When you get up in the morning, there is always a piece of phlegm in your throat, which may be caused by chronic laryngitis, chronic bronchitis, reflux pharyngitis and other reasons. 1. Chronic pharyngolaryngitis: due to the back wall of the pharynx is often more viscous secretion of the stimulus, the clinical manifestations of the pharynx will have a variety of discomfort, such as foreign body sensation, burning sensation, dryness, etc., and often in the morning to get up in the throat there is always a piece of sputum, the more frequent irritating cough, severe nausea can be caused. 2. Chronic bronchitis: the exudate in the trachea and lungs, through coughing to reach the throat to form phlegm, will appear in the morning to get up in the throat always have a piece of phlegm symptoms. 3. Reflux laryngitis: when the contents of the stomach reflux to the throat, the local mucous membrane and the surrounding tissues caused by the damage, it is easy to stimulate the mucus secretion of the throat increased, which will lead to phlegm in the throat in the morning, may also be accompanied by a dry pharynx, sore throat and hoarseness and other symptoms. It is recommended to go to the hospital in time for systematic examination to clarify the diagnosis and etiology.