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What Causes Severe Productive Cough And Ear Ache?

Posted on Fri, 18 Mar 2016

Question: Hi, almost every morning for the last month I have been waking up with a lot of mucus in my throat. I have too hack it up and it's brown? Some days I also have some ear discomfort/pressure. It's only in the morning I have the brown mucus. I have been to a ENT 3 times and he scoped me through my nose down too my throat and says everything looks normal. Sometimes when I hack it up (not coughing it up) it feels XXXXXXX some of it comes from my nose down to my throat. When I blow my nose theres is nothing though. Can you please give me some reasons for this? Or what to do now?

Answered by Dr. Krunal Karade (53 minutes later)

Brief Answer:
You are most probably having rhinitis with Post Nasal Discharge (PND).

Detailed Answer:
Hi Taszi ,
Thanks for the query.

I have read your query , seen your picture and understand your concern.

As per your clinical history it appears that you are most probably having rhinitis with Post Nasal Discharge (PND) . It is collected overnight in throat from nose & sinuses. It can be seen only in morning when you wake up . Hence during endoscopy , it looked normal .

If I were your treating doctor , I would advice :

Saline nasal rinse or spray thrice daily ,
Salt water gargles thrice daily &
Antihistaminic Tab Claritin (Loratadine 10mg) at night for next 10 days

You will get relief .

Hope this information helpful to you .

If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Krunal Karade (32 minutes later)

ok. Can you have rhinitis when a ENT doctor has used a scope and him saying everything is fine?

Answered by Dr. Krunal Karade (21 minutes later)

Brief Answer:
On endoscopy ,mild chronic rhinitis/allergy in nasal cavity are look normal

Detailed Answer:
Thanks for follow up query .

You might having mild chronic rhinitis (with/without nose allergy) which, resulting into PND collected overnight . On endoscopy , mild chronic rhinitis/allergy in nasal cavity are almost looks normal.

I would advice , use above treatment plan & you will get relief .

I see many similar patients getting relief with above treatment plan , so please go ahead and let me know how you stay later on.

Hope this information helpful to you .

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Krunal Karade (21 minutes later)

I thougt pnd and allergy was clear mucus ? my concern is that Its Brown? could it be old blood? And I thought I was paying for an anwser from a ENT specialist? I Will try the things you describe. In just worried about the color

Answered by Dr. Krunal Karade (22 minutes later)

Brief Answer:
Post Nasal Discharge can become thick & brownish if collected overnight

Detailed Answer:
Post Nasal Discharge (PND) can become thick & brownish if collected overnight .
Brownish coloration is because of capillary oozing into inflamed sinuses . It could be old capillary blood collected into sinuses .

Try above treatment plan , you will get relief .

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. Arnab Banerjee