary irritation, acute pharyngitis, postnasal drip syndrome, epiglottitis, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Maintain good oral hygiene by rinsing the mouth with warm water after brushing teeth in the morning and evening. Avoid overusing the voice, and wear a mask when going outdoors in windy, dusty, or cold conditions.

Generally, pain in the upper part of the throat without discomfort in the lower part may be caused by dry air, dietary irritation, acute pharyngitis, postnasal drip syndrome, epiglottitis, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Specific analyses are as follows:

1. Dry air: When environmental humidity is insufficient, the mucous membranes in the upper throat tend to lose moisture, leading to dryness and pain. Use a humidifier to maintain indoor humidity between 40% and 60%, drink plenty of warm or cool water, and avoid frequent swallowing to relieve discomfort.

2. Dietary irritation: Consuming excessively hot, spicy, or salty foods can directly irritate the mucous membranes in the upper throat, causing local congestion and pain. Immediately stop eating irritating foods and switch to mild, cool foods such as porridge or soft noodles to reduce mucosal friction.

3. Acute pharyngitis: Often triggered by viral infections, this condition causes congestion and swelling of the mucous membranes in the upper throat, resulting in pain and a dry sensation. Patients may use medications such as Lan Qin Oral Liquid, Pudi Blue Anti-inflammatory Tablets, or Compound Borax Gargle Solution as directed by a physician.

4. Postnasal drip syndrome: Inflammation from rhinitis or sinusitis leads to secretions flowing backward, continuously irritating the upper throat mucosa and causing pain. Patients should use medications such as Mometasone Furoate Nasal Spray, Loratadine Tablets, or Eucalyptus-Camphor-Pinene Enteric Soft Capsules as prescribed.

5. Epiglottitis: Infection causes swelling of the epiglottic mucosa; early symptoms include severe pain in the upper throat, possibly accompanied by difficulty swallowing. Patients may take Cefixime Dispersible Tablets, Amoxicillin-Clavulanate Potassium Tablets, or Dexamethasone Injection as directed by a doctor. In severe cases, tracheotomy may be required to ensure airway patency.

In daily life, maintain good oral hygiene by brushing teeth morning and night and rinsing the mouth with warm water afterward. Avoid overusing the voice, and wear a mask when outdoors in windy, sandy, or cold conditions to reduce irritation to the throat mucosa.