Severe post nasal drip

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vmartelle
New Member


Date Joined Jun 2012
Total Posts : 3
   Posted 6/10/2012 5:27 PM (GMT -7)   
Almost.

At the age of 18 and in college, I've had to quit doing poetry, quit student government, am not able to socialize with friends, am unable to go to the threatre or any other indoor activity. This is all due to my post nasal drip. I literally have to spit up every 1-5 minutes. Sometimes I'll need to excuse myself just to go to the bathroom to spit it all up. I am unable to talk for long because my voice gets really gargled. I've had this for about 2 years now and it is driving me to the brink of wanting to rip out my throat -.-.

I'm an 18 year old male, good health, eats healthy, goes to the gym everyday, and is an aspiring social work/health major. I've been to the doctors and ENT many many times but there seems to be nothing they can do. They can do brain surgery, but not fix nasal drip. WTF?

Here is what I have tried:
-Quercetin
-bromelain
-NAC
-Benedryl
-Doctor: "We have tried every nasal steroid and antihistamine on you"
-Elimiting dairy completely from my diet
-Bug/allergy proof'ed my bed
-Turbinate Reduction surgery
-Gargling salt water
-Nedi pot and nose squirt bottles
-Ginger tea
-Licorice tea
-Lemon juice
-Honey
-Went on a chicken and rice diet only. (not allergic to any foods)


If there is anyone or anything to try, PLEASE let me know.

Thank you,
-Victor

Post Edited By Moderator (Red_34) : 6/11/2012 8:27:21 AM (GMT-6)


CassandraLee
Veteran Member


Date Joined Feb 2003
Total Posts : 885
   Posted 6/10/2012 6:30 PM (GMT -7)   
Hi Victor.  Hang in there.  I certainly understand what you are going through.  I'm in my forties and have experienced a lot of what you have said all of my life.  I have even had sinus surgery.
 
What has really worked for me (and yes there can be hope) is I take a combination of Mucinex D and Muxinex DM.  I make sure each one is only 600 mg of Guaifensin.  DO NOT get the 1200 of each. And also DO NOT take these with any Claritin, Zyrtec, etc. This was my doctor's advice to me about 2 years ago and it has made a huge difference.  Also, little things like chewing gum, drinking ginger ale have helped with the nautiousness (sp?)...
 
Also, you can also try to get a prescription for a nasal spray to take at the same time.  This has helped greatly too. 
 
These are my thoughts.  Wishing you the best and some relief.
 
Cass
 

vmartelle
New Member


Date Joined Jun 2012
Total Posts : 3
   Posted 6/10/2012 6:57 PM (GMT -7)   
CassandraLee said...
Hi Victor. Hang in there. I certainly understand what you are going through. I'm in my forties and have experienced a lot of what you have said all of my life. I have even had sinus surgery.
What has really worked for me (and yes there can be hope) is I take a combination of Mucinex D and Muxinex DM. I make sure each one is only 600 mg of Guaifensin. DO NOT get the 1200 of each. And also DO NOT take these with any Claritin, Zyrtec, etc. This was my doctor's advice to me about 2 years ago and it has made a huge difference. Also, little things like chewing gum, drinking ginger ale have helped with the nautiousness (sp?)...

Also, you can also try to get a prescription for a nasal spray to take at the same time. This has helped greatly too.

These are my thoughts. Wishing you the best and some relief.

Cass



I think I tried either mucinex D or DM before, it had no effect :\

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/10/2012 7:06 PM (GMT -7)   
Have you tried to see if it's acid reflux getting into your sinuses?
Ask for a barium swallow. The best one is up close in the throat and sinus region.
Joy

vmartelle
New Member


Date Joined Jun 2012
Total Posts : 3
   Posted 6/10/2012 7:08 PM (GMT -7)   
couchtater said...
Have you tried to see if it's acid reflux getting into your sinuses?
Ask for a barium swallow. The best one is up close in the throat and sinus region.


I'll have to ask my doctor on my next visit about acid reflux. I've never felt heartburn or any burning, and none of my doctors have mentioned anything about it.

CassandraLee
Veteran Member


Date Joined Feb 2003
Total Posts : 885
   Posted 6/10/2012 7:14 PM (GMT -7)   
Hi again.  In regards to Mucinex...i mean I take specifically 2 pills: 1 of each.  Taking one kind alone did not work but together they do.  This was my doctors advice and it has worked.  I am not a doctor, but please feel free to question yours.
 
Cass

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/11/2012 4:25 PM (GMT -7)   
You could have silent reflux happening. You could try taking some zantac or prilocet to experiment. It's take about 2 weeks to take effect.
Joy

Dom F
New Member


Date Joined Oct 2012
Total Posts : 1
   Posted 10/11/2012 2:10 AM (GMT -7)   
Hi Victor,

My post nasal drip also started when I was 18/19, I am 30 now and still suffer with it, sorry to say that to you I wish I could give good news of a cure or something like that, maybe you will be luckier than I am in finding one?

Mine is also quite severe like yours, spitting every few minutes, more severe in morning as it has accumulated overnight and needs clearing off chest making me vomit etc!

I do however manage to lead a fairly normal life and I have a good job, wife, child and as much of a social life as marriage and kids allows :-)

I have tried a lot of things over the years... nasal irrigation, stomach surgery to correct acid reflux, deviated septum surgery, removal of silver (mercury) fillings and mercury detox, anithistamines and nasal steroid sprays, candida elimination dies and supplements, vitamins, NAC etc.. the list goes on!

The very basic things that I do to manage my condition and live a normal life are as follows:

1. Drink lots of water to help thin mucus and flush throat
2. Have a constant supply of tissue to hand and spit all mucus into tissue, letting it accumulate causes gagging, coughing and vomiting reflexes and having to run to nearest bathroom! Keep clearing it up dont ever swallow it back if you can avoid it.
3. The cough sweet that I can't live without... "Lockets"... you may or may not know of them depending on where you are from, but they are cough sweets here in UK, I've tried other cough sweets and none work like these... the extra strong ones are the best, they basically thin down and cut through the mucus in my throat reducing the thickness and severity of it, they also clear sinuses a little bit with the menthol in them, they are not a cure by any stretch of the imagination but they make a big difference to me in symptom reduction! Especially helpful in mornings when its at its worst.

My experience of post nasal drip is about symptom management and reduction, preparation is key, before going out have a supply of tissues for spitting into, its a bit embarrassing sometimes but people who know you wont care and people who dont you can disguise it like you are blowing your nose, it becomes a skill in discretion! And have a pack of "lockets" in your pocket always. Recognise the signs of mucus accumulation and head to a toilet and cough it up early, have a bottle of still mineral water to hand and the combination of those 3 things have made my life much easier. I can do the things most others can do, it just takes a bit more effort and like I say, preparation is key!!!

I hope you find a way to manage the illness like I have, its not pleasant, but you do get used to it and can live a normal life. Keep eating well, lots of fresh fruit and veg, look after yourself, and stay positive!

Dom

xWaRpeDx
New Member


Date Joined Oct 2012
Total Posts : 1
   Posted 10/13/2012 7:48 PM (GMT -7)   
Hey Victor, I know it's been a while since you posted your question but I hope you either check back on this board every once in a while or are notified when a new post is made. I suffer from severe post nasal drip due to chronic rhinitis and while searching about it kind your post and joined this site specifically to offer something like I haven't seen mentioned yet. It is not a perfect long term fix but it really was life changing for me. I see an ENT for my nasal problems (which include horrible and overwhelming post nasal drip (spitting up, sore throat etc) and when other methods didn't work for me he suggested I get a shot of Kenalog (generic name: triamcinolone) which is a long acting synthetic corticosteroid steroid which truly has changed my life for the better. I say it's not a perfect long term fix because long term (many years of use) injections of steroids is not healthy for the body but for the past 3 years I have received shots of kenalog twice a year in my arm and it drastically improves my nasal problems for 4-7 months. If nasal steroid sprays aren't helping I suggest talking to your doctor about Kenalog, it has truly improved my nose and makes me feel almost normal, it has been a life saver for me. I am prescribed a nasal spray (Astepro) to use for flare ups but I find with the Kenalog injection I rarely ever feel the need to use my nasal spray, it is awesome. Ask your doctor about it and see what he says, trying it once won't harm you and if it works you'll see how freaking amazing it is haha. I wish you luck in finding relief and hope that you actually read this post!

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4931
   Posted 10/17/2012 8:42 AM (GMT -7)   
Have you seen an ENT to find the cause of your drip? Mine comes on with sinus infections which I get over again a couple of weeks after treating the previous one. The problem with antibiotics is they don't get to where they are needed because the sinuses are poorly prefused with blood vessels.

I use a prescription steroid in my sinus wash, but it doesn't do much. Plain salt water with baking soda twice a day keeps the headaches to a minimum. Some of the steroid nasal sprays help briefly. Mucinex long acting helps keep the sinuses from drying up and getting infected worse. Antihistamines only dry things up and then I get a worse infection.

I've had head CT, brain MRI, x-rays, cultures .... they always show infections. Sinus surgery only made things worse. I'll keep reading your responses for more suggestions.

JohnInTheOC
New Member


Date Joined Mar 2013
Total Posts : 10
   Posted 3/31/2013 11:04 AM (GMT -7)   
A few thoughts:
My own routine (NOT meant to take the place of discussing any choices you make with your doctor(s)
Have you tried nasal saline irrigation after every meal? DO NOT blow your nose with tissue and obstruction only jets the exudates into sinus ducts. Blow with open nose (nares) over sink to clear saline.
environmental MD , believed 45-55% humidity ideal to reduce floating pollen and irrigating chemical out gassing. Ebay sells them as does tart for about $10.

Stay away from smokers and smoke filled environments like bars and restaurants

Change your heater filters and shop van it's cabinet very frequently

Place you pillows in the dryer -carefully be present as to not over heat and cause a fire

When you shower wash hair 1st then body (removed hair dust, mites and pollen form hair then off body)

Limit sugar, dairy yeast products, wine beer cheese -then introduce 1 a week to see if any are triggers.

Check & fix/move from any mold sources, carpet, roof leaks etc

I found that 4 or 5 days of NTfactor with Beta Glucan(Norwegien only -others didn't seem to work for me) stops my sinus dripping however this did not work for my wife.

Hope this helps,

John

Post Edited (JohnInTheOC) : 3/31/2013 12:08:49 PM (GMT-6)


Razzle
Veteran Member


Date Joined Aug 2007
Total Posts : 4399
   Posted 4/3/2013 3:32 PM (GMT -7)   
Chronic fungal sinus infections can cause this. A nasal antifungal spray may help.

I find for my own post nasal drip and sinus congestion, that taking a daily dose of fenugreek and thyme helps a lot. The Thyme is antifungal, and the fenugreek thins the mucus.

Also, consider dietary issues as a possible contributor to your post nasal drip. The poster above mentioned a lot of possibilities, but any food allergy may lead to sinus problems.

Case in point, my brother gets sinus congestion from potatoes, tomatoes, and other nightshades.

Might consider working with an Environmental Medicine specialist or Naturopathic Physician, as these doctors usually have more experience with this sort of chronic issue.
-Razzle

Chronic Lyme, Bart., Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut dysmotility & non-specific inflammation, Lupus, Osteoporosis, etc.; G-Tube
Meds: Flagyl, Domperidone, Claritin, Andrographis & other herbs, homeopathy, supplements, etc.

shoshol
New Member


Date Joined Nov 2013
Total Posts : 3
   Posted 11/1/2013 12:20 AM (GMT -7)   
xWaRpeDx said...
Hey Victor, I know it's been a while since you posted your question but I hope you either check back on this board every once in a while or are notified when a new post is made. I suffer from severe post nasal drip due to chronic rhinitis and while searching about it kind your post and joined this site specifically to offer something like I haven't seen mentioned yet. It is not a perfect long term fix but it really was life changing for me. I see an ENT for my nasal problems (which include horrible and overwhelming post nasal drip (spitting up, sore throat etc) and when other methods didn't work for me he suggested I get a shot of Kenalog (generic name: triamcinolone) which is a long acting synthetic corticosteroid steroid which truly has changed my life for the better. I say it's not a perfect long term fix because long term (many years of use) injections of steroids is not healthy for the body but for the past 3 years I have received shots of kenalog twice a year in my arm and it drastically improves my nasal problems for 4-7 months. If nasal steroid sprays aren't helping I suggest talking to your doctor about Kenalog, it has truly improved my nose and makes me feel almost normal, it has been a life saver for me. I am prescribed a nasal spray (Astepro) to use for flare ups but I find with the Kenalog injection I rarely ever feel the need to use my nasal spray, it is awesome. Ask your doctor about it and see what he says, trying it once won't harm you and if it works you'll see how freaking amazing it is haha. I wish you luck in finding relief and hope that you actually read this post!
 
 
Dear xWaRpeDx,
I am also having severe post nasal drip which has destroyed my life. I am thinking of getting a shot of kenalog. My questions from you is, does it completely stop your post nasal drip for a few months? also do you have severe post nasal drip? 

shoshol
New Member


Date Joined Nov 2013
Total Posts : 3
   Posted 11/1/2013 12:21 AM (GMT -7)   
Dear xWaRpeDx,

I am also having severe post nasal drip which has destroyed my life. I am thinking of getting a shot of kenalog. My questions from you is, does it completely stop your post nasal drip for a few months? also do you have severe post nasal drip?

KieranM
New Member


Date Joined Feb 2014
Total Posts : 2
   Posted 2/10/2014 3:22 PM (GMT -7)   
Hi all,

I have had this same problem for nearing 2 years now. My GP first thought it was sinusitis and tried me with antibiotics which didn't work. I was then referred to an ENT Specialist who said I had rhinitis and a deviated septum. In November 2013 I had Septoplasty to fix my septum which now helps me breathe slightly better (when my nose isn't blocked, which is very rare). I still have a blocked nose and postnasal drip which is by far the worse of the two. In the mornings before I can even drink or eat I have to cough up thick phleghm and blow my nose god knows how many times. All day long and most of the night I am blowing my nose and clearing my throat. Night is worse as I get little sleep and keep everyone else in my house awake. Clearing my throat so much gives me headaches and sore throats. Last week I saw my ENT specialist, 3 months after septoplasty. I told him that I had all the same symptoms as before and he said there is nothing they could do. He prescribed me yet another nasal spray, Avamys, a corticosteroid. As soon as I started using the spray I got a very sore throat and red lumps at the back of my throat. I went to see my GP and he said I had oral thrush as the corticosteroid weakens your immune system, meaning your likely to pick up infections in the throat. He prescribed me drops for my throat (which I have finished and still have the sore throat and red lumps) and in his words, he said "the specialist can't keep washing his hands of your situation". I asked what could be done as I refused to take any more nasal sprays, not only do they make me feel worse than I already feel but they also cost a fortune and I simply refuse to keep paying it. He told me the only other option would be immunotherapy and that I should contact the specialists secretary to arrange another appt. Tomorrow I am going to contact his secretary and see where I go from there.

Kenalog...
My grandfather also had excessive mucus when he was in his forties and in 1984 was accidentally given a Kenalog overdose by a nurse on the authority of the doctor. The overdose sadly killed my grandad and shortly after his death Kenalog was taken off the market. I believe Kenalog is being used again now but as you can imagine this is something I would be very reluctant about having!

The only advice I could give is to NOT GIVE UP. Keep pestering your doctors - I know I am going to!!!

shoshol
New Member


Date Joined Nov 2013
Total Posts : 3
   Posted 4/11/2014 11:14 PM (GMT -7)   
Hey KieranM,
Did you see an immunotherapist? has your pnd improved?

clustered mess
New Member


Date Joined Apr 2014
Total Posts : 9
   Posted 5/1/2014 3:17 PM (GMT -7)   
I have been battaling what i thought was acid reflux as long as i can remember. Even to the point of vomiting 2-3 times a week. Docs all said they didnt see why there was no scarring in my throat if the acid was geting that high. Turnes out theree is ....stuff... draining dowwn the back of my throat ....... no idea how many acid meds ive used being pissed of at the lack of succses. I do have reflux but its mild by itself. But is agitated by thee snot faaucet.. .... sudifed works for me. Dries it out. Before that i took nexium and while i was on it i had no prob with the vomiting. Couldnt keep it though.

KieranM
New Member


Date Joined Feb 2014
Total Posts : 2
   Posted 5/13/2014 4:04 PM (GMT -7)   
Hi all!

Shoshol, After waiting weeks for an ENT appt. I finally saw a Specialist on Monday. I was told by the Specialist that there is no other treatment for Allergic Rhinitis other than nasal sprays. I absolutely am avoiding any sprays as they definitely make my sinuses worse and do not help one bit. The Specialist was pretty arrogant and I might as well have been talking to the wall. He came up with a load of BS about the environment in which I live in (North West England) saying that it is highly polluted and humid. Obviously this was an attempt to fob me off like every other doctor has tried to thus far. Where I live is not humid at all, completely the opposite infact. I did mention that my rhinitis is a lot better when I'm outside and only really flares up when I'm inside. I'd say the worst times are in the evening and mornings when I am constantly clearing my throat, coughing and sneezing. The Specialist arranged for an immunology blood test straight away and I went down to have them done. He did say though that it is unlikely I will find out what I'm allergic to because the skin prick allergy test came back negative. Still, I'd rather know for sure. If the results do come back negative again I am looking into going private, seeing an allergist having further tests. If I find out what the allergy is then I can try to avoid it or possibly have immunotherapy. There is not a chance I am putting up with rhinitis because it seriously affects my lifestyle. I won't give up until it is solved!

Joëlle
New Member


Date Joined May 2014
Total Posts : 10
   Posted 5/22/2014 8:06 AM (GMT -7)   
Hi I am a new member and want to share this info with you about my husband: post nasal drip for over thirty years, allergies (supposedly from pollens, dust mites and cats ) and finally asthma, taking the usual meds ( cortisone, asthma sprays... ) until we discovered what triggered it all was partly dairy products but mostly his high sensitivity to SULFITES. We changed our diet over a year ago, something very difficult because basically it means you have to prepare everything yourself and avoid any treated dried fruit ( apricots are the worst) , and even certain cosmetics, to name just a few of our constraints. Well, last year he had his first asthma-free summer in over twenty years, in spite of having to cut our oversized yard and breathing dust and floating pollen. No more medication as long as we stay clear of any suspicious products. The problem is, sulfites seem to be hidden in most prepared foods. There are other sites that will explain sulfites in detail. Anyway, as I said I just wanted to share this information because it is worth a try.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4931
   Posted 5/22/2014 8:42 AM (GMT -7)   
Welcome to the forum, Joelle.

Thanks for the great post. It's a new idea here, that asthma and allergy symptoms can be from sulfites and dairy.

Unfortunately you put this on a really old thread. It would help everyone if you would start your own thread with your own title. Don't use the exact same post as it's against forum rules, and make paragraphs because a lot of people here have trouble tracking.

Did you happen to find out if the dairy problem was just lactose or the protein parts too?

Looking forward to your own thread!

motekim
New Member


Date Joined Jul 2015
Total Posts : 1
   Posted 7/21/2015 9:36 AM (GMT -7)   
CassandraLee said...
Hi Victor. Hang in there. I certainly understand what you are going through. I'm in my forties and have experienced a lot of what you have said all of my life. I have even had sinus surgery.
What has really worked for me (and yes there can be hope) is I take a combination of Mucinex D and Muxinex DM. I make sure each one is only 600 mg of Guaifensin. DO NOT get the 1200 of each. And also DO NOT take these with any Claritin, Zyrtec, etc. This was my doctor's advice to me about 2 years ago and it has made a huge difference. Also, little things like chewing gum, drinking ginger ale have helped with the nautiousness (sp?)...

Also, you can also try to get a prescription for a nasal spray to take at the same time. This has helped greatly too.

These are my thoughts. Wishing you the best and some relief.

Cass


Hello Cass. I know that this is an extremely old post. But I just wanted you to know that the nasal spray (Flonase) + Mucinex D (600 mg) + Mucinex DM (600mg) dramatically improved my severe postnasal drip situation after 3 days of administration. My ENT only prescribed the Flonase but I added the Mucinex combination per your recommendation to achieve these great results. Another thing that I believe helped me out is it that I changed my diet and eating times. I eliminated processed processed sugars and most acid-producing foods. I also ensured that I never ate and drank anything 3 hours before bedtime. Thanks for being a blessing to those in need.

super20dan
Veteran Member


Date Joined Sep 2014
Total Posts : 861
   Posted 7/23/2015 5:59 PM (GMT -7)   
cassandralee-why cant you take musinex with zyrtec? i really would like to know

MyoZen
New Member


Date Joined Jul 2015
Total Posts : 1
   Posted 7/24/2015 10:36 AM (GMT -7)   
I have Post-nasal drip for the past 6 years.
Every 6 months I have follow-up with my specialists,
had deviated septum surgery, breathe better and less snoring.
Tried acupuncture,
Chinese herbal medications
Ginger Tea
Cough syrup
Zyrtec
Flixonase
Nasonex
Avamys
Decongestant Nasal Drops
Many different lozenges
but no improvement.

Currently, resort to Nasal irrigation once in the morning another before bed,
and if necessary another one in-between.
So far, the only inconveniences and discomfort are immediate, after irrigation. I would cough till my throat bleeds and try to expel all the mucus and phlegms.
My colleagues and neighbors are all used to my heckling and coughing, but I am still hoping for a 'cure'.

ReijoL
New Member


Date Joined Sep 2015
Total Posts : 1
   Posted 9/30/2015 1:54 PM (GMT -7)   
A possible cure: bubble gum, surprisingly. This is applicable for a case when mucus activity coincides with the sympathetic mode of the nervous system. Here is an example: the parasympathetic mode is ON when you are asleep and when you eat; the sympathetic mode is ON at other times (just a rough rule). So if you don't experience mucus drip with these occasions, you can try bubble gum. Namely bubble gum simulates the process of eating and you in fact cheat the nervous system with it. I have got great relief from bubble gum.

BS58
New Member


Date Joined Aug 2016
Total Posts : 1
   Posted 8/8/2016 3:56 AM (GMT -7)   
I have suffered with a post nasal drip most of my 58 years. It got really bad a few years ago. I was on Avymys nasal spray. An ENT then did a scope in my nose. He also did a simple blood test to test for allergic or non allergic. The test came back non allergic. I was told in these cases only a steroid nasal spray will work so I was on 8 puffs of IP Vent (used for asthma) but sprayed into nostrils for PND. A few months ago I went on a gluten free diet in an endeavour to improve another non related medical condition. I was shocked to discover that gluten has been the cause of the PND. I no longer spray IP vent at all!!! I was told no one knows why this condition occurs......... I have tried to introduce small amounts of gluten (after cutting it out for 2 months) and my nose gets stuffy but I still do not need IP Vent. I only joined here to share this good news with other sufferers in the hope that a gluten free diet will help them too. I used to eat way too much gluten.
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