Hello,
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You have very precisely described your problem with pictures (attachment removed to protect patient identity). I appreciate that. My diagnosis of your condition based on your symptoms is chronic or recurrent acute rhinosinusitis, which is causing chronic pharyngitis. Rhinosinusitis produces thick mucus or phlegm that runs down your throat and causes those bumps. The bumps are in fact lymph nodules, which get inflamed due to the post-nasal drip occurring due to rhinosinusitis. The same mucus or phlegm due to air currents inside nasal cavity dries up to form crusts. The crusts when pulled off, strips the nasal mucosa (inner lining of the nose) and causes a temporary bleed. Secondly, your oropharynx (the region is shown in your picture) shows telltale signs of chronic inflammation. They are the granular posterior pharyngeal wall (the bumps), congested anterior faucial pillars (the rashes on the roof of the mouth - soft palate or pillars) and the enlarged tonsils. These may cause recurrent throat pains and sore throat, which may require taking a frequent antibiotic course. Dust, one of the primary causative agents of allergy, worsens sinusitis by causing blocked sinus ostium, which causes proper ventilation of sinuses. You may note down various times when your allergy and sinusitis get triggered, like certain locations, certain food items, certain habits, etc. Coming to your prime issue, the sinusitis, we need to do a non-contrast CT scan of PNS (paranasal sinuses). If there are positive findings, we can go for a functional endoscopic sinus surgery, which clears sinuses of inflammation, ensures proper drainage and ventilation. Septilin is a good multivitamin and prevents allergies or infections. However, the use of a long term is not warranted in a young individual like you. Occasional alcohol is acceptable, but smoking, cold foods or drinks, and spicy food can irritate your throat again. Avoid citrus fruits during allergy and sore throat. You may also avoid gargling and steam as in pollution these just worsen your condition. Skipping breakfast worsens acid reflux. I hope you know proper dietary advice for acid reflux, if not I can provide you the same.Kindly do the CT scan and send me the report as well as films. Films are important. Kindly upload those if you are getting a CT done anyway.