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Why Does Onion Make My Throat Hurt?

Published in Throat Irritation 3 mins read

A burning throat after eating raw onions is due to sulfoxides, sulfur compounds found in onions. These compounds irritate the mucous membranes of the throat, causing a burning sensation. However, a sore throat could also indicate an onion allergy or sensitivity, though true allergies are rare.

Understanding Onion-Related Throat Irritation

  • Sulfoxides: The primary culprit behind throat burning from raw onions are sulfoxides. These sulfur-containing compounds are responsible for the characteristic pungent odor and taste of onions. When consumed raw, they can directly irritate the sensitive tissues in your throat. Cooking onions can reduce this effect, as the compounds are broken down during the process.

  • Allergic Reactions: While uncommon, some individuals experience allergic reactions to onions, exhibiting symptoms ranging from mild tingling and itching in the mouth to more severe reactions like throat swelling (AIRWAY symptom as noted in reference materials). More serious reactions involving airway constriction necessitate immediate medical attention. Anaphylaxis to onions is considered very rare. [Source: Anaphylaxis to onion or garlic is thought to be very rare. Only a few cases have been reported in the research. More serious symptoms are often referred to as the ABC symptoms and can include: AIRWAY - swelling in the throat, tongue or upper airways (tightening of the throat, hoarse voice, difficulty swallowing).]

  • Oral Allergy Syndrome (OAS): Another possibility, though related to allergy, is Oral Allergy Syndrome (OAS). This syndrome causes itching and tingling in the mouth and throat but rarely leads to severe reactions. It's often triggered by cross-reactivity with pollen allergens. [Source: OAS makes your lips, mouth and throat itchy but rarely causes severe reactions. ... How does oral allergy syndrome affect my body? An allergy is a reaction...]

  • Sensitivity vs. Allergy: It's crucial to differentiate between a sensitivity and a true allergy. Sensitivity causes discomfort, such as burning or irritation, but a true allergy triggers a full-blown immune response with potentially life-threatening symptoms. [Source: It is possible they are causing a burning sensation. People can have an allergy or sensitivity to onions. A true allergy is rare.]

Differentiating Causes and Seeking Help

If your throat irritation is consistently linked to onion consumption, consider:

  • Cooking onions: This significantly reduces the concentration of irritating sulfoxides.
  • Avoiding raw onions: If raw onions cause significant discomfort, exclude them from your diet.
  • Medical consultation: If you experience symptoms beyond mild irritation, such as swelling, difficulty breathing, or hives, seek immediate medical attention. This is particularly important if you suspect an allergy.

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