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Suggest Treatment For Chronic Sinusitis With Post Nasal Drip

Posted on Mon, 14 Dec 2015

Question: hey,
I've been having bad breath since 1 year. I've been to a dentist and he has told that nothing's wrong with my mouth. Its just from the throat. I feel mucous stuck in the throat that is causing the bad breath. I can't take it out. Help me out. I've been to ENT specialist recently and he told that I might be having an infection in my sinusitis. He prescribed to wash my nose with physiomer nasal cleaner solution. I did use for 10 days and I don't find any difference. I went back to him and he asked me to conitune cleaning my nose with salt water. Its been 3 days . I have no progress. Do you think its due to sinusitis? or some problem in my stomach??Help me out

Answered by Dr. Krunal Karade (1 hour later)

Brief Answer:
You are most probably having chronic sinusitis with post nasal drip (PND)

Detailed Answer:
Hi,
Thanks for the query.

I have read your query , reviewed your medications and understand your concern.

As per your clinical history it appears that you are most probably having chronic sinusitis with post nasal drip (Mucous stuck in the throat) .

Chronic sinusitis with post nasal drip commonly coexist with GERD (Gastroesophageal Reflux Disease) which can also gives bad breath .

If I were your treating doctor , I would advice
Combination Steroid nasal spray with antihistamine 2 puff each nostril twice daily like Duonase nasal spray to decrease mucous in throat ,
anti inflammatory Paracetamol twice daily ,
Antiseptic chlorhexidine Mouth Wash twice daily like Triguard &
Tab Rantac twice daily .

Continue physiomer nasal spray & salt water gargle .

You will get relief .

You will need prescription for medication .

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. Vaishalee Punj

Follow up: Dr. Krunal Karade (1 hour later)

I sometimes feel the burning sensation in the throat. Its very rare but I do feel it. Do you advise me to go to an gastroenterologist?

Answered by Dr. Krunal Karade (41 minutes later)

Brief Answer:
If you are having acid reflux & chest burning then you can consult gastroen

Detailed Answer:
Hi,
Thanks for the follow up query.

If you are having acid reflux & chest burning then you can consult gastroenterologist .

Regards.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Krunal Karade (25 minutes later)

I don't know what acid reflux is but I sometimes tend to throw out yellow coloured liquid, might be acid. I think its kind of acid as it falls on my teeth, I sense that enamel is been effected. Is that what you call acid reflux?

Answered by Dr. Krunal Karade (37 minutes later)

Brief Answer:
Yes , it is acid reflux .

Detailed Answer:
Yes , it is acid reflux .
You can consult gastroenterologist .
Regards.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Krunal Karade (12 minutes later)

Thank you very much doctor. Will consult a gastroenterologist.

Answered by Dr. Krunal Karade (1 minute later)

Brief Answer:
Wish you good health .

Detailed Answer:
Wish you good health .

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. Vinay Bhardwaj