HomeAnswersOtolaryngology (E.N.T)dysphagiaWhat can cause a lot of thick white mucus at the back of the throat that inhibits swallowing?

A lot of thick white mucus at the back of my throat inhibits swallowing. What is the cause?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At April 3, 2020
Reviewed AtJanuary 30, 2024

Patient's Query

Hi doctor,

I am experiencing a lot of white mucus in the back of the throat for a year now. It inhibits swallowing and forcing me to hack it up and spit it out. This makes my voice scratchy. I do not have any other symptoms. I consulted an ENT doctor previously and he suggested me to take a proton pump inhibitor. But it did not help me.

Hi,

Welcome to icliniq.com.

I understand your concern. There are two causes for your complaints. The first cause can be reflux from your stomach and so the doctor has suggested you to take a proton pump inhibitor. The second cause can be a postnasal drip. Regarding reflux, taking a proton pump inhibitor will not help you. You need to do some lifestyle changes. Avoid taking spicy foods. Eat on time. Your stomach should not be empty for more than two hours. Do not sleep immediately after eating. Have a gap of atleast two to three hours of time between your meal and sleep. Try to keep your head elevated by a couple of inches while sleeping. Regarding postnasal drip, please mention whether you have frequent episodes of cold or nasal discharge. If yes, take appropriate medications for it. I suggest follow these medications to have some relief. Continue taking Proton pump inhibitor. You can take tablet Pantoprazole 40 mg once daily before breakfast. If you have a cold, you can take antibiotics. You can take Amoxicillin 500 mg twice daily for three days. You can take an antihistamine like Levocetirizine 5 mg once daily before sleep. You can use nasal decongestant Oxymetazoline thrice daily in both nostrils.

The Probable causes

You seem to have reflux.

Investigations to be done

You need to do X-ray PNS (paranasal sinus) and direct laryngoscopy.

Differential diagnosis

You seem to have acute rhinosinusitis.

Treatment plan

You can treat the condition by taking medications and by doing lifestyle changes.

Regarding follow up

Have a follow-up after a week.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pruthvi Raju Uppalapati
Dr. Pruthvi Raju Uppalapati

Otolaryngology (E.N.T)

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