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Suggest Treatment For Severe Cough And Post Nasal Drip

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Posted on Wed, 9 Nov 2016
Question: What can I do about post nasel drip that caauses severe coughing I feel as if I am choking and then nearly throw up
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Answered by Dr. Michelle Gibson James (49 minutes later)
Brief Answer:
avoiding allergen, antihistamine/decongestant combination, nasal spray

Detailed Answer:
HI, thanks for using healthcare magic

Post nasal drips can be very annoying especially if severe and they are the most common cause of a persistent cough.

I had a patient whose allergy tests showed that hers were likely provoked by banana.

Treatment involves: (1) avoiding the provoking cause if it is known. This can be anything- food/drink, dust, pollen, animal dander, perfumes and other odors.
Avoiding the allergen is key

Allergy testing can help you determine the specific cause if it is not known.

(2)anti histamines/decongestant combination. It is quite possible you are already using these types of meds.
They need to be used consistently. Examples include benadryl d, allergra d, claritine d, zyrtec d

(3)topical steroid nasal sprays such as nasonex, nasocort, flonase, rhinocort. A prescription may be needed to get one of these

(4)medications such as montelukast and/or ketotifen can be used if the above medications do not work.
These medications work at different parts of the allergic response--- antihistamines block histamine but these meds block other chemicals that play a role in cause the symptoms

I hope this helps, feel free to ask any other questions
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. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Severe Cough And Post Nasal Drip

Brief Answer: avoiding allergen, antihistamine/decongestant combination, nasal spray Detailed Answer: HI, thanks for using healthcare magic Post nasal drips can be very annoying especially if severe and they are the most common cause of a persistent cough. I had a patient whose allergy tests showed that hers were likely provoked by banana. Treatment involves: (1) avoiding the provoking cause if it is known. This can be anything- food/drink, dust, pollen, animal dander, perfumes and other odors. Avoiding the allergen is key Allergy testing can help you determine the specific cause if it is not known. (2)anti histamines/decongestant combination. It is quite possible you are already using these types of meds. They need to be used consistently. Examples include benadryl d, allergra d, claritine d, zyrtec d (3)topical steroid nasal sprays such as nasonex, nasocort, flonase, rhinocort. A prescription may be needed to get one of these (4)medications such as montelukast and/or ketotifen can be used if the above medications do not work. These medications work at different parts of the allergic response--- antihistamines block histamine but these meds block other chemicals that play a role in cause the symptoms I hope this helps, feel free to ask any other questions