Hello,
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I looked through the CT images and they are normal. There are no signs of sinonasal inflammation. Enlarged middle turbinates are present which can potentially block sinonasal drainage but right now the symptoms are not due to that. How is the response with the medicines I suggested? Did you take those for a week? How do you feel now? Is the mucus still there along with other symptoms that you described to me? Gastroesophageal reflux disease (GERD) which manifests in the throat as laryngopharyngeal reflux is a very common disorder with symptoms similar to yours. It produces an increased throat mucus. The throat mucus causes a change in the voice, feeling of throat pain, headache, ear block, etc. I would also suggest that you take medicines for GERD for about two weeks and review. In addition to medicines, you must follow some precautions. In this case, they are as follows. 1. Eat food timely. 2. Do not fast. 3. Eat non-spicy, non-oily, non-fried foods. 4. Avoid coffee, tea, smoke, alcohol, soda and carbonated drinks. 5. Avoid caffeine and products that have caffeine. 6. Exercise an hour each day. 7. Do not lie down immediately after food. 8. Do not drink a lot of water soon after meals. Medicines for GERD are based on reducing the acid production in the stomach. They include Pantoprazole 40 mg, Lansoprazole, Omeprazole, and Rabeprazole. Any of these medications can be taken daily twice before meals. I would suggest taking an antacid syrup that will neutralize the acid that is already produced. Mucaine gel (Aluminium hydroxide and Milk of Magnesia), 2 teaspoons taken after each meal and before bedtime accomplishes the purpose. The medicines I told you previously also have a role in GERD. They help bring out mucus and reduce inflammation. I would suggest you take the GERD medicines for two to three weeks regularly and the medicines listed in the previous reply for another week and let us know the progress.