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POSTNASAL DRAINAGE

Postnasal drip symptoms may include:

  • Sensation of mucus trickling down the throat
  • Regular swallowing
  • Clearing the throat frequently
  • Gravelly or gurgling voice
  • Irritated, sore throat
  • Sensation of a lump in the throat

In children, thick or foul-smelling discharge from one nostril could suggest something lodged in the nose, like a bean, crumpled paper, or a toy part. If these symptoms are noticed, it’s advisable to consult a doctor for examination. Often, postnasal drip results in an irritated, sore throat. Despite the absence of infection, the tonsils and other throat tissues may swell, leading to discomfort or a sensation of a lump in the throat. Successful management of postnasal drip usually alleviates these throat symptoms.

Postnasal drip triggers can include:

  • Bacterial infections
  • Allergic reactions
  • Vasomotor rhinitis (an overly sensitive nose)
  • Medications that cause mucus to thicken
  • Gastroesophageal reflux
  • Aging

Thin clear secretions can result from colds, flu, allergies, cold temperatures, bright lights, specific foods or spices, pregnancy, and other hormonal changes. Various drugs (including birth control pills and high blood pressure medications) and irregular nasal cartilage can also increase mucus production. Thick secretions during winter often stem from dryness in heated spaces. They may also be due to sinus or nasal infections and allergies, particularly to foods like dairy products. If thin secretions thicken and become green or yellow, a bacterial sinus infection might be developing.

Treatment for Nasal Obstructions

Diagnosis of postnasal drip may involve a thorough ear, nose, and throat examination, endoscopy (using a camera to inspect the nose and throat), or X-rays. Postnasal drip can be challenging to treat, and the treatment approach varies based on the cause. Bacterial infections are typically managed with antibiotics, nasal spray, decongestants, and nasal saline irrigations. For chronic sinusitis, surgery to unblock the sinuses might be necessary. Allergies are best controlled by avoiding triggers. Antihistamines, decongestants, cromolyn and steroid nasal sprays, or oral steroids might provide relief. Some older, sedating antihistamines may further dry and thicken postnasal secretions; newer non-drowsy antihistamines don’t have this effect. Immunotherapy (desensitization) using allergy shots or drops under the tongue may help. Consult your doctor before starting any of these medications. Gastroesophageal reflux treatment includes raising the bed’s head six to eight inches, avoiding food and drinks for at least three hours before bedtime, losing weight, and excluding alcohol and caffeine from the diet. Antacids could also be beneficial. If reflux persists, it’s advisable to see your primary care provider, an ENT (ear, nose, and throat) specialist, or otolaryngologist. Recommendations that facilitate mucus secretions to pass more easily may be advised. Many people, especially the elderly, need more fluids to thin out secretions. Drinking more water, eliminating caffeine, and if possible avoiding diuretics (medications that increase urination and remove fluid from the body) will help.