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Suggest Treatment For Nasal Drainage Along With Cough

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Posted on Fri, 2 Jan 2015
Question: Why do I have almost constant post nasal drainage with coughing. T he fluid is clear, salty, but not too thick.
Nasal sprays afford little relief. I cannot hold a talk very long without choking. It gets to be very tiring.HELP

Why isn't more concern noted towards my condition. Help
doctor
Answered by Dr. Ronald Schubert (25 minutes later)
Brief Answer:
Nasal drainage with cough

Detailed Answer:
Thanks for contacting HCM with your health care questions.

You are being bothered by a constant post nasal drip and will a persistent cough as a result of the drainage. You have already tried saline nasal sprays and also using nasal cort a nasal steroid spray. These are frequently used for the treatment of allergic or perennial nasal congestion and drainage. The next thing you could try is either a nasal antihistamine called Astelin. This may help reduce the drainage but can also cause very dry nasal membranes and nasal bleeding. Another option is Atrovent nasal spray. This is a nasal spray made from atropine that reduces the production of nasal mucus. It does work but it can also cause nasal bleeding a dry mouth.

In your list of medications I notice you have hypertension therefore you can not use any of the over the counter decongestants like phenylephrine or any nasal spray decongestants as these medication can cause elevated blood pressure.

In my patient they can also get relief with salt water gargles. A small cup with warm water and salt gargled and spit out help sooth the back of the throat. It will help wash off the mucus and clear the back of you throat from the constant dip.

One last option is using a robitussin DM product or a cough suppressant with a mucolytic. This will help reduce the cough and reduce the thickness of the drainage.

In summary
1. Astelin nasal spray antihistamine
2. Atrovent nasal spray atropine
3. Robitussin DM cough suppressant and mucolytic
4. Avoid decongestants
5. plenty of fluids and rest
6. Salt water gargles every hour as needed

I hope I answered your question. Please contact HCM again with your health care concerns and questions
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ronald Schubert (2 hours later)
Is it likely that I could be allergic to one or more of my prescribed drugs ingredients.
doctor
Answered by Dr. Ronald Schubert (5 minutes later)
Brief Answer:
Medication allergies cause systemic effects

Detailed Answer:
Thanks for returning to HCM with your health care questions.

Your medications would not cause only nasal congestion drainage and cough. Medications would cause a whole body response which would be a generalized rash, nausea, vomiting or swelling. A local response to the nasal passages is limited to something only affecting your nose. The most likely causes is allergic rhinitis, perennial rhinitis, sinusitis, or recurrent upper respiratory infection

I hope I answered your question. Please contact HCM again with your health care concerns and questions
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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Suggest Treatment For Nasal Drainage Along With Cough

Brief Answer: Nasal drainage with cough Detailed Answer: Thanks for contacting HCM with your health care questions. You are being bothered by a constant post nasal drip and will a persistent cough as a result of the drainage. You have already tried saline nasal sprays and also using nasal cort a nasal steroid spray. These are frequently used for the treatment of allergic or perennial nasal congestion and drainage. The next thing you could try is either a nasal antihistamine called Astelin. This may help reduce the drainage but can also cause very dry nasal membranes and nasal bleeding. Another option is Atrovent nasal spray. This is a nasal spray made from atropine that reduces the production of nasal mucus. It does work but it can also cause nasal bleeding a dry mouth. In your list of medications I notice you have hypertension therefore you can not use any of the over the counter decongestants like phenylephrine or any nasal spray decongestants as these medication can cause elevated blood pressure. In my patient they can also get relief with salt water gargles. A small cup with warm water and salt gargled and spit out help sooth the back of the throat. It will help wash off the mucus and clear the back of you throat from the constant dip. One last option is using a robitussin DM product or a cough suppressant with a mucolytic. This will help reduce the cough and reduce the thickness of the drainage. In summary 1. Astelin nasal spray antihistamine 2. Atrovent nasal spray atropine 3. Robitussin DM cough suppressant and mucolytic 4. Avoid decongestants 5. plenty of fluids and rest 6. Salt water gargles every hour as needed I hope I answered your question. Please contact HCM again with your health care concerns and questions