What is the treatment for my hoarseness and throat mucus?

Hi,

Welcome to icliniq.com.

I understand your concern.

Your persistent throat hoarseness, excessive phlegm, and mild cough for over two months suggest a likely issue involving the upper airway or laryngopharynx. Possible causes include laryngopharyngeal reflux (LPR condition where stomach acid flows backward up the esophagus and reaches the throat and voice box, chronic allergic rhinitis (allergic response to airborne allergens, such as dust mites, pet dander, pollen, or mold) or sinusitis, or post-viral inflammation, rather than a bacterial infection, especially since there has been no significant improvement with antibiotics like Cefixime, or with medications such as Montina-L and Gabapentin.

The ongoing symptoms may be due to silent reflux (acid reaching the throat without typical heartburn symptoms), which may not be fully controlled despite taking Veloz D. If the antibiotic course has been completed and has not helped, it is reasonable to discontinue it.

Consider a more targeted evaluation, including an ENT referral for flexible laryngoscopy to examine the vocal cords and rule out chronic laryngitis or vocal cord nodules. Depending on symptoms, a chest X-ray or sinus X-ray might also be useful to check for any underlying drainage issues.

In terms of treatment, a more effective acid suppression regimen, such as Pantoprazole 40 mg twice daily, may be beneficial. Additional supportive measures include steam inhalation, nasal saline rinses, and a short course of inhaled corticosteroids if upper airway inflammation is contributing to your symptoms.

I hope this helps.

Kindly revert if there are any queries.

Thank you.