How to cure chronic recurrent post nasal drip?

Question

Hello Doctor,

I am 23 years old and have been dealing with chronic post nasal drip for the past three years. The excessive dripping leads to a sore throat and subsequently develops into bronchitis. Additionally, one side of my nose remains persistently congested.

I have undergone numerous courses of antibiotics, taken anti-allergy medications, and used steroid nasal sprays. While these interventions provide temporary relief, the symptoms resurface after a mere 2 to 3 weeks.

I also have a minor deviated nasal septum (DNS). Presently, I am taking Clarithromycin, Montelukast, and using a Fluticasone nasal spray.

I am reaching out for serious advice and would greatly appreciate your assistance.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Your symptoms seem secondary to chronic rhinosinusitis. It is crucial to recognize that this condition is similar to conditions like asthma or hypertension. That is, with optimal medical management, it can be effectively controlled but discontinuing medication can lead to a rebound of symptoms. Currently, steroid nasal sprays, such as the Fluticasone spray you are using, are considered the standard treatment. It is reassuring that your symptoms respond well to the steroid nasal spray. I strongly suggest you to continue using it regularly over the long term for maximum benefit. These medications have a cumulative effect, and improvement is typically more noticeable after three to six months. Additionally, the longer you remain on the medication, the more gradual and sustained the improvement becomes. It is worth emphasizing that discontinuing the spray could lead to a recurrence of symptoms, requiring a prolonged duration to achieve relief once more.

I would appreciate learning about any significant medical conditions you may have had in the past and whether you have undergone any nasal surgeries. Additionally, any history of allergies or hay fever would be important to understanding your situation better.

Thank you.