Suggest treatment for allergic post nasal discharge

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Posted on Fri, 16 Jan 2015 in Ear, Nose and Throat Problems
Question: Everyday, particularly in the early evening time, I feel as if there is a layer of mucus deposit in my throat. When I try to eject it, it does not go away. Then with a tooth brush I try throwing up. At an ejection attempt huge bubbles appears in my mouth which I spit out. I repeat the attempt 7-8 times and eject and spit out bubbles. Then I feel a sense of relief. What is the cause and what is the remedy of this problem?
doctor
Answered by Dr. Krunal Karade 25 minutes later
Brief Answer:
You are most probably having allergic post nasal discharge .

Detailed Answer:
Hi,
Thanks for the query.

I have read your query and understand your concern.

As per your clinical history it appears that you are most probably having allergic post nasal discharge .

If I were your treating Doctor for this case , I would advice you
Plenty of fluids ,
Steam Inhalation twice daily,
Saline nasal spray thrice &
Antihistaminic levocetirizine + Montelukast combination at night .

You will need to see your doctor to get a prescription.

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. Vinay Bhardwaj
doctor
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Follow up: Dr. Krunal Karade 1 hour later
1. There is never any discharge from my nostrils. I do not have a runny nose. The nasal passages seem to remain dry and open mostly.
2. In the past I tried saline spray but it did not help. Antihistamine does not appear to go well with my body.
3. Could this problem relate to stomach gas because burping, when it occurs, seems to help get some gas out and a feeling of relief follows. However, burping does not occur unless some salt and ginger taken slowly causes burping.
doctor
Answered by Dr. Krunal Karade 15 minutes later
Brief Answer:
It could be related to upper GIT dysfunction .

Detailed Answer:
Thanks for the follow up query.

It could be related to upper GIT dysfunction .

I would advice , do investigation like upper GIT endoscopy to known the cause for collection of secretion .

Use mucolytic syrup to thin mucous .

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. Vinay Bhardwaj
doctor
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Follow up: Dr. Krunal Karade 1 hour later
Let me ask a basic question: does this problem concern an ENT specialist or it needs to be handled by a different specialist? Some months ago an ENT man gave it up as "non-specific" and said, "uncle, you would get well". Please advise if I am entitled to a second opinion from another more related specialist.
doctor
Answered by Dr. Krunal Karade 6 hours later
Brief Answer:
Your problem should be seen by ENT specialist as well as Gastroenterologist

Detailed Answer:
Thanks for the follow query.

Your problem should be seen by ENT specialist as well as Gastroenterologist .

Need investigation like upper GIT endoscopy to known the cause for your problem .
Regards.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Krunal Karade

ENT Specialist

Practicing since :2009

Answered : 1000 Questions

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