Hello,

Thanks for posting your query.

I can understand your concern for these symptoms but the symptoms are suggestive of post nasal drip which occurs when excessive mucus is produced by the sinuses. The excess mucus accumulates in the throat or back of the nose. It can be caused by rhinitis, sinusitis, or laryngopharyngeal acid reflux. In your case, gastroesophageal acid reflux is an important possibility.

The pins and needles can be due to pinched nerves or cervical spondolusis. Apply warm compresses on the area and take some over the counter anti-inflammatory pain killer like Iburpofen after consulting your doctor. Application of topical muscle relaxants will also help. Cervical spondolysis also responds to anti-inflammatory drugs and cervical collars and traction which you are already undergoing.

It is also better if you correct any posture imbalances that you may have, whether in a sitting posture or in a standing posture like you should avoid sitting on computers for long. It is also very important to make sure that the pillow you use under your head is the correct size and thickness for your body. Make adjustments in your diet and add lots of calcium XXXXXXX foods like curd, milk etc in your diet.

Some treatment measures for quick relief for the mucus in throat are:

1)     Take plenty of fluids throughout the day and inhale steam as many times as possible. Inhaling steam from a bowl of hot (but not boiling water) may help to soften, and loosen, the build up of mucus in your nose. You may also find that adding some menthol crystals, or eucalyptus oil, to the water, helps to ease your symptoms of catarrh.

2)     Drink plenty of fluids throughout the day and avoid drinks with caffeine in them, chocolate or spicy or greasy foods and instead take cold foods preferably liquids like milk and yoghurt.

3)     It also might help to avoid eating or drinking for two hours before you lie down.

4)     Avoid alcohol or drinks with caffeine in them, chocolate or spicy or greasy foods and instead take cold foods preferably liquids like milk and yoghurt.

5)     You may also need antacids and proton pump inhibitor drugs like omeprazole or rabeprazole for controlling the stomach acid. These are available only under prescription.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for writing back to me.

Apart from endoscopy for acid reflux, you need to get an ENT check up also done.

Various causes for chronic post nasal drip are allergies,viral infections,deviated nasal septum,chronic sinusitis,adenoid enlargement and diseases like sarcoidosis and GERD.

Please check out with an ENT specialist if you are having chronic rhinitis or sinusitis. If you have chronic sinusitis then it can lead to continuous production of mucus and less drainage leading to post nasal drip.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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