When you get up in the morning with a scratchy throat and phlegm, it may be caused by chronic pharyngitis, allergic pharyngitis, chronic bronchitis and other reasons. 1. Chronic pharyngitis: the common reason for getting up in the morning with an itchy throat and phlegm is chronic pharyngitis, chronic pharyngitis typical symptoms for the pharynx, pharynx, phlegm is not easy to cluck out, itchy eyes, burning sensation, and so on, and some patients will also be accompanied by coughing, brushing teeth in the morning nausea symptoms. 2. Chronic sinusitis: the morning up throat itchy phlegm may also be caused by chronic sinusitis, chronic sinusitis is usually associated with acute sinusitis improper treatment or incomplete treatment. At night, sinus secretions flow back into the pharyngeal cavity, stagnation attached to the back wall of the pharynx, can feel irritated in the morning up throat itchy and phlegm feeling. 3. Chronic bronchitis: the morning up throat itchy phlegm may also be caused by chronic bronchitis, chronic bronchitis is slow onset, easy to recur. The main symptoms are coughing with white phlegm, throat itching or accompanied by wheezing. When patients have symptoms of itchy throat and phlegm in the morning, it is recommended that they go to the hospital immediately and have a systematic examination to make a clear diagnosis.