Brief Answer: Your problem is due to Chronic Sinus disease Detailed Answer: Hi friend, Thanks for your query. You are apparently suffering from Chronic Sinus problem, due to which there is increased formation and collection of mucus in the sinuses. This mucus then, continues to trickle down to the back of the throat (called post-nasal-drip), thereby irritating the throat wall and initiating reflex cough. Sinus problem is commonly associated with nasal allergy, which prompts increased formation of sinus secretions mucus). Post nasal drip is facilitated when you sleep on your back. Sleeping of the sides or on your stomach will minimize the flow into the throat. Daily steam inhalation through the NOSE (2-3 times/day); use of nasal decongestant drops/sprays (to open up the sinus passages and facilitate flow of secretions); and, regular intake of anti-allergic drugs (Levoceterizine + Montelukast) will empty the sinuses completely. OTHERWISE, collection, throat irritation and cough WILL CONTINUE UNTIL THE SINUSES BECOME EMPTY. Some amount of stomach contents may also be probably flowing into the throat (due to acid reflux). Addition of a Prokinetic drug, such as, metoclopramide or itopride will minimize reflux. Further, majority of the cases of GERD (Gastro-esophageal reflux disease) are associated with H.pylori (a bacteria) infection of the stomach. Hence, a 2-weeks' course of anti-H.pylori therapy will give near total relief from acid reflux. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and prescribe treatment as advised. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal

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