How to Sleep With a Sore Throat: Tips for Relief

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A sore throat can make falling and staying asleep a real challenge. The discomfort, irritation, and congestion can disrupt rest, making it harder for your body to recover.

However, you can ease the pain and improve the quality of your sleep by making a few adjustments to your sleep environment, taking better care of your physical health, establishing a sleep routine, and paying attention to your sleeping position.

This article will help you understand the causes of a sore throat and provide practical tips to help you sleep and wake up feeling better.

Common Causes of Sore Throat

sick girl with sore throat touching neck wrapped in warm scarf isolated on pink

A sore throat can be caused by various factors, ranging from infections to environmental conditions. Identifying the root cause can help you find effective treatment and relief.

Viral Infections

Viruses are the most common cause of sore throats, often linked to colds, the flu, or respiratory infections. Conditions like COVID-19, mononucleosis, and viral pharyngitis can cause throat irritation, pain, and swelling. Since viral infections do not respond to antibiotics, rest and hydration are key for recovery.

Bacterial Infections

Strep throat, caused by Streptococcus bacteria, is a common bacterial infection that results in severe throat pain, difficulty swallowing, and sometimes fever.

Other bacterial infections, such as diphtheria or tonsillitis, can also cause a sore throat and require antibiotic treatment.

Allergies

Allergic reactions to pollen, dust, pet dander, or mold can lead to throat irritation and inflammation. Allergies often trigger postnasal drip, where excess mucus runs down the back of the throat, causing soreness, itchiness, and discomfort.

Dry Air

Breathing dry air, especially in heated indoor environments during winter, can dry out the mouth and cause irritation. Sleeping with an open mouth due to nasal congestion can worsen the problem, leading to discomfort in the morning.

GERD

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the esophagus, irritating the throat and causing a burning sensation. Frequent acid reflux can lead to chronic throat soreness, hoarseness, and coughing.

Postnasal Drip

When excess mucus accumulates in the sinuses and drips down the back of the throat, it can cause irritation and inflammation. This is often a result of colds, allergies, or sinus infections, leading to persistent throat discomfort.

Smoking or Secondhand Smoke

Tobacco smoke contains harmful chemicals that irritate the throat lining, leading to chronic dryness and soreness. Even exposure to secondhand smoke can trigger throat irritation, coughing, and long-term damage to the respiratory system.

Excessive Talking or Singing

Overusing the vocal cords, whether through excessive talking, shouting, or singing, can strain the throat muscles and lead to soreness. This is common among teachers, singers, and public speakers who frequently use their voices for extended periods.

How to Prepare for Bed When You Have a Sore Throat

A woman with a cold is being treated at home in bed

A sore throat can make it difficult to fall asleep and stay comfortable throughout the night. Taking a few simple steps before bedtime can help soothe irritation, reduce inflammation, and promote better sleep.

Drinking Warm Fluids Before Sleep

Warm liquids can help ease throat discomfort, reduce inflammation, and keep the throat hydrated. Some soothing options include:

  • Herbal teas: Chamomile, ginger, or licorice root tea can reduce throat irritation.
  • Warm water with honey and lemon: Honey has antibacterial properties, while lemon can help break down mucus.
  • Warm broth or soup: Provides hydration and soothes the throat without being too harsh.
  • Decaffeinated tea with honey: Helps coat the throat and reduce nighttime coughing.

Use a Humidifier

Dry air can make a sore throat worse, especially during winter months when indoor heating reduces humidity levels. Using a humidifier in your bedroom can add moisture to the air, preventing throat dryness and irritation while you sleep.

Keep Your Room Cool and Humid

A cool yet comfortable temperature (around 60-67°F or 16-19°C) helps prevent throat dryness and improves sleep quality. Using a humidifier adds moisture to the air, preventing further irritation caused by dry air, especially during winter or in air-conditioned rooms.

Reduce Noise and Light

Bright lights and loud noises can make it difficult to fall and stay asleep. Use blackout curtains, dim lighting, and white noise machines to create a calming atmosphere. Avoid screen time before bed, as blue light can disrupt melatonin production and make it harder to sleep.

Choose Comfortable Bedding

Soft, breathable bedding can make a big difference in getting a restful night’s sleep. Use pillows that support your head and neck to reduce strain and elevate your head slightly to ease breathing. Opt for moisture-wicking sheets if you experience night sweats due to fever or congestion.

Gargle with Salt Water

Gargling with warm salt water before bed can help reduce swelling, kill bacteria, and clear mucus from the throat. Mix half a teaspoon of salt in a glass of warm water and gargle for about 30 seconds before spitting it out.

Taking a Warm Shower or Steam Inhalation

Inhaling steam can help open up airways, loosen mucus, and reduce throat irritation. A warm shower before bed or using a bowl of hot water with a towel over your head for steam inhalation can provide relief and make breathing easier.

Take Over-the-Counter Pain Relievers

If your sore throat is causing significant discomfort, taking an over-the-counter pain reliever like acetaminophen (Tylenol) or ibuprofen (Advil) before bed can help reduce pain and inflammation, making it easier to sleep.

Avoid Irritants Before Bedtime

Certain irritants can worsen a sore throat and disrupt sleep. Avoid smoking, secondhand smoke, strong perfumes, and cleaning chemicals before bedtime. Additionally, limit caffeine and alcohol intake, as they can dehydrate the throat and make symptoms worse.

Best Sleeping Positions for a Sore Throat

woman lying on bed feeling unwell from health problem

Your sleep position can significantly impact throat discomfort, congestion, and postnasal drip. Choosing the right sleeping position can help reduce irritation and promote better rest.

Sleep with Your Head Elevated

Keeping your head slightly elevated can help reduce postnasal drip and minimize throat irritation caused by mucus buildup. Use an extra pillow or a wedge pillow to keep your head and upper body propped up, allowing for better airflow and reduced throat discomfort.

Side Sleeping vs. Back Sleeping

Side sleeping is often recommended for individuals with a sore throat, as it can prevent mucus from pooling at the back of the throat. Back sleeping can also be beneficial if the head is elevated, but lying flat on your back may worsen congestion and lead to increased throat irritation.

Avoid Sleeping on Your Stomach

Sleeping on your stomach can put strain on the neck and throat, potentially making discomfort worse. It may also lead to improper airflow and increase the risk of mouth breathing, which can dry out the throat even more.

Extra Tips for Sleeping with a Sore Throat

Getting quality sleep with a sore throat can be challenging, but a few simple strategies can help ease discomfort and promote restful sleep.

Avoid Eating Right Before Bed

Nighttime Eating, especially spicy or acidic foods, can trigger acid reflux, which may worsen throat irritation. Try to finish eating at least 2-3 hours before going to bed to allow for proper digestion.

Late-night eating can also increase mucus production, which may further irritate the throat and cause discomfort while sleeping. Sticking to light, soothing snacks like warm tea, milk, or honey can be a better alternative if you need something before bed.

Use a Nasal Decongestant if Necessary

If congestion is contributing to your sore throat, a saline nasal spray or decongestant can help keep nasal passages clear and reduce mouth breathing, which often worsens throat dryness.

Keeping your nasal passages open can prevent postnasal drip, a common cause of throat irritation at night. However, avoid overusing decongestant sprays, as they can cause rebound congestion if used for more than a few days.

Try Deep Breathing and Relaxation Techniques

Stress and tension can make it harder to sleep when dealing with a sore throat. Deep breathing exercises, meditation, or gentle stretching before bed can help relax your body and improve sleep quality.

Exercises, yoga, or guided relaxation can also help distract from discomfort and make it easier to fall asleep. Creating a bedtime routine with calming activities can further enhance relaxation and reduce nighttime throat irritation.

FAQs

What’s the best sleeping position for a sore throat?

Sleeping with your head elevated helps reduce postnasal drip and congestion, which can worsen throat irritation. Use an extra pillow or a wedge pillow to keep your upper body slightly raised. This position prevents mucus buildup in the throat, making breathing easier and reducing discomfort while sleeping. Sleeping on your side may also help minimize throat irritation.

How can I prevent my throat from getting dry while sleeping?

Using a humidifier adds moisture to the air, preventing your throat from drying out overnight. Drinking warm herbal tea or water before bed can also keep your throat hydrated. Additionally, avoiding caffeine, alcohol, and mouth breathing can help reduce dryness. If necessary, sucking on a throat lozenge or using a throat spray can provide extra relief before bed.

What are the best home remedies to ease a sore throat before bed?

Drinking warm honey and lemon tea, gargling with salt water, or using a throat lozenge can soothe irritation before sleep. A humidifier can add moisture to the air, preventing further dryness. Avoiding spicy foods, smoking, and excessive talking before bed can also help reduce strain on the throat and promote a more comfortable night’s rest.

Can certain foods or drinks help me sleep better with a sore throat?

Yes, warm beverages like herbal tea, honey in warm water, or warm broths can soothe the throat and reduce irritation before sleep. Avoid acidic, spicy, or overly salty foods, as they can worsen inflammation. Dairy may increase mucus for some people, so it’s best to see how your body reacts. Staying hydrated with water is essential.

Should I take medication to sleep better with a sore throat?

Over-the-counter pain relievers like ibuprofen or acetaminophen can reduce throat pain and inflammation, making sleep easier. Throat lozenges, sprays, or decongestants can also help soothe irritation. However, if symptoms persist for more than a few days or worsen, it’s best to consult a doctor to rule out infections like strep throat that may require antibiotics.

Conclusion

Getting quality sleep is essential for recovering from a sore throat. By elevating your head, keeping your room humid, staying hydrated, and avoiding irritants, you can minimize discomfort and promote healing.

If your sore throat persists for more than a week or worsens, consult a doctor to rule out any underlying conditions. Prioritizing good sleep habits will help your body fight off infections and recover faster.

Jessica H.

Senior Product Editor

Jessica is a reviewer, writer, and sleep enthusiast at Sleepiverse. Jessica graduated with her master's degree in Nursing research and education. She is a registered nurse and currently works in the Intensive Care Unit. Since becoming a nurse, Jessica has worked the night shift, which means a disrupted sleep schedule. Knowing she needed to function at her best while caring for patients at night, she spent a lot of time researching how to sleep well with a difficult schedule.