What are the common causes of post-nasal drip after flu. How can you recognize the symptoms of post-nasal drip. What are the most effective treatments for post-nasal drip after flu. How long does post-nasal drip typically last after a flu infection. When should you see a doctor for persistent post-nasal drip symptoms.

Understanding Post-Nasal Drip: A Common Post-Flu Symptom

Post-nasal drip is a condition where excess mucus accumulates in the back of the throat, often leading to discomfort and various symptoms. While it can occur for numerous reasons, it’s particularly common following a bout of flu. This article delves into the intricacies of post-nasal drip, its relationship with flu, and effective management strategies.

Post-nasal drip occurs when the mucus glands in your nose, throat, and sinuses produce more mucus than usual or when the consistency of the mucus changes. Normally, these glands produce up to two quarts of mucus daily, which we swallow unconsciously. However, when the mucus becomes noticeable and bothersome, it’s referred to as post-nasal drip.

Is post-nasal drip always caused by increased mucus production?

Contrary to popular belief, the sensation of post-nasal drip isn’t always due to increased mucus production. Dr. Robert W. Dolan, an ear, nose, and throat specialist at the Lahey Clinic in Burlington, Mass., explains, “The sensation of post-nasal drip is not usually caused by an increased amount of mucus coming from your nose or sinuses. It is more likely to be caused by the mucus becoming too thick or by irritation of your throat.”

The Link Between Flu and Post-Nasal Drip

Influenza, commonly known as the flu, is a viral infection that primarily affects the respiratory system. One of the common aftereffects of flu is post-nasal drip. The flu virus can cause inflammation in the nasal passages and sinuses, leading to increased mucus production and changes in mucus consistency.

How does flu contribute to post-nasal drip?

The flu virus can damage the delicate tissues lining the respiratory tract, including the nasal passages and sinuses. This damage can disrupt the normal mucus production and drainage processes, leading to an accumulation of mucus in the back of the throat. Additionally, the body’s immune response to the virus can cause inflammation, further exacerbating the problem.

Recognizing the Symptoms of Post-Nasal Drip

Post-nasal drip can manifest in various ways, and recognizing these symptoms is crucial for proper management and treatment. Common symptoms include:

• A persistent feeling of mucus in the throat
• Frequent throat clearing
• Sore or irritated throat
• Coughing, especially at night
• Hoarse voice
• Difficulty swallowing
• Bad breath

Can post-nasal drip cause more severe symptoms?

In some cases, post-nasal drip can lead to more severe symptoms, particularly if left untreated. These may include:

• Persistent cough
• Severe nasal congestion
• Recurrent infections
• Blood-tinged mucus
• Significant voice changes

If you experience any of these more severe symptoms, it’s advisable to consult a healthcare professional for proper evaluation and treatment.

Diagnosing Post-Nasal Drip After Flu

Diagnosing post-nasal drip after flu typically involves a comprehensive approach. Your healthcare provider will likely start with a thorough medical history and physical examination. They may ask about your recent flu symptoms, the duration and severity of your post-nasal drip, and any other accompanying symptoms.

What diagnostic procedures might a doctor use for post-nasal drip?

In some cases, especially if symptoms are severe or persistent, your doctor may recommend additional diagnostic procedures. These may include:

1. Nasal endoscopy: A thin, flexible tube with a camera is inserted into the nasal passages to examine the sinuses and nasal tissues.
2. Imaging studies: X-rays or CT scans may be used to visualize the sinuses and check for any structural abnormalities or infections.
3. Allergy testing: If allergies are suspected as a contributing factor, skin or blood tests may be performed to identify specific allergens.
4. Swallowing studies: In cases where difficulty swallowing is a prominent symptom, these tests can help evaluate the swallowing mechanism.

Effective Treatments for Post-Nasal Drip After Flu

Treatment for post-nasal drip after flu typically focuses on managing symptoms and addressing any underlying causes. The approach may vary depending on the severity of symptoms and individual patient factors.

What are some common treatments for post-nasal drip?

Several treatment options are available for managing post-nasal drip:

• Nasal irrigation: Using saline solutions to flush out the nasal passages can help thin mucus and remove irritants.
• Decongestants: These medications can help reduce nasal congestion and mucus production.
• Antihistamines: If allergies are contributing to the post-nasal drip, antihistamines may be beneficial.
• Nasal corticosteroid sprays: These can help reduce inflammation in the nasal passages.
• Mucus-thinning medications: Drugs like guaifenesin can help thin mucus, making it easier to expel.
• Antibiotics: If a bacterial infection is present, antibiotics may be prescribed.

Home Remedies and Lifestyle Changes for Managing Post-Nasal Drip

In addition to medical treatments, several home remedies and lifestyle changes can help manage post-nasal drip symptoms:

• Stay hydrated: Drinking plenty of fluids can help thin mucus and promote drainage.
• Use a humidifier: Adding moisture to the air can prevent mucus from becoming too thick.
• Elevate your head while sleeping: This can help prevent mucus from pooling in the back of your throat.
• Avoid irritants: Steer clear of smoke, strong perfumes, and other potential irritants that can exacerbate symptoms.
• Practice good hygiene: Regular hand washing and avoiding touching your face can help prevent the spread of infections.

Are there any dietary changes that can help with post-nasal drip?

Some dietary modifications may help manage post-nasal drip symptoms:

• Limit dairy intake: Some people find that dairy products increase mucus production.
• Increase spicy foods: Spicy foods can help thin mucus and promote drainage.
• Consume warm liquids: Herbal teas and warm broths can soothe the throat and help thin mucus.
• Avoid alcohol and caffeine: These can lead to dehydration, potentially worsening symptoms.

When to Seek Medical Attention for Post-Nasal Drip

While post-nasal drip after flu is often a temporary condition that resolves on its own, there are instances where medical attention is necessary. It’s important to recognize when symptoms warrant a visit to your healthcare provider.

What are the signs that post-nasal drip requires medical attention?

Consider seeking medical attention if you experience:

• Symptoms persisting for more than 10 days
• Fever above 101°F (38.3°C)
• Severe headache or facial pain
• Blood in your mucus
• Difficulty breathing or swallowing
• Persistent, severe cough
• Unexplained weight loss

These symptoms may indicate a more serious underlying condition that requires professional medical evaluation and treatment.

Preventing Post-Nasal Drip After Flu

While it’s not always possible to prevent post-nasal drip after flu, there are steps you can take to reduce your risk and minimize symptoms:

• Get vaccinated: Annual flu shots can help prevent influenza infections.
• Practice good hygiene: Regular hand washing and avoiding close contact with sick individuals can help prevent the spread of flu.
• Maintain a healthy lifestyle: A balanced diet, regular exercise, and adequate sleep can boost your immune system.
• Manage allergies: If you have known allergies, work with your healthcare provider to keep them under control.
• Avoid irritants: Minimize exposure to smoke, strong odors, and other potential irritants.

Can certain lifestyle changes help prevent post-nasal drip?

Yes, several lifestyle modifications can help reduce the risk of post-nasal drip:

• Quit smoking: Smoking irritates the nasal passages and can increase mucus production.
• Manage stress: Chronic stress can weaken the immune system, making you more susceptible to infections.
• Stay hydrated: Proper hydration helps maintain the right consistency of mucus.
• Use air filters: HEPA filters can help remove allergens and irritants from the air in your home.
• Practice nasal hygiene: Regular use of saline nasal sprays or rinses can help keep nasal passages clear.

By understanding the causes, symptoms, and management strategies for post-nasal drip after flu, you can take proactive steps to minimize discomfort and promote faster recovery. Remember, while many cases of post-nasal drip resolve on their own, persistent or severe symptoms should always be evaluated by a healthcare professional to ensure proper treatment and rule out any underlying conditions.

The Basics of Post-Nasal Drip

Post-nasal drip is the sensation of mucus accumulating or dripping in the back of your throat. Post-nasal drip can irritate your throat, causing a sore throat or cough. It can go along with a stuffy nose if you have a nasal allergy.

“Post-nasal drip is one of the most common complaints that we see in our practice,” says Robert W. Dolan, MD, an ear, nose, and throat specialist at the Lahey Clinic in Burlington, Mass. “Post-nasal drip is not a disease. It is a description that people use to describe the sensation of a lump or thickening in the throat.”

What Causes Post-Nasal Drip?

The mucus glands in your throat, nose, and sinuses are constantly making mucus. They can produce up to two quarts of mucus every day. Normally you swallow the mucus without even noticing it. Mucus is important because it cleans and moistens your upper airway and helps prevent infection. When the mucus becomes noticeable and annoying, we call it post-nasal drip.

“The sensation of post-nasal drip is not usually caused by an increased amount of mucus coming from your nose or sinuses,” says Dr. Dolan. “It is more likely to be caused by the mucus becoming too thick or by irritation of your throat. In my experience, the three most common causes are allergy, gastric reflux, and medications that cause dryness.”

Here are some other common conditions that may cause post-nasal drip:

• Cold or flu viruses
• Sinus infection
• Cold temperatures
• Pregnancy
• Dairy products
• Small objects stuck in the nose (usually in children)

Prevention, Diagnosis, and Treatment of Post-Nasal Drip

“Asking how to prevent post-nasal drip is like asking how to prevent pain,” says Dolan. “It all depends on finding the cause. In most cases the cause can be diagnosed when the primary care doctor does a history and physical exam.”

Post-nasal drip may become worrisome if it is accompanied by symptoms such as persistent cough, severe stuffy nose, recurrent infections, blood tinged mucus, or voice changes. “In severe or persistent cases of post-nasal drip, a patient may be referred to an ear, nose, and throat specialist,” explains Dolan.

One exam that a specialist may perform, especially if there is chronic cough, gastric reflux, or voice change, is a fiber optic exam. This exam uses a thin, lighted microscope to look at the nose, throat, and vocal cords. Depending on the diagnosis, possible treatments include:

• Antibiotics for bacterial infections
• Oral medications and sprays or allergy shots for allergies
• Antacid medications for gastric reflux disease
• Surgery for chronic sinus disease

Tips for Managing Post-Nasal Drip at Home

“Mild cases of post-nasal drip, without other symptoms, may be helped by over-the-counter medications,” advises Dolan. “These include antihistamines, decongestants, and mucus thinners. If these and other home remedies don’t help, a visit to the doctor is the next step.”

Here are some simple home remedies you can try:

• Drink plenty of fluids.
• Take a long, hot shower.
• Use an over-the-counter saline nasal spray.
• Gargle with salt water.
• Use nasal irrigations made with water and salt or baking soda.

Keeping a healthy home environment can also cut down on your risk for post-nasal drip. Some tips include:

• Wash hands frequently and wipe down countertops during cold and flu season.
• Try to eliminate allergy-causing substances such as dust, mold, pollens, and pet dander from your home, especially the bedrooms.
• Increase humidity in your home with a vaporizer or humidifier.

Post-nasal drip is a common complaint and is frequently accompanied by other symptoms such as stuffy nose, sore throat, and cough. When simple measures like over-the-counter medications and nasal irrigations don’t work, talk to your doctor. Common causes such as infection, allergy, and gastric reflux can often be treated successfully.

Post-nasal drip | healthdirect

beginning of content

2-minute read

When your nose and sinuses are blocked up with mucus, you have a tickle in your throat and maybe even a cough, you might have post-nasal drip. Find out more about the causes of post-nasal drip, and how you can treat and prevent it.

What is post-nasal drip?

‘Post-nasal drip’ is the medical term that describes when mucus from your nose or sinuses drips down the back of your throat.

Post-nasal drip can sometimes cause a cough.

What causes post-nasal drip?

The most common causes of post-nasal drip are:

• viral infections in your nose and throat, such as a cold or the flu
• hay fever, which is inflammation of the inside lining of your nose, also called ‘allergic rhinitis’
• sinusitis, which is inflammation of the hollow spaces in the bones of your face
• cold air
• some medicines

Other causes are asthma and gastro-oesophageal reflux disease (GORD).

Post-nasal drip symptoms

Symptoms of post-nasal drip include:

• a cough
• a ‘tickle’ in your throat or a sore throat
• needing to clear your throat regularly
• a lot of mucus in the throat
• blocked or runny nose
• hoarse voice

People with post-nasal drip can also get bad breath.

Post-nasal drip treatment

The treatment for post-nasal drip depends on its cause.

If your post-nasal drip is caused by hay fever, then antihistamines, decongestant medicines and steroid nasal sprays can be effective treatments. Using a saline nasal spray can also help.

You can prevent hay fever by avoiding the substances you are allergic to. If you don’t know what you are allergic to, speak with your doctor who can refer you for allergy tests.

If your post-nasal drip is caused by sinusitis from a bacterial infection, your doctor might prescribe antibiotics to treat the infection.

You should also talk with your doctor about treatments for other causes of post-nasal drip, such as reflux and asthma.

Some things you can do to help ease the symptoms are:

• drink more fluids (such as water) to thin out the mucus
• use a saline nasal spray. You can ask your pharmacist which one will suit you best
• gargle with salty water 3 or 4 times a day
• use a humidifier to add moisture to the air
• avoid substances that cause dehydration, such as alcohol and caffeine, as these make symptoms worse
• avoid common irritants such as cigarette smoke and sudden temperature changes.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: April 2020

Postnasal Drip | SRUK

How can postnasal drip be treated?

Treatment options for postnasal drip will depend on the cause. Often the problem will clear up by itself without the need for medical treatment. Antihistamines and decongestants may be helpful in cases involving a viral infection, sinusitis or allergies, although decongestants are only suitable for short-term relief. Allergic symptoms can also be relieved using nasal sprays and steroid medications.

You can also use a humidifier or vaporiser to moisturise the air or try inhaling steam from a bowl or pan of hot water (this should not be boiling). By propping up your pillows to raise your head when sleeping at night, the mucus is less likely to sit in the back of your throat and cause further irritation.

To reduce postnasal drip triggered by allergies:

• Consider using anti-allergy covers to protect your pillows and mattress
• Wash all sheets, duvet covers, pillowcases and mattress covers in hot water
• Dust and vacuum often, using HEPA air filters in your vacuum cleaner

If the mucus has an unpleasant or unusual smell, you develop a fever or wheezing or if the symptoms last for more than 10 days, seek medical advice to rule out other causes such as a bacterial infection. Seek prompt medical advice if there is any blood within the mucus.

If the postnasal drip persists, your GP may want to investigate to determine whether an allergy or nasal polyp may be the cause. A nasal rinse with a saline solution can be used to rinse away any allergens and is a safe option for babies. A nasal spray containing corticosteroids can be used to help reduce inflammation related to allergies, and may also be effective in shrinking smaller nasal polyps, although large ones may require surgery.

When using a nasal spray, make sure you follow the instructions to ensure that the medicine works as effectively as possible. You should blow your nose first to clear it and bend your head down, looking towards your feet. Take care not to sniff when taking the spray since it will then enter your throat rather than stay in your nose.

How postnasal drip can be linked to scleroderma

Some people living with scleroderma also find that they experience postnasal drip. Our specialist Professor Chris Denton explains this in more detail, as follows:

“There are several possible ways in which postnasal drip might be related to scleroderma. Nasal symptoms are common in scleroderma and probably reflect the effect of scleroderma on mucosal lining surfaces more generally. Although the mechanism is unclear, the amount and quality of mucosal secretions is usually reduced in scleroderma and leads to dryness of the mouth, eyes and the upper respiratory tract. This is one reason why scleroderma patients may notice a change or hoarseness of the voice.

“Scleroderma can cause a change in the lining of the nose which may also lead to a degree of inflammation or local infection and this may contribute to a postnasal drip. In addition, altered blood vessel and nerve regulation may be relevant. Increased blood supply to the nasal mucosa can lead to increased secretions and this could be associated with vascular instability as is seen in scleroderma. I would not recommend any specific medication without discussing it with your doctor, as some of these work by reducing nasal secretions and this might aggravate the symptoms rather than be helpful.”

Find out more about how to manage this and download your oral and dental fact sheet.

This is what our community said about postnasal drip:

“I have scleroderma and Raynaud’s and in the winter I get constant postnasal drip especially at night – I’ve heard it is due to the nerves controlling blood flow to the nose lining.”

“Do you ever get postnasal drip (the feeling that you need to constantly clear your throat, or swallow/ cough/ sore, scratchy throat) and what do you do to combat it?”

Read what the Community said about this on HealthUnlocked.

Post Nasal Drip Causes – Allergist Chicago

Upper respiratory infection (common cold)

• Drainage can be clear, yellow, or green
• Associated with nasal congestion, runny nose, sneezing, and low grade fever
• Symptoms typically resolve after 7-10 days
• Strong odors / spicy foods

Allergies (hayfever, allergic rhinitis)

• Drainage is clear and frequently associated with sneezing, runny/itchy nose, nasal congestion, and itchy/watery eyes
• Symptoms can occur seasonally and/or year round
• Allergy symptoms usually respond to anti-histamines, nasal steroid sprays (i.e. Flonase, Nasonex), and allergy eye drops
• Symptoms of allergy-induced asthma such as coughing, wheezing, and shortness-of-breath may also be present

Strong odors / spicy foods

Hormonal changes

• Birth control pill
• Pregnancy

Bacterial sinus infection

• Acute sinus infection
• Symptoms typically last longer than 10 days but less than 6 weeks
• Mild sinus infections have similar symptoms as the common cold
• Yellowish/ green drainage
• Fever may be present
• Pressure over forehead and cheekbone
• Frequently resolves without antibiotics
• Chronic sinus infection
• Symptoms lasting longer than 6 weeks
• Nasal congestion (stuffiness) and decreased sense of smell are almost always present
• Frequently associated with green/yellow nasal discharge and post nasal drainage

Asthma

Asthma is a common cause of a chronic cough. It is usually, but not always associated with wheezing, chest-tightness, and shortness-of-breath. If you experience a deep cough in addition to post nasal drip, asthma may be contributing to your symptoms. Asthma frequently occurs with hayfever / allergy symptoms and acid reflux.

Acid Reflux

Acid reflux is a very common cause of PND and is referred to as Laryngo-Pharyngeal-Reflux (LPR) when it affects the throat. Acid reflux can move up into the throat, voice box, and sinuses and cause inflammation. It can lead to the same PND symptoms as many of the other causes.

• Clues that Acid reflux is contributing to your PND:
• Post Nasal Drip, coughing, throat clearing, and hoarseness are common symptoms of LPR
• Symptoms are typically worse after eating
• Spicy foods and carbonated beverages are strong triggers of LPR. (If you have significant PND symptoms after eating spicy foods or drinking carbonated beverages, you are likely suffering from LPR. )
• PND symptoms are also significantly worse at night
• The most severe form of LPR occurs when someone is sleeping and acid is swallowed into the lungs. The person can wake up with a feeling that they are severely choking. This tends to be a very scary experience that can last up to 10-15 seconds. This is referred to as Laryngo-spasm and occurs when the vocal cords close shut to prevent more acid reflux from draining into the lungs.
• Frequently, there will be a very sour and acidic taste in the person’s mouth
• Other symptoms of acid reflux (heartburn) are often present
• Symptoms of LPR do not have to occur with the typical symptoms of GERD (Gastro-esophageal reflux disease- heart burn, indigestion)
• The mucus drainage can be clear, yellow, or green
• When severe enough, symptoms can be very similar to a chronic sinus infection (yellow or green nasal drainage and nasal congestion)
• Acid reflux (LPR) frequently occurs at the same time as other causes of PND such as allergies.
• Symptoms of LPR start gradually and the patient rarely remembers when the symptoms first began. If your PND symptoms started abruptly (such as after a cold), then LPR is an unlikely cause of your symptoms. This is a point frequently missed by Ear, Nose, Throat Doctors (ENT), allergists, and primary care doctors. This is a very crucial point.
• LPR can cause significant disruption in a person’s sleep leading to severe daytime sleepiness.
• If you have symptoms that suggest LPR and you are very tired during the day, treating the LPR may dramatically improve your energy level

LSN is a relatively common cause of PND that is missed in over 90% of patients.

Laryngeal Sensory Neuropathy (LSN)

• LSN is a relatively common cause of Post Nasal Drip that is missed in over 90% of patients.
• The main symptoms of LSN include throat clearing, coughing, fullness in the throat, and a sensation of post nasal drainage. However, there is rarely any mucus or phlegm that is actually coughed up.
• Patients with LSN have often seen many other doctors with minimal improvement in symptoms despite aggressive treatment for allergies, sinus infections, or acid reflux. Patients are often told by their ENT doctor that the back of their throat looks “normal”.
• The cough is mainly throat clearing but can also be deep, severe, and hacking. Patients typically say that the cough begins as a “tickle in the throat“.

Approximately 85% of patients with LSN can be successfully treated

LSN typically begins abruptly following an Upper Respiratory Infection (common cold). In fact, one of the important clues that LSN may be the cause is that patients can often remember the approximate time when their symptoms began. And many will state that it began following the cold. There are very few causes of throat clearing / coughing that begin so abruptly. Most of the other causes of throat clearing / coughing that begin abruptly such a sinus infection or cold typically resolve readily on their own of following a course of antibiotics. The symptoms of LSN may not resolve for many months or even years without treatment.

What causes Laryngeal Sensory Neuropathy (LSN)?

To understand what causes LSN, I have to explain the “cough reflex.” The cough reflex is a protective mechanism we all have that helps prevent us from choking and suffocating from a swallowed object. When food (or another object) gets stuck in our throat, our brain is immediately alerted by the nerve tissue in the throat or airway that leads into the lungs. We immediately start to gag as the muscles in our throat and chest begin to contract so that we may be able to expel the object. Sometimes, however, the brain is tricked into thinking that something is stuck in the throat and/or airway. This is exactly what happens with LSN. Symptoms usually start with the common cold. The cold causing virus damages the nerve tissue in the throat and airway. A message is sent to the brain saying something is caught in the throat. This message is a false alarm however. There is actually nothing wrong with the throat, but your brain thinks that there is. So a person suffering from LSN will clear their throat or cough because the brain thinks there is a foreign object that has been swallowed. In other words, to the patient- it feels like there is actual drainage or something stuck in the throat. But this is just a “feeling” that is caused by a false signal from the brain.

• Most doctors do not understand that this is a common cause of throat clearing and coughing. And symptoms can last for over 20 years without being recognized and treated.
• Triggers for the cough include laughing, talking and strong odors. Symptoms usually do not occur while sleeping.
• LSN can occur by itself or with other causes of PND such as allergies, asthma, and acid reflux.

Post Nasal Drip treatment

Post-nasal drip: symptoms, causes and treatment

Post-nasal drip describes the feeling of mucus secretions moving down the back of the throat, often causing cough. It’s normal to swallow some of the mucus that’s made in your nose and sinuses without even realising it. But if the mucus becomes thicker or if there is more mucus than usual, you may get post-nasal drip.

If you have post-nasal drip as well as abnormal sensations in the throat and a chronic (ongoing) cough, you may have what’s called upper airway cough syndrome. Previously called postnasal drip syndrome, this condition is usually related to nose and sinus problems.

Post-nasal drip symptoms

Symptoms that may be associated with post-nasal drip (the feeling of mucus running down the back of your throat) include:

• cough;
• the need to clear the throat often;
• a ‘tickle’ in the throat or sore throat;
• excess mucus (phlegm) in the throat;
• a blocked or runny nose; and (rarely)
• hoarseness or wheezing when breathing in.

Post-nasal drip can also cause bad breath (halitosis).

Symptoms of upper airway cough syndrome include:

• a dry cough that persists for 8 weeks or more;
• post-nasal drip; and
• abnormal, unpleasant sensations in the throat (such as the feeling of something being stuck in the throat, something tickling or irritating the throat, or of mucus in the throat).

Causes of post-nasal drip

There are several conditions that can cause post-nasal drip.

Rhinitis (inflammation of lining of the inside of your nose) is one of the most common causes of post-nasal drip. Rhinitis is often due to allergies (allergic rhinitis, also called hay fever) but can be caused by other things such as the common cold, hormonal changes and certain medicines.

Sinusitis also commonly causes post-nasal drip and/or a runny nose (or blocked nose), as well as facial pain/pressure, cough and a loss of smell. Acute sinusitis is inflammation of the sinuses (cavities within the facial bones that surround your nose) usually due to a viral or bacterial infection. Chronic rhinosinusitis is when there is ongoing inflammation of the lining of the nose and sinuses, with symptoms lasting longer than 12 weeks. Some people with chronic rhinosinusitis develop nasal polyps – benign (non-cancerous) growths that grow from the lining of the nose or sinuses.

People with upper airway cough syndrome have post-nasal drip, abnormal sensations in the throat plus a chronic (ongoing) cough. In some people with this condition, extra-sensitive nerves in the back of the throat may cause a feeling of increased mucus in the throat when there is, in fact, no increase in mucus. Allergies and inhaled irritants can trigger upper airway cough syndrome.

Post-nasal drip also can be caused by changes in temperature and humidity, which can affect the amount or thickness of mucus in the nose and throat. Cold weather can sometimes increase mucus production, and heating in winter can result in thickened mucus.

Tests and diagnosis

Your doctor will ask about your symptoms and examine your nose and throat. Post-nasal drip is often diagnosed based on your symptoms (after other possible diagnoses have been ruled out).

Your doctor may recommend allergy testing if hay fever is considered to be causing your symptoms and you do not know what you are allergic to. This may involve skin prick tests or allergy blood tests.

Other tests that may be suggested include a chest X-ray, lung function tests and blood tests such a full blood count. A CT scan of the nose and sinuses is occasionally recommended to confirm a diagnosis of sinusitis.

If you have persistent or difficult-to-treat symptoms, your doctor may refer you to an ear, nose and throat (ENT) specialist for further assessment and treatment. The specialist may recommend nasal endoscopy, where a special instrument with a camera is used to examine the inside of the nose and throat. This test can help diagnose nasal polyps and other problems in the nose and throat.

Self care for post-nasal drip

Treatments for post-nasal drip usually depend on the cause. However, there are several things you can do yourself to help improve the symptoms, no matter what the cause.

• Use a saline (salt water) nasal spray. This can help flush the nose of allergens (substances that you are allergic to) and irritants and also thin mucus. Some people find that using a neti pot (carefully following the manufacturer’s instructions regarding use and cleaning) is a good way to wash out the nose.
• Stay well hydrated to help thin mucus secretions. Drink plenty of fluids – water is the best choice for staying well hydrated. A warm drink of tea, broth or warm water with half a teaspoon of honey may help soothe your throat as well. Avoid anything that tends to dehydrate, such as alcohol and caffeine, as much as possible.
• Try to work out what triggers your symptoms and avoid these triggers, if possible.

Treatment

Medicines and treatments will vary depending on the cause (or suspected cause) of your post-nasal drip. Always check with your doctor or pharmacist before taking any over-the-counter medicines, and ask about the possible side effects.

Allergic rhinitis

If allergic rhinitis is thought to be the cause of your post-nasal drip, antihistamine medicines will usually be recommended. These medicines can be taken as tablets or nasal sprays. A response to treatment helps confirm the diagnosis.

A nasal corticosteroid spray or a medicine called montelukast may also be recommended for allergic rhinitis. Montelukast (taken as tablets) is a leukotriene receptor antagonist – these medicines are also used to treat asthma.

Sometimes, decongestant nasal sprays or tablets may be recommended if other medicines have not relieved the symptoms. However, there are some risks with these medicines and they should only be used for a short time. In fact, overuse of nasal decongestant medicines can actually make symptoms worse, so don’t use them for more than a few days at a time.

If your post-nasal drip is due to allergic rhinitis and the allergen cannot easily be avoided or if the allergy symptoms are particularly severe and persistent, immunotherapy treatment might be recommended. This therapy is often very effective in desensitising people against particular allergens.

Rhinosinusitis

Rhinosinusitis can be treated with a saline nose spray or saline washouts (nasal irrigation).

Most acute cases of rhinosinusitis (those that come on quickly and don’t last long) are caused by a viral infection such as the common cold. Treatment includes painkillers to treat sinus headache, corticosteroid nasal spray and decongestant nasal sprays (which should not be used for more than 3 days). Antibiotics can be used to treat acute sinusitis that is caused by a bacterial infection.

If you have chronic (ongoing) rhinosinusitis and nasal polyps, nasal corticosteroid spray and possibly also a short course of corticosteroid tablets may be recommended. Nasal polyps can also be removed surgically.

Upper airway cough syndrome

Upper airway cough syndrome is treated with first-generation antihistamines (e. g. chlorpheniramine) and decongestant medicines (such as pseudoephedrine) taken as tablets. A response to treatment helps confirm the diagnosis. Decongestants should only be used for a short time.

Talk to your doctor if you are constantly clearing your throat or have an irritating cough. Finding out the cause of your symptoms and treating the cause should make you feel a lot more comfortable.

1. Cough (published March 2015; amended March 2018). In: eTG complete. Melbourne: Therapeutic Guidelines Limited; Mar 2018. https://tgldcdp.tg.org.au (accessed Jun 2018).

2. Rhinitis and rhinosinusitis (published March 2015). In: eTG complete. Melbourne: Therapeutic Guidelines Limited; Mar 2018. https://tgldcdp.tg.org.au (accessed Jun 2018).

3. Mayo Clinic. Chronic cough (updated 22 Aug 2017). https://www.mayoclinic.org/diseases-conditions/chronic-cough/symptoms-causes/syc-20351575 (accessed Jun 2018).

4. Morcom S, Phillips N, Pastuszek A, Timperley D. Sinusitis. Australian Family Physician 2016;45(6):374-7. https://www.racgp.org.au/afp/2016/june/sinusitis/ (accessed Jun 2018).

5. Mayo Clinic. Nonallergic rhinitis (updated 4 Jan 2018). https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229 (accessed Jun 2018).

6. BMJ Best Practice. Upper airway cough syndrome (updated Dec 2016; reviewed May 2018). https://bestpractice.bmj.com/topics/en-us/1209 (accessed Jun 2018).

https://www.mayoclinic.org/symptoms/nasal-congestion/basics/definition/sym-20050644

Can sinus drainage cause a cough?

SINUSES

 Many people with these issues find themselves asking, “Can sinus drainage cause a cough?”. We’re here to help give you some answers.

Sinus drainage is constantly happening in your body. This is normal; your sinuses need to drain all the mucus that they produce. (Your sinuses create and drain up to a quart of mucus per day!) Mucus coats the inside of the sinus cavity and traps infectious agents like bacteria, and then it mixes with saliva and you swallow it. This is an ongoing, automatic process, and normally you don’t notice this drainage.

But sometimes, it does become noticeable. When the mucus is thicker than normal or you produce particularly large amounts of it, it may come out the nostril as a runny nose, or you may feel it as it drains into the throat. This is called post-nasal drip, and it can cause a cough.

What Can Cause Post-nasal Drip?

Post-nasal drip can happen as a result of many medical conditions^1,2 including:

• flu
• cold
• allergy
• a crooked “wall” between the nostrils (called a deviated septum)
• sinus infection, causing sinusitis or sinus inflammation
• gastroesophageal reflux disease, or GERD
• pregnancy

Spicy food, cold and dry air, fumes or smoke, and other factors can also cause mucus to run out of the sinuses faster than normal.

Have you experienced any of the following symptoms for 12 consecutive weeks or longer and are
over the age of 18?

• Facial pain, pressure, or fullness
• Difficulty breathing through nose
• Descreased sense of smell
• Drainage of cloudy or colored mucus

See if my symptoms are chronic sinusitis

When you produce excess mucus and it goes down your throat, making you feel as though you constantly have to clear mucus from your throat, that’s post-nasal drip.

Post-nasal Drip Common Symptoms

This excess mucus in the throat can cause unpleasant symptoms — including coughing. The mucus triggers the body’s natural coughing reflex, and this is called upper airway cough syndrome (UACS). A hoarse voice and a sore throat are other symptoms that may appear at the same time.³

If you wind-up with post-nasal drip and a cough, you may benefit from seeing a doctor, depending on how severe your symptoms are and how long they last. Besides the common cold there are other symptoms that can lead to issues with the ear, nose and throat.

Additional side effects can include:

• scratchy throat
• ear infections
• sinus infection

What treatment options are available for a cough caused by sinus drainage?

The treatment your doctor gives you will depend on what causes the post-nasal drip, and can include different medical advice as well as various solutions:^1,4

• antibiotics, if the cause is a bacterial infection.
• antihistamines, decongestants and other medicines, where appropriate.
•  avoiding the source of any allergies that may be causing post-nasal drip.
• elevating the head during sleep and changing eating habits, if you have GERD.

Should I see a doctor when sinus drainage causes a cough?

Sinus drainage accompanied by coughing is very irritating, but it may go away on its own. If it does not, if it stays around for weeks, this may be a sign of a persistent condition that needs medical attention.

Also, if you bring up phlegm, if you can’t sleep because of the symptoms, or it’s affecting your studies or job, it’s a good idea to see a doctor. If you bring up blood, let a doctor know right away. The doctor will be able to figure out the precise cause of your post-nasal drip and UACS, and to recommend an effective treatment.

Post-Nasal Drip | MUSC Health

 Glands in the nose and throat normally produce 1-2 quarts of mucus every day. This mucus moistens the lining of the nose and sinuses, humidifies the air, traps inhaled particles, and helps to fight infections. Normally this mucus is swallowed unconsciously many times throughout the day. When the mucus becomes thick or excessive in volume, it can cause the sensation of post-nasal drip. Post-nasal drainage can often lead to cough, sore throat, frequent throat clearing, and the feeling of a lump in the throat.

An excess in thin, clear secretions can be from viral infections, allergies, spicy foods, temperature changes, pregnancy and some medications (birth control pills, blood pressure medications). Increased thick secretions can occur from low humidity in the winter, a decrease in fluid intake (dehydration), bacterial sinus infections, or from some medications (antihistamines). Swallowing problems or acid reflux can give patients similar symptoms of nasal/throat drainage or phlegm.

A correct diagnosis of the underlying problem is essential to properly treat a patient with post-nasal drip. Treatments for viral infections, allergies, and sinusitis are discussed in other sections. Acid reflux is treated with over-the-counter or prescription medications, depending upon the severity of the symptoms. Other causes are less common and should be thoroughly evaluated by an ENT specialist.

Laryngopharyngeal Reflux (LPR)

What is LPR?

LPR is similar to Gastroesophageal Reflux Disease, or GERD. It occurs when the lower esophageal sphincter (LED) does not close properly and the stomach contents are allowed to leak back or reflux into the esophagus and then up to the voice box and possibly the back of the nose and sinus cavity. When the refluxed stomach acid comes into contact with the lining of the esophagus, it causes a burning sensation in the chest or in the throat that we call heartburn or acid indigestion. When stomach contents irritate the voice box and back of the throat/nose, symptoms are less often heartburn, and more often consist of post nasal drip, throat clearing, cough, and lump in the throat.

What causes LPR?

Eating habits, diet, and obesity all contribute to the development of GERD. Eating large meals and lying down after eating may induce reflux symptoms. Many foods are acidic or contain irritating substances that increase the stomach’s production of acid. Obesity and pregnancy also contribute to LPR/GERD symptoms because the additional weight places increased pressure on the sphincter muscles in attempt to keep food in the stomach. Tight fitting clothing may place pressure inside the abdominal cavity much like excessive body weight does and therefore may cause reflux symptoms.

What are the symptoms of LPR/GERD?

The classic symptom of GERD is heartburn. Many people have LPR without any associated heartburn and instead they experience chest pain, hoarseness, difficulty swallowing, excessive mucous, throat clearing, a sensation of a lump in the throat, sore throat, choking spells, wheezing, post-nasal drip, dry cough, or bad breath.

What is the treatment for LPR/GERD?

Lifestyle Changes: 

• Avoid foods that are acidic or contain irritating substances that increase the stomach’s production of acid. Foods that are known to promote reflux include: fatty foods, spicy foods, coffee, tea, soda, and other caffeinated beverages, alcohol, chocolates, nuts, citrus fruits and juices, mints, cough drops, breath fresheners, gum, hard candies, and some mouthwashes.
• Multiple small meals spread throughout the day is preferable to fewer larger meals. Less food in the stomach at a time will lead to less reflux.
• Try not to eat anything for 3 hours before bedtime because reflux is often worse when we lie down.
• Weight loss often results in significant reduction of reflux symptoms. Avoid tight fitting clothing.

Raising the head of your bed may also help to counteract the loss of gravity that occurs from lying down.

Medication:

Your doctor may also recommend medications that you can buy over the counter or may give you a prescription for a medication. These medications can help to neutralize the acid in your stomach, stop acid production, or help the muscles that empty your stomach. Medications work in different ways and a combination of medications may help to best control your symptoms. Your doctor is the best source of information on how to use these medications.

How do you diagnose LPR/GERD?

LPR/GERD may be diagnosed by carefully listening to the symptoms the patient reports along with a thorough examination of the head and neck. There are also a number of diagnostic tests available to help establish and monitor a diagnosis of LPR/GERD: 

• pH monitoring: A small tube is put into the esophagus that will stay there for 24 hours. While you go about your normal activities, it measures when and how much acid refluxes into your esophagus. Manometry can also be performed using the same probe. This detects pressure changes and is a more sensitive technique than measuring pH alone.
• Barium swallow: You drink a solution and then several x-rays are taken to help spot abnormalities such as a hiatal hernia or narrowing of the esophagus.
• Upper endoscopy: The doctor will spray your throat to numb it and then slide down a thin, flexible tube called an endoscope. A tiny camera in the endoscope allows the doctor to see the esophagus and to look for abnormalities.
• Nasal endoscopy: Many ENT doctors will apply a topical nasal decongestant and numbing medicine to the lining of the nose by a nasal spray prior to endoscopy. Often, the examination can be completed without any special medicines at all. A rigid or flexible scope may be used to see around corners – much like a child’s toy periscope. Nasal endoscopy provides a detailed examination of the nasal cavity, sinuses, and voice box.

90,000 Droppers for health and beauty in Moscow

Droppers are a type of therapy in which the effectiveness of the drug is maximized, because it immediately enters the bloodstream. When taking, for example, tablets, it is impossible to achieve the same bioavailability – some of the substance is not absorbed or destroyed due to chemical interactions with the stomach environment and liver enzymes.

Droppers are indispensable after suffering COVID-19, with acute or chronic poisoning, alcohol intoxication, the body’s own intoxication with the accumulation of decay products and putrefaction in the large intestine, etc.

The procedure is carried out only after consulting a doctor! The specialist selects the drug and its effective dose individually.

Droppers can only be supplied by a specialist with medical education. It is allowed to carry out the procedure in the clinic and at home.

Patients are injected with substances (glucose solution, potassium and magnesium preparations, vitamins, organic acids, etc.), which help to stop vomiting, nausea and headache; quickly restore working capacity, make up for the lack of fluid in the blood; reduce the concentration of toxic substances in it; align the balance of electrolytes, etc.

Dear patients, please pay attention!

For the setting of droppers, injections prescribed by a doctor of a third-party medical institution, it is necessary to have a correctly issued appointment. It should indicate: the patient’s surname, first name, patronymic, name of the medical institution, diagnosis, name of the drug, dosage, number of procedures, doctor’s surname and signature, seal. The duration of the appointment for manipulation is up to 30 days. An exception is antibiotics, which must be administered immediately.A nurse is not allowed to perform these manipulations without a doctor’s prescription.

Submit your application

“Detox complexes”

They help with intoxication of the body caused by infections, viruses, alcohol and prolonged use of potent drugs. Preparations based on sodium succinate (succinic acid), which are part of detox droppers, regulate cellular processes, stabilizing energy metabolism and improving the body’s ability to recover.
Complex droppers with succinic acid and vitamin C have a powerful antioxidant effect, almost instantly put in order the immune system, protect liver cells from the action of alcohol and antibiotic breakdown products, give a feeling of lightness, normalize sleep and provide a powerful rejuvenating effect.

“Vitamin droppers”

Vitamins are essential micronutrients. They are vital for the normal functioning of the body, maintaining health and beauty.

“Vitamin droppers” with glutathione

Glutathione is a vitamin complex with powerful antioxidant and detoxifying properties.Best of all, the substance acts on
reducing melanin levels and whitening the skin. Most dermatologists around
Glutathione is used worldwide in the treatment of skin diseases.
Glutathione actively fights free radicals, namely:

• frees the body from toxins;
• destroys carcinogenic elements;
• contributes to the maintenance of health;
• protects against chronic diseases;
• prolongs youthfulness;
• does not allow the skin to fade, it restores the already faded.It also clears it from
  excessive pigmentation.

Heptral droppers

Droppers with Heptral improve liver function, remove toxins and toxins, have an antidepressant effect, normalize metabolism, promote weight loss, and improve skin condition.

ANTI AGE Droppers (“Vitamin Droppers”, “Glutathione Droppers”, “Laennec Droppers”)

Anti-age droppers are actively used all over the world to slow down the aging process and have a rejuvenating effect.They include trace elements, amino acids, B vitamins, vitamin C, magnesium, calcium, amino acids, antioxidants. One of the main elements of anti-aging therapy is glutathione. Scientists have proven that it is precisely its deficiency that can provoke an acceleration of the aging process in the body. The average course duration is 5-15 droppers. The frequency of drug administration is every 1-2 days.

There are contraindications! A doctor’s consultation is required!

Dear patients, please pay attention! For the setting of droppers, injections prescribed by a doctor of a third-party medical institution, it is necessary to have a correctly issued appointment.It should indicate: the patient’s surname, first name, patronymic, name of the medical institution, diagnosis, name of the drug, dosage, number of procedures, doctor’s surname and signature, seal. The duration of the appointment for manipulation is up to 30 days. An exception is antibiotics, which must be administered immediately. A nurse is not allowed to perform these manipulations without a doctor’s prescription.

Ozone therapy at the Central Clinical Hospital of the Russian Academy of Sciences

One of the modern physiotherapeutic methods is ozone therapy.It is used in the treatment of diseases of internal organs, as well as in cosmetology.

What is ozone therapy

This type of physiotherapy is based on the healing properties of ozone. Inhalation of pure ozone is not beneficial for humans, but the use of ozonized saline, cosmetic oils and other substances allows you to achieve a stable positive effect on the body:

• improvement of oxygen saturation of blood and tissues;
• normalization of metabolism;
• acceleration of regenerative processes;

90,027 muscle relaxation;

• elimination of inflammatory processes;

90,027 pain relief;

• to improve immunity.

Also, ozonized mixtures have bactericidal, virucidal and fungicidal effects.

The introduction into the body of a small dose of ozone to obtain a therapeutic effect can be performed in several ways. Ozonated saline can be administered intravenously. It is also possible to administer an ozone-oxygen mixture intravenously together with the patient’s blood collected in advance (large or small autohemotherapy).

Less often:

• rectal administration of ozone-oxygen mixture;
• internal intake or external application of ozonized water, oil;
• inhalation with ozonized oil or water;
• flow aeration (treatment with a mixture of ozone and oxygen) of the extremities or scalp.

Any of the types of ozone treatment can only be carried out under the supervision of medical personnel in a modern clinic. Attempts to prepare and use ozone mixtures on your own can be harmful to your health.

Appointment (examination, consultation) of a doctor, repeated 1200
Appointment (examination, consultation) of a doctor, primary 1500

Indications for the use of ozone therapy

Currently, ozone therapy is actively used in cosmetology and dermatology for treatment:

90 026 90 027 burns;

90,027 inflammatory skin diseases;

90,027 acne;

90,027 cellulite;

90,027 bedsores;

90,027 edema;

90,027 eczema;

90,027 age spots and scars.

Also, this method is used to eliminate body fat and tighten the figure. It allows for safe and effective skin lifting, thanks to which the face contour becomes more toned and clear without the use of surgical tools. The action of ozone reduces the depth of wrinkles, eliminates an unhealthy complexion and flaccidity of the skin by improving cell metabolism, saturating tissues with oxygen. The bactericidal effect of ozone allows you to remove skin inflammations, abscesses and acne without leaving scars and dark spots.Ozone treatments stimulate hair growth and improve scalp health.

As a therapeutic procedure, ozone therapy is used in various fields of medicine.

In gastroenterology, the anti-inflammatory, bactericidal and analgesic effect of ozone can improve the condition of patients during an exacerbation.

Method effective at:

• gastritis;
• colitis;
• enteritis;
• inflammation of the esophagus and gallbladder;
• hepatitis;
• stomach ulcer.

Improvement of metabolic processes and normalization of blood circulation contribute to the restoration of tissues in the affected organs.

Ozone treatment saturates tissues and blood with oxygen, “thinns” the blood, promotes the regeneration of damaged structures, improves heart function, and gives a vasodilator effect. In cardiology, ozone therapy is indicated for:

• ischemic heart disease;
• hypertension;
• arrhythmias.

In urology, ozone helps fight congestion and inflammation in the kidneys and urinary tract. Ozone therapy helps to facilitate the process of urination, relieves pain and muscle spasms, and helps to destroy pathogenic bacteria.

Intravenous ozone therapy is indicated at:

• cystitis;
• pyelonephritis;
• urethritis;
• prostatitis.

Advantages of the Department of Rehabilitation at the Central Clinical Hospital of the Russian Academy of Sciences

90,026 90,027 Attractive prices 90,028

In surgery, purulent wounds were treated with ozonized saline in the last century. Now the method has been modernized, but it is still used to treat surgical patients, in particular, to prevent complications. Ozone destroys pathogens, eliminating the cause of inflammation. It also boosts immunity, which helps prevent complications from developing. Ozone therapy stimulates accelerated tissue healing, reduces the risk of deep scars.

In orthopedics and neurology, ozone eliminates pain and inflammation associated with diseases of the musculoskeletal system, promotes relaxation of the nervous system and muscles.

Ozone therapy shows high efficiency at:

• arthrosis;

90,027 arthritis;

• synovite;
• osteochondrosis;

90,027 consequences of stroke and traumatic brain injury;

90,027 migraines.

This physiotherapy procedure improves blood circulation, stimulates tissue regeneration, eliminates inflammation, and normalizes metabolic processes.

In addition, ozone is used in the treatment of the following groups of diseases:

• gynecological;
• dental;
• oncological;

90,027 endocrine.

For prophylactic purposes, ozone therapy is used during the period of seasonal infections to strengthen the immune system.

Contraindications to ozone therapy

Before signing up for a course of ozone therapy, it is imperative to consult a doctor and, if necessary, undergo the prescribed diagnostics.After assessing the patient’s condition, the specialist will decide on the appointment of ozone treatment or select a method that is more effective in the given conditions.

Contraindications to ozone therapy:

• blood clotting disorder;
• convulsive syndrome;
• acute pancreatitis;
• hyperthyroidism;
• ozone intolerance.

Ozone therapy should be carried out only in a medical facility, in a treatment room that meets all sanitary and hygienic requirements.

Get expert advice or make an appointment

Ozone therapy in Moscow and the Moscow region

At the Central Clinical Hospital of the Russian Academy of Sciences, ozone therapy is used in the complex treatment of various pathologies, as well as for rehabilitation and prevention. In particular, the doctors of the clinic use this physiotherapeutic method in the treatment of neurological, urological and gynecological diseases, diseases of the musculoskeletal system, as well as for cosmetic purposes.

The procedures are prescribed only after the examination and assessment of the patient’s condition. If necessary, the doctor can prescribe ozone therapy in combination with other therapeutic measures: physiotherapy exercises, various types of physiotherapy, manual therapy or massage.

What different conditions are caused after a nasal drop?

Causes of post-nasal drip include colds, allergies, flu, and even pregnancy. In addition, certain medications, such as blood pressure medications and birth control pills, can also cause post-nasal drip.In children, foreign objects trapped in the nasal passages can often also cause post-nasal drip. Sometimes structural problems such as a deviated septum can also contribute to post-nasal drip, however other causes are more common.

Often, extreme temperatures, spicy foods and dairy products can cause a drip after a nose, as well as the inhalation of certain chemicals, cleaning products and strong perfumes. Although post-nasal drip is not considered a serious medical condition, it does cause irritating symptoms such as itching, coughing, and runny nose.Also, it can cause excessive sneezing of the person and itchy throat. Over-the-counter medications are usually effective, but sometimes prescription medications are required.

When post-nasal drip causes allergies, symptoms can usually be reduced by taking antihistamines or decongestants. Typically, antihistamines dry out excess mucus and relieve persistent rhinitis, where decongestants reduce swelling that occurs in the sinuses.When infections cause post-nasal drip, your doctor may recommend antibiotics. This only applies when the infection is due to a bacterial infection and not a virus.

Although antihistamines and decongestants are effective in relieving symptoms of postnasal drip, they can cause significant side effects. For example, antihistamines are known to cause drowsiness, dry mouth, and daytime sleepiness. Decongestants, on the other hand, can cause heart palpitations, insomnia, and anxiety.Before taking these medications, people should talk with their healthcare providers to make sure they don’t conflict with other medications they may be taking. In addition, these drugs may also be contraindicated in patients with certain underlying medical conditions.

When the cause of post-nasal drip cannot be determined, further medical evaluation may be required. The doctor may recommend that the patient get a sinus x-ray to check for nasal polyps or other obstructions.In cases of obstruction, medication is usually not effective, however, sinus surgery can effectively treat the obstruction and restore normal breathing.

Complications after a nasal drip may include an ear infection. When the Eustachian tube is blocked by mucus, pressure and fluid build up and cause significant pain and hearing loss.