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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Constant Throat Clearing Indicate?

My husband, age 65, clears his throat every morning and evening for at least an hour, it s especially bad when he lies down to go,to sleep at night. While he s always had allergies, he does take medication for them and it doesn t seem to be much affected by the season of the year. It makes it difficult for him to fall asleep and is really annoying to those of us around him. Any suggestions?
posted on Mon, 8 Aug 2016
Twitter Wed, 7 Sep 2016 Answered on
Twitter Wed, 7 Sep 2016 Last reviewed on
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General & Family Physician,  's  Response
Persistent hawking is mostly due to sticky mucous or throat irritation caused by gastric content reflux. Persistent hawking indicates increased mucous production. Common causes may be allergy, sinus infection, nasal polyp, rhinitis and deviated nasal septum.
1.     Omeprazole 20 mg daily empty stomach in the morning for 15 days
2.     Cefixime 100 mg every 12 hours for 5 days
3.     Levocetirizine 5 mg daily orally for 7 days
4.     Ambroxol 30 mg daily per oral for 7 days
5.     Do gargle with slight warm salt water four times daily
6.     Do not eat heavily at a time. Eat smaller meals
7.     Do not lie down immediately after meal
8.     Avoid dust, smoking, alcohol, dry environment and spicy food
9.     Avoid coffee and tea after meal
10.     Do not hawk repeatedly as it will cause injury to throat and further aggravation of symptoms
11.     Investigations
a.     CBC
b.     X – ray PNS
Thanks
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What Does Constant Throat Clearing Indicate?

Persistent hawking is mostly due to sticky mucous or throat irritation caused by gastric content reflux. Persistent hawking indicates increased mucous production. Common causes may be allergy, sinus infection, nasal polyp, rhinitis and deviated nasal septum. 1. Omeprazole 20 mg daily empty stomach in the morning for 15 days 2. Cefixime 100 mg every 12 hours for 5 days 3. Levocetirizine 5 mg daily orally for 7 days 4. Ambroxol 30 mg daily per oral for 7 days 5. Do gargle with slight warm salt water four times daily 6. Do not eat heavily at a time. Eat smaller meals 7. Do not lie down immediately after meal 8. Avoid dust, smoking, alcohol, dry environment and spicy food 9. Avoid coffee and tea after meal 10. Do not hawk repeatedly as it will cause injury to throat and further aggravation of symptoms 11. Investigations a. CBC b. X – ray PNS Thanks