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What is the effective treatment for persistent cough with an intermittent runny nose?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had a persistent cough for 11 months with an intermittent streaming nose. I also have raised ESR, CRP levels, and low hemoglobin count.

Kindly help.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

You have mentioned cough and intermittent streaming nose as symptoms present for nearly 11 months.

1. Can you explain what you mean by an intermittent streaming nose?

2. Is the cough dry or wet?

3. Do you have any breathing difficulty?

4. Do you have any weight loss issues?

Raised ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) mean some ongoing infection or inflammation in your body, which does not point toward a specific disease process. Can you attach laboratory reports? Are you taking any medication for any medical illness? Please add the detail of the present symptoms and reply to the above questions to assess your medical condition better.

Thank you.

Patient's Query

Hello doctor,

I have rhinitis with a running nose and a clear phlegm-like allergic reaction. The cough is usually associated with clear phlegm running down the back of the throat. I do not have any other symptoms, that you mentioned in the previous query.

Thank you.

Hello,

Welcome back to icliniq.com.

You have a chronic cough with clear phlegm running down the back of your throat with a clear chest X-ray. This could hint towards LPR (laryngopharyngeal reflux). The sign and symptoms of LPR are felt in the throat and includes the following.

1. Sore throat

2. A sensation of a lump in the throat.

3. The need to clear the throat.

4. Chronic cough.

5. Mild hoarseness of voice.

Do you have any symptoms consistent with the feature mentioned above of LPR?

Cough with clear phlegm, no weight loss, nonsmoking, and no breathing difficulty point towards the benign nature of the illness, and LPR may be one of the differential diagnoses. The diagnosis of LPR depends on whether or not you have other symptoms along with chronic cough with clear phlegm. I suggest you consult an ENT (ear, nose, and throat) specialist as early as possible for further diagnosis.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 16, 2022
Reviewed AtMarch 20, 2026

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