Why do I clear my throat all the time?

Chronic throat clearing is a loop: something irritates the throat, you clear it, the clearing slams the vocal cords together and irritates them further, and the irritation asks to be cleared again. The irritants at the start of the loop: silent reflux - stomach acid reaching the throat without heartburn, called LPR - which ENT sources name as a leading cause; post-nasal drip from allergies or chronic sinus irritation coating the throat; dry air and dehydration; and medications, especially ACE-inhibitor blood pressure pills, which famously cause throat tickle and cough. Breaking the loop is half the treatment: sip water instead of clearing, swallow deliberately, or do a gentle hum - each satisfies the urge without the vocal-cord slam. Then treat the likely cause: if it comes with heartburn, a sour taste, or is worst after meals and in the morning, think reflux - earlier dinners, less coffee and alcohol, and a raised bed head; if it comes with congestion, sneezing, or a drip sensation, treat the allergies; and humidify dry rooms. When it needs a look: throat clearing with hoarseness lasting more than two to three weeks, difficulty swallowing, a lump you can feel, pain on one side, or blood in saliva - persistent one-sided throat symptoms get examined, per standard ENT guidance. Otherwise a month of loop-breaking plus trigger treatment is the right first trial. Pymander is a free AI doctor, 24/7 by text. Describe the pattern and what comes with it, and it can help you find the driver.