Hi..
Welcome to HEALTHCARE MAGIC..
I have gone through your query and can understand your concerns.
As per your complain the symptoms of thick mucous, clogged nose and congestion along with clogged ear and reduced hearing are all indicative towards
Sinus infection leading to accumulation of thick mucous into the sinuses along with infection and fluid accumulation in the ears behind the eardrum leading to clogging of ears..
The clogging reducing during the day as the standing or sitting posture eases
drainage of mucous and nasal and sinus fluids and relieves congestion to some extent..
Although you have tried decongestants, steam inhalation, neti pot, steroids etc but there is no relief is somewhere due to taking proper medication that can reduce infection..
So I would suggest you to consult an ENT surgeon and get evaluated and he can advise you PNS view or MRI of sinuses along with Otoscopic examination of ears to confirm the cause as well as evaluated the exact statue that whether medications will be sufficient or you need surgical drainage..
In case if medications are sufficient you will be advised to take antibiotics like
Augmentin, anti-inflammatory painkiller like Motrin/Advil, decongestants like Pseudoephadrine, Mucolytics like
Ambroxol, anti allergics like Allegra and steroids..
Decongestant nasal sprays containing
Xylometazoline, steroid nasal sprays and saline
nasal irrigation, steam inhalations will have to be continues..
Antibiotic and steroid ear drops and manual drainage of ears will help..
In case if still conditin dos not improve
Endoscopic surgery of the sinuses to drain off the sinuses has to be done..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.