Dear Dr. Jahn,
I am a female singer – 25 years old. My medical mystery is that my throat always feels dry. The reason it is a mystery is that I drink 8 glasses of water a day and have been thoroughly tested for allergies. It appears that pollen, dust or any other allergies are NOT causing this condition. I often have to clear my throat and it feels sore after a lot of singing. Many thanks for your help,
– Asonaba
There are several things to consider. Are your eyes also dry? Do you have any autoimmune condition (like arthritis or thyroiditis)? I would check that out, although you’re a bit young for such disorders. Autoimmune diseases sometimes include Sjogren’s disease (dry mouth and eyes).
Next, look at any medications you’re taking. Many types of drugs (such as antihistamines, antidepressants etc.) can be drying. Do you have asthma? Some people using asthma inhalers (or taking frequent antibiotics) develop a low grade yeast infection of the throat. Do you breathe well through your nose? If your nose is blocked and you are a mouth breather, that can also cause dryness.
Consider also whether you have performance anxiety – this can also cause dryness, and can at times be controlled with a beta blocker. Anyhow, these are just some suggestions to consider. If it is a significant problem, you should see a physician.
-Anthony F. Jahn, MD, FACS, FRCS(C)
This discussion is for general information and not to be construed as specific medical advice that you should obtain from your own physician.

Dr. Jahn is an internationally renowned otolaryngologist based in Manhattan with a sub-specialty interest in the professional voice. His practice includes classical and popular singers. He holds academic appointments at Mount Sinai School of Medicine and Westminster Choir College in Princeton. He is Medical Director at Jazz at Lincoln Center, and former Director of Medical Services at the Metropolitan Opera in New York. Dr. Jahn has published several books for vocalists, including “Vocal Heath for Singers” (Singdaptive) and “The Singer’s Guide to Complete Health” (Oxford University Press).