What causes a burning sensation in the throat lasting for two months, and what should be done about it?

Generally, a burning sensation in the throat lasting for two months may be caused by dietary irritation, insufficient water intake, reflux laryngitis, chronic pharyngitis, or atrophic pharyngitis. Depending on the specific situation, patients can choose appropriate management methods such as lifestyle adjustments, medication, or surgical treatment. A detailed analysis is as follows:

1. Dietary Irritation

Long-term consumption of excessively hot, spicy, or acidic foods continuously irritates the throat mucosa, damaging the mucosal barrier and causing a chronic burning sensation. Adjust the diet to include cool or lukewarm, bland foods; avoid irritating foods such as hot pot and strong alcohol. Rinse the mouth with warm water after meals to clean the throat.

2. Insufficient Water Intake

Inadequate daily fluid intake leaves the throat mucosa chronically dry, impairing mucosal function and making it prone to irritation and a burning sensation. Develop the habit of drinking small amounts of water frequently, ensuring a daily intake of at least 1500 milliliters. Honey water may also be consumed to soothe and moisturize the throat.

3. Reflux Laryngitis

Chronic backflow of stomach acid into the throat erodes the mucosa, leading to chronic inflammation. The burning sensation often worsens upon waking or after meals and may be accompanied by acid regurgitation and belching. Under medical guidance, medications such as omeprazole enteric-coated capsules, mosapride tablets, and hydrotalcite chewable tablets may be used. Avoid eating within two hours before bedtime.

4. Chronic Pharyngitis

Long-term exposure of the throat mucosa to irritants such as dust, smoke, and alcohol leads to chronic inflammation, resulting in mucosal congestion and swelling. This causes a persistent burning sensation, often accompanied by a foreign body sensation in the throat. Medications such as Yinhuang lozenges, compound borax mouthwash, and Lanqin oral liquid may be used as directed by a physician. Avoid environments with dust, smoke, and alcohol exposure.

5. Atrophic Pharyngitis

The throat mucosa becomes thin and atrophied, with reduced secretory function, leading to dryness and increased sensitivity. Symptoms include a prominent burning sensation, dry mouth, and sore throat. Under medical supervision, treatments may include menthol oil nasal drops (used in the throat), vitamin A softgel capsules, and vitamin B2 tablets. In severe cases, transplantation of throat mucosa may be required.

It is important to maintain good throat health in daily life: avoid shouting loudly, keep indoor air humidified, regularly clean the mouth to reduce bacterial growth. A persistent burning sensation in the throat lasting two months should not be ignored—prompt medical evaluation is necessary to identify the underlying cause and initiate targeted treatment for complete relief.