What factors contribute to hoarseness in the evening?

Hoarseness, particularly in the evening, can often be linked to a condition called laryngopharyngeal reflux (LPR). This happens when stomach acid flows back into the throat.

Factors Contributing to Evening Hoarseness:

1. Reflux After Meals: Eating can trigger reflux, and if you lie down soon after eating, it might worsen.
2. Acid Irritation: The acid can irritate the throat, leading to hoarseness.
3. Saliva Pepsin: Studies have shown that pepsin, an enzyme from the stomach, can be found in saliva when reflux occurs, which can cause irritation.

Managing Hoarseness:

• Avoid Eating Before Bed: Try not to eat right before lying down.
• Monitor Diet: Certain foods can trigger reflux, so it might help to track what you eat.

These insights are based on studies exploring the role of reflux in throat irritation.