On taking medications, my postnasal drip has become thick. Why?

Hello,

Welcome to icliniq.com.

I understand that you are having constant post-nasal drip. Is there any other symptom that is bothering you? Is there any lump sensation in the throat? Any nose block or runny nasal discharge? Any facial fullness? Did you ever have this problem before this month? The treatment given by your ENT appears to be correct and complete considering the symptoms you have told me. But are you using the spray in the right way? Antihistaminic, mucolytic, and spray together should decrease the postnasal drip unless there is some pathology inside the sinuses that is producing constant mucus.

Please tell us more details of your problem. Continue the same medicines for now. Take a picture of the back of the throat with an open mouth showing the details of the mucus drip and send it to us. Please let us know if you are using the spray in the right way. If you are doing everything properly and this is the only symptom you are facing, then probably we need to check the insides of the nose using nasal endoscopy and a CT (computerized tomography) scan of the sinuses. Next, is there any allergy that you suffer from? Do you smoke? Is your workplace ridden with dust smoke or pollution?

Hello,

Welcome back to icliniq.com.

The sensation of something stuck in the throat along with the symptoms and the treatment you took explains the situation well. First, recurrent postnasal drip can cause reflux and lump symptoms of the throat. This gets aggravated by the acidity of the stomach. Secondly, you should not have stoped Alaspan AM (Loratadine and Ambroxol) and the spray. The spray especially has to be used for at least four to six weeks. It is not like Otrivin nasal drops which can be used in an SOS way. Follow this advice.

1. Tablet Alaspan AM (Ambroxol and Loratadine) 1 tablet in the evening daily x 15 days.

2. Tablet Raciper plus (Esomeprazole and Levosulpiride), 1 tablet before breakfast x 15 days.

3. Nazomac-AF (Azelastine and Fluticasone) nasal spray, 2 puffs in each nostril twice daily after meals x 15 days.

Directions to use the spray - Inhale nicely and keep your breath held. Then spray two puffs in each nostril. Thereafter hold your breath for 10 to 15 seconds and then breathe out. Only then the medicine will stay in the nose. If you spray and then inhale then the medicine will come to the throat where there is no use for it.

Avoid oily and spicy foods. Do not lie down immediately after a meal. Drink plenty of water. Avoid smoke and dust exposure. Revert back to me if you need further support. Before you stop the medicines get back to me. You may need milder medicines for a week more after this. Do not stop the medicines abruptly.

If needed during the course of these medicines I shall tell you if a nasendoscopy or CT scan is needed.