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What Does Persistent Thick Post Nasal Drip Indicate?

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Posted on Thu, 8 Jun 2017
Question: I have a thick post nasal drip that never goes away. Doesn't matter what time of year, inside or out , it chokes me. I can't bring anything up or swallow it down. I see an allergist and am on xyzol, dymista , which helps it drain but not consistently, also I used it so much this past year, I feel like I had a fishy smell in my nose. I know that sounds crazy. Anyway, it drives me crazy and keeps me up at night. Sometimes it'll go away for a few hours, rarely. now I've used musinex, and musinex dm, got differing opinions on which one to use from different pharmacists. Please , there has to be a way to get rid of this.
doctor
Answered by Dr. Dr. U N Sahoo (2 hours later)
Brief Answer:
Nasal chronic infection

Detailed Answer:
Hi,

Thanks for your question on HCM

I do understand your concern

"As" per your clinical history is concerned you need a physical examination by an ENT doctor who will physically check if any polyp or growth present or not. He may do nasal endoscopy to look inside and may do nasal secretion culture test to ruled out any bacterial infection present or not.your doctor will prescribe you an antibiotics if infection present in culture report.other medication might help like nasal corticosteroid like fluticasone. If you have nasal polyp present then a course of oral steroid may help.you can take any OTC decongestants but do not make a habit of it.

To prevent it in future you can do few things at home-

1)Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals. Carefully manage your allergies.

2)Avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages.

3)You use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent infection.

4)You can mix one-half to one teaspoon of pickling or canning salt and a pinch of baking soda in a cup of lukewarm distilled or previously boiled water. Use this solution for nasal irrigation.

5)To remove mucus from the nasal passages you may do like this Put a pinch of freshly grated horseradish in your mouth. Hold it in your mouth until its flavor dissipates, and then swallow it. Repeat 2 times a day for about a week or until the infection clears.

Hope that helps
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. U N Sahoo (14 hours later)
your answer was very good in covering most possibilities, I'm just concerned why my allergist hasn't raised these possibilities, especially since he is my husband's dr. and has removed nasal polyps from my him. but I don't have the same symptoms as him. So I think I'll try the ENT. do you think it's more part of their expertise? and you're right , I don't like using nasal sprays. I have used a XXXXXXX pot in the past, like when I've been out at a casino or feel like I want to clean out my sinuses.Also, I NEVER EVER get a cold and am rarely sick flu etc. never had the flu. and rarely sneeze or have a runny nose or any other nasal symptoms, that's what is so confusing. and my allergy symptoms are not the nasal kind. I have mostly itching allergy symptoms, not sneezing. also, don"t polyps need be removed/
doctor
Answered by Dr. Dr. U N Sahoo (3 hours later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hi,

Thanks for your follow up query

1)As per your query I may say that it is part of [ENT] but every doctor is not trained in endoscopy so consult with such doctor who is trained up in all endoscopic procedures.

2)You have mentioned that you do not want to use nasal sprays and in my own opinion I will advise you to go to root cause and treat that cause only then you may not be required it for ever. You may use XXXXXXX pot which is a good practice.

3)you have mentioned about allergy and in my opinion I may say that sometimes it can be due to fungal infection as well.

4)Finally i may say that do a complete investigation and take treatment as per cause only.

Hope that helps


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. U N Sahoo (1 hour later)
So how do I find the cause? with endoscopy by the ENT or allergy testing which I"ve had for my chronic lip dermatitis? could it be something simple? Say, something right under my nose? Ha, no pun intended.
doctor
Answered by Dr. Dr. U N Sahoo (2 hours later)
Brief Answer:
Detail answer below

Detailed Answer:
Hi,

Thanks for your follow up query

As per my advice yo can discuss with your family doctor and he will do tests already mentioned in my answer. It is very simple and nothing to be afraid of.

(Thanks)
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
doctor
Answered by
Dr.
Dr. Dr. U N Sahoo

General & Family Physician

Practicing since :1969

Answered : 2462 Questions

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What Does Persistent Thick Post Nasal Drip Indicate?

Brief Answer: Nasal chronic infection Detailed Answer: Hi, Thanks for your question on HCM I do understand your concern "As" per your clinical history is concerned you need a physical examination by an ENT doctor who will physically check if any polyp or growth present or not. He may do nasal endoscopy to look inside and may do nasal secretion culture test to ruled out any bacterial infection present or not.your doctor will prescribe you an antibiotics if infection present in culture report.other medication might help like nasal corticosteroid like fluticasone. If you have nasal polyp present then a course of oral steroid may help.you can take any OTC decongestants but do not make a habit of it. To prevent it in future you can do few things at home- 1)Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals. Carefully manage your allergies. 2)Avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages. 3)You use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent infection. 4)You can mix one-half to one teaspoon of pickling or canning salt and a pinch of baking soda in a cup of lukewarm distilled or previously boiled water. Use this solution for nasal irrigation. 5)To remove mucus from the nasal passages you may do like this Put a pinch of freshly grated horseradish in your mouth. Hold it in your mouth until its flavor dissipates, and then swallow it. Repeat 2 times a day for about a week or until the infection clears. Hope that helps