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Q. Can I continue taking Fluticasone Nasal Spray for sputum in my throat?

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 25, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I have sputum always in my throat. I have this problem for the past six months. For the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. I recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I still continue with the spray? Can I continue for longer periods? How long will it take for a complete recovery? What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat?

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Hello,

Welcome to icliniq.com.

  • I suggest you continue the steroid nasal spray. It can be taken for long durations. Recovery time cannot be conclusively told. We need to have a look at the CT (computed tomography) film report. If the recovery is taking long, we need to do a nasal endoscopy to check if the polyps are progressing. A repeat CT scan can also be done.
  • Polyps can be due to a variety of causes. We need to rule out environmental agents, which may be causative in your case. Uncontrolled polyposis can result in complications in vision and cranial penetration. In some, polyps are associated with fungal attacks too.
  • You may cough to clear the secretions. Though it is natural, excessive and violent coughing can affect the vocal cords. Persistent postnasal drip and coughing are not healthy. It can lead to laryngitis and pharyngitis.
  • To bring out thick, tenacious sputum, I suggest you take Ambroxol Hydrochloride tablets or Acetylcysteine tablets. Both are effective. Acetylcysteine comes in soluble dispersible forms with an orange flavor. Consult your specialist doctor, discuss with him/her and take the medicines with their consent.
  • It is advised you provide relevant images in your next query so that we can assess the damage to your paranasal system and check for any signs of complications. For the time being, I suggest taking the spray and mucolytics medicines.

Do revert back for any support which you deem is necessary. I will be happy to help you.

For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist


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