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Dr. Andrew Rynne

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I had nasal drainage going down the back of my throat but still have congestion

When it all started I had nasal drainage going down the back of my throat , and felt like I couldn t take a full breath , also mild chest pain like it was full of mucus. i went to the doctor and took 10 days worth of antibiotics . When I was done with the meds., I still felt basically the same. I decided to not go back thinking it was viral. I kept getting worse after 12-15 days, i decided to go back to the doctor.. cause it was getting worse and worse.. I felt like I could barely breathe. Now I am 8 days into my 2nd set of antibiotics, and feel a bit better, but still have congestion , and drainage into my throat where is basically is draining from my nose. It is very uncomfotable, and my sinus under my eyes are full of pressure. I am not sure how to proceed. I have never had allergies, and recently was exposed to a bunch of powdery mildew from some plants. I dont know if that would have caused the problem or not. Any insight would be appreciated
Sat, 7 May 2011
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ENT Specialist 's  Response
Hi Tracy,

Welcome to HealthcareMagic Forum
With your query it seems to be like your sinusitis is incompletely treated. You do require mucolytic and nasal decongestants to thin down the mucous and reduce the secretions. You need to use saline nasal drops 3-4 times/day, followed by steam inhalation 3-4 times/day, drink plenty of warm water. Consult your doctor again and request him to start on the above treatment and also to get an x-ray or CTscan of the paranasal sinuses (to look for the affected sinuses).

Regards
Dr. Naveen Kumar
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ENT Specialist Dr. Sumit Bhatti's  Response
1. You should take a combination of a non sedating anti allergic (cetrizine, levocetrizine, loratidine or rupatadine) and an anti leukotriene (montelukast). However, this also tends to make the mucus thick.
2. You should add a mucolytic (ambroxol or bromhexine).
3. You may add a Nasal Steroid spray (budesonide, fluticasone or ciclesonide) as you are already under antibiotic cover.
4. You should take regular steam inhalation, 10 min at a time.
5. Oral decongestant or nasal drops may be added by your physician at his /her discretion, especially if the sinus pressure is not relieved. Discuss this with your doctor. Take these medications only under medical supervision. Review medication every week.
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