Dr. Mian Shah Yousaf
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
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Patient's Query
Hi doctor,
I was operated on for nasal polyps surgery three years back. For the last one month or so, it seems that some mucus is always stuck in my throat, and I have to clear it every now and then. This gets worse while lying on the bed. I showed it to my ENT specialist, and he mentioned that it is GERD and prescribed some antacid tablets that did not work. I have no other symptom, and I always feel some phlegm in my throat that hardly comes out or goes inside while swallowing. This is very irritating. Please prescribe some medicine or any lifestyle changes to get rid of this.
Hi,
Welcome to icliniq.com.
I reviewed your history and the ENT (ear nose throat) Surgeon's attached file (attachments removed to protect the patient's identity).
The problem you described is very typical of two things
1) Postnasal drip.
2) GERD (gastroesophageal reflux disease).
As ENT Surgeon has seen you, and they ruled out postnasal drip, so it is more in favor of GERD, and another supporting evidence is its aggravation on lying down.
I will recommend starting the following treatment and then get back to me after two weeks and let me know the response. Antacids will not help in it.
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Medical Gastroenterology
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