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Cobblestone Throat

Cobblestone Throat: Causes, Symptoms, Treatment & More

Do you often find yourself stuck with a persistent throat discomfort that feels like bumps in the back of throat? If so, you may be experiencing the complex condition known as cobblestone throat.

In today’s blog, we will explain cobblestone throat, exploring its causes, symptoms, cobblestone throat treatment options, and much more. 

Have you ever wondered what exactly a cobblestone throat is and what causes it? Let’s start by breaking down the basics.

What is Cobblestone Throat?

Cobblestone throat refers to a distinctive appearance of the posterior pharyngeal wall, resembling the uneven surface of cobblestones. This condition is often associated with various underlying causes, leading to discomfort and irritation in the throat.

What Causes Cobblestone Throat?

Listed below are all the posssible causes that lead to the formation of bumps in the back of throat:

  • Postnasal Drip: Excessive mucus dripping down the throat can contribute to cobblestone throat.
  • Allergies: Allergic reactions triggering inflammation in the throat can result in this distinctive condition.
  • Laryngopharyngeal Reflux (LPR): Acid reflux affecting the throat can lead to the cobblestone appearance.
  • Chronic Tonsillitis: Persistent inflammation of the tonsils can contribute to cobblestone throat.
  • Viral Infections: Viruses causing upper respiratory infections may result in this condition.
  • Smoking: Tobacco smoke can irritate the throat and contribute to cobblestone throat.
  • Dry Air: Low humidity levels can dry out the throat, leading to this discomfort.
  • Infections: Bacterial or viral infections affecting the throat can be a causative factor.
  • Gastroesophageal Reflux Disease (GERD): Chronic acid reflux can contribute to the development of cobblestone throat.
  • Other Upper Respiratory Infections: Various respiratory infections can contribute to the cobblestone appearance.

Symptoms of Cobblestone Throat

It is important to identify the symptoms of cobblestone throat, in order to effectively manage and treat this condition. Here are all the symptoms of bumps on tonsils:

  • Throat Irritation: Persistent scratchiness or tickling in the throat.
  • Sore Throat: Discomfort or pain in the throat.
  • Cough: Frequent coughing, often accompanied by throat irritation.
  • Tonsil Discomfort: Pain or discomfort specifically around the tonsils.
  • Reflux Symptoms: Heartburn or regurgitation, indicating possible LPR.
  • Breathing Difficulties: Feeling of tightness or difficulty breathing.
  • Fatigue: Tiredness and exhaustion, possibly due to disrupted sleep from throat discomfort.

Is Cobblestone Throat Contagious?

No, cobblestone throat itself is not contagious. It is a visual indication of irritation in the throat, often caused by various factors such as postnasal drip, allergies, or infections. However, if the underlying cause is an infectious condition, that specific ailment might be contagious. Always consult a healthcare professional for an accurate diagnosis and guidance.

How Long Does Cobblestone Throat Last?

The duration of cobblestone throat varies based on its underlying cause. In some cases, it may resolve on its own within a week or two, especially if related to a temporary irritation. However, if the condition is due to a chronic issue such as allergies, reflux, or persistent infections, it may persist until the underlying problem is effectively treated. Seeking medical advice can help determine the specific cause and guide you on the expected duration and appropriate course of action for relief.

Cobblestone Throat Treatment

Cobblestone throat treatment involves addressing the underlying causes, managing symptoms, and making lifestyle adjustments.

Here’s a detailed guide on various cobblestone throat treatment options tailored to alleviate bumps in the back of throat:

  1. Identify and Address Underlying Causes:

The first step in treating cobblestone throat is identifying and addressing the root causes. Depending on the underlying condition, targeted treatments may include:

  • Antibiotics: If the cobblestone throat is linked to a bacterial infection, a course of antibiotics may be prescribed.
  • Antiviral Medications: For cases associated with viral infections, antiviral medications may be recommended.
  • Acid Reducers: Laryngopharyngeal Reflux (LPR) or Gastroesophageal Reflux Disease (GERD) may be managed with medications that reduce stomach acid.
  1. Medications to Alleviate Symptoms:

  • Throat Lozenges or Sprays: Sucking on throat lozenges or using throat sprays can provide temporary relief by numbing the throat.
  • Pain Relievers: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
  1. Lifestyle Modifications:

  • Dietary Changes: Avoid spicy foods, acidic beverages, and large meals close to bedtime to minimize reflux.
  • Smoking Cessation: Quitting smoking is crucial, as tobacco smoke can exacerbate throat irritation.
  • Hydration: Staying well-hydrated helps keep the throat moist and can aid in relieving discomfort.
  1. Throat Hydration:

  • Warm Salt Gargle: Gargling with a solution of warm water and salt can reduce inflammation and soothe the throat.
  • Hydration Therapy: Increase fluid intake, particularly warm liquids like herbal teas or broths, to keep the throat hydrated.
  1. Professional Intervention:
  • Speech Therapy: For cases where hoarseness or voice changes are prominent, speech therapy may be beneficial.
  • Surgical Options: In persistent or severe cases, surgical interventions such as tonsillectomy or procedures to correct reflux issues may be considered.

Home Remedies for Cobblestone Throat

  • Stay Hydrated: Ensure adequate fluid intake to soothe the throat.
  • Warm Salt Gargle: Gargling with warm salt water can reduce inflammation.
  • Humidify the Air: Use a humidifier to maintain optimal humidity levels.
  • Throat Lozenges or Hard Candy: Soothe the throat with lozenges or hard candy.
  • Honey and Warm Water: Honey’s natural properties can help alleviate throat discomfort.
  • Steam Inhalation: Inhaling steam can provide relief by moisturizing the throat.
  • Avoid Irritants: Steer clear of smoke and other throat irritants.
  • Ginger Tea: Ginger’s anti-inflammatory properties can be beneficial.
  • Rest Your Voice: Minimize talking to allow the throat to heal.

When to See a Doctor?

If symptoms persist for more than a week, are severe, or are accompanied by other concerning signs, seeking medical attention is crucial.


In the journey to understand cobblestone throat, knowledge is the key to relief. If you find yourself navigating the discomfort of cobblestone throat, Manhattan Medical Arts is here to guide you.

Our experienced healthcare professionals are ready to provide personalized care and comprehensive solutions to address your specific needs.

Frequently Asked Questions

Why do I have bumps in the back of my throat?

Bumps in the back of the throat can be caused by various factors, including infections, allergies, or irritants. Consult a doctor for a proper diagnosis.

Can stress cause cobblestone throat?

Stress itself may not directly cause cobblestone throat, but it can exacerbate underlying conditions. Managing stress is essential for overall well-being.

Is cobblestone throat dangerous?

Cobblestone throat is usually not dangerous, but it signals an underlying issue. Seek medical advice for proper diagnosis and treatment.

Is cobblestone throat painful?

Yes, cobblestone throat can be associated with discomfort and a sore throat. Pain levels may vary based on the underlying cause.

How to get rid of cobblestone throat?

Treatment involves addressing underlying causes, managing symptoms with medications, lifestyle adjustments, and, in some cases, surgical intervention. Consult a healthcare professional for personalized advice.

– Disclaimer –

This blog is for informational & educational purposes only, and does not intend to substitute any professional medical advice or consultation. For any health related concerns, please consult with your physician, or call 911.

Medically Reviewed

Last reviewed by Dr. Syra Hanif, M.D. on 01/01/2024

Learn more about our editorial process.

  • About The Author

    Dr. Syra Hanif M.D.

    Board Certified Primary Care Physician

Dr. Syra Hanif is a board-certified Primary Care Physician (PCP) dedicated to providing compassionate, patient-centered healthcare.

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