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Allergic with Acute granular pharyngitis and continuous secretion at the back of throat. Suggest the cure

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General & Family Physician
Practicing since : 2007
Answered : 1649 Questions
Sir I have Acute granular pharyngitis which is allergic in nature, This is for last many years.There is continuous secretion at the back of my throat and i have to spit after few minutes though out the day n night.Due to this secretion bad smell always there..I have taken all sort of treatment from all therapies.But no relief there.Life is becoming difficult.
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Posted Sat, 16 Nov 2013 in General Health
Answered by Dr. Lohit K 1 hour later
Brief Answer:
Antibiotic,Sinus flushing,Salt water gargle,Drugs

Detailed Answer:
Hi thanks for using XXXXXXX
I went through the query and attachments and understood your concern.

For my patients suffering from allergy along with recurrent pharyngitis for past many years, I usually check for any ENT problem like polyp, DNS or chronic sinusitis. Since you have undergone septiplasty and your nasal patency is normal, the cause for foul smelling post nasal secretion may be due to chronic sinusitis or any pus collection (problem in tonsils or adenoids).

For now you can try flushing out sinus with your doctor assistance to remove sinus collection (if any),Concentrated salt water gargle and steam inhalation 3 times a day, take a course of antibiotic like amoxiclav for 3 days with NSAID like Paracetamol three times a day with Odimont LC (You are taking Odimont AL) after consulting your doctor.These measures will prevent current problem.

After 3 days you can continue Plain Odimont 10 mg, Mometasone nasal spray (Nasonex) to prevent allergic problem with salt water gargle and steam inhalation every day. If the problem continues even with this measure then get done skin prick test for the allergen and can avoid it or can take sensitization therapy to prevent its reaction.

I hope this answered your query and is helpful for you. Feel free to ask if any related query and I will be glad to answer them.
If you like my answers kindly rate it, and write a review as well. Wish you a very happy life and good health.

Above answer was peer-reviewed by
Follow-up: Allergic with Acute granular pharyngitis and continuous secretion at the back of throat. Suggest the cure 6 hours later
Now i am taking warm salt gargle which seems to be effective.I tell brief history of my disease that earlier i have been told allergic rhinitis which is from my childhood.I have tonsil operation in childhood.But later this allergy seems to travel in my mouth.There is small granular like spots in my throat for many year and i have to spit which is some times yellow ,greenish and black sputum in morning.Every morning sputum in mouth comes out which get accumulated in night.This mouth secretion is continuous ,in every half hour i have to clear my mouth by spit.Doctor told this is allergy which have not complete diagnose only can be controlled.Even foul smell comes from mouth and wife always complain this.In polluted and stressful environment this secretion in mouth increases very severely.
My concern is that is there any effective remedy against this disease so that i can lead normal life.In office i cant sit more than half hour without spitting secretion accumulated in mouth.This problem is very old more than twenty year old ,WHICH I am carrying on.
Doctor has advised immuglobin injection which he advised to administer three in number ,with one in each week.
Also advise precuation and home therapy and alternative medicine .Main purpose is relief from this problem.
With regards

Further i want to add that i am doing nasal irrigation of salt water every morning through which i get relief throughout day otherwise nasal secretion also starts.There is no polyp.But post nasal dripping problem is there.I am sensitive to oily and cold food as it increases throat secretion .Throat is hyper sensitive.
With regard

Answered by Dr. Lohit K 3 hours later
Brief Answer:
Drugs, Evaluation required.

Detailed Answer:
Hi XXXXXXX Thanks for writing back with detailed history.

1. Continue nasal irrigation and warm salt water gargle. You can try betadine gargle every day.
2. Since allergic, you can have montelukast every day which will control inflammation due to allergy.
3. Mometasone nasal spray (Nasonex) to prevent allergic.

4. yellow ,greenish and black sputum: Need to be concerned. Yellow and green suggests bacterial infection. You need anti bacterial for the same. But Black sputum suggests aspergillosis (fungi), you need anti fungal treatment. This need to be controlled then only we can control all other symptoms. Even since you are suffering from 20 years yoy might have tried steroid drugs which may increase the risk of fungus.

5. Get done skin prick test to know the allergen causing problem and then based on the result you can try sensitisation test/immunotherapy whic will cure the allergic manifestation.

So I advice you to consult your ENT specialist, get done nasal endoscopy to visualise the site of infection (may be fungal), with your doctor advise you may need antibiotic (like Amoxicillin + clavulanic acid) or antifungal (like azoles/terbinafine) treatment. With this get done skin prick test and further treatment based on this.

Hope this helps you.

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