Why Do I Get a Sore Throat After Flying?

The experience of developing a scratchy, dry, or sore throat after air travel is extremely common and is known medically as pharyngitis. While many associate this discomfort with catching a cold or flu, the primary cause is often a direct, physical reaction to the unique environment inside the aircraft cabin. This soreness is frequently a form of environmental irritation rather than the first sign of a contagious illness. Understanding the specific conditions present during a flight explains why the throat tissue is so susceptible to becoming irritated.

The Primary Role of Low Cabin Humidity

Low relative humidity inside the aircraft cabin is the most significant factor contributing to post-flight throat soreness. Commercial jets cruise at high altitudes where the outside air used for ventilation is nearly devoid of moisture. After compression and heating, the cabin environment often maintains a humidity level between 6% and 20%, significantly drier than the average indoor environment.

This parched air acts like a sponge, drawing moisture away from exposed surfaces, including the delicate mucous membranes lining the throat and nasal passages. The rapid loss of water through evaporation causes these membranes to dry out, leading to the scratchy, irritated sensation. When the mucus layer loses moisture, it becomes thicker and less fluid.

This drying also severely impacts the body’s natural defense mechanism, known as mucociliary clearance. The tiny, hair-like structures called cilia rely on a thin, watery layer of mucus to effectively sweep away inhaled particles and germs. When the mucus thickens due to low humidity, the cilia become sluggish, reducing their ability to protect the underlying tissue.

Airborne Irritants and Pathogen Exposure

Beyond the physical stress of dryness, the respiratory system is exposed to various airborne contaminants during a flight. The already compromised, dry throat tissue is more vulnerable to both non-pathogenic irritants and infectious agents. Non-pathogenic irritants, such as dust or strong air conditioning drafts, can cause further inflammation to the dried-out membranes, aggravating the soreness.

In rare instances, chemical irritants may enter the cabin air supply, sometimes referred to as a “fume event.” These events involve the contamination of the “bleed air” supply with trace amounts of pyrolyzed engine oil or hydraulic fluid. While these events are uncommon, the compounds released can directly irritate the respiratory lining, causing symptoms like throat and eye irritation.

The risk of pathogen exposure, such as viruses and bacteria, is also present. Most large commercial planes are equipped with High-Efficiency Particulate Air (HEPA) filters, which are capable of removing 99.9% of airborne microbes and particles, similar to those used in hospital operating rooms. The cabin air is also refreshed frequently, about 20 to 30 times per hour. However, transmission occurs primarily via close contact, such as a passenger seated nearby coughing or sneezing, which is especially problematic when the body’s first line of defense is weakened by the dry air.

Strategies for Prevention and Relief

To mitigate the effects of the dry cabin environment, proactive hydration is the most effective strategy. Travelers should begin drinking water before boarding and aim to consume approximately eight ounces of water for every hour of flight time. Consistent water intake helps maintain the body’s overall fluid balance, supporting the natural moisture of the respiratory tract.

It is helpful to avoid beverages that compound the effects of low humidity, particularly alcohol and excessive caffeine. Both act as diuretics, promoting fluid loss and accelerating dehydration in the dry cabin air. Salty snacks should also be limited, as they increase the body’s need for water.

Targeting the mucous membranes directly can also offer significant protection. Using an over-the-counter saline nasal spray periodically during the flight helps to keep the nasal passages moist. Sucking on lozenges or hard candies stimulates saliva production, providing a natural, protective coating over the throat’s irritated lining. For relief after landing, gargling with warm salt water can soothe existing soreness and help draw moisture back into the affected tissue.