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Doctors for Postnasal Drip in Mallige Nagar, Hubli-Dharwad
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Post-nasal drip also termed upper airway cough syndrome, occurs when excessive mucus is produced by the nasal mucosa. The excess mucus accumulates in the throat or back of the nose. It is caused by rhinitis, sinusitis, gastroesophageal reflux disease (GERD), or by a disorder of swallowing such as an esophageal motility disorder. It is frequently caused by an allergy, which may be seasonal or persistent throughout the year.
HOW IS POSTNASAL DRIP DIAGNOSED?
If your condition is severe, it is advisable to consult with an ENT specialist to have the condition accurately diagnosed. The doctor will hear you out on the symptoms and other details required for making the assessment and also conduct a physical examination to make a diagnosis.
HOW IS POSTNASAL DRIP TREATED?
First-generation antihistamine has been suggested as first-line therapy to treat post-nasal drip.
• Bacterial infections are treated with antibiotics. These drugs may only provide temporary relief. In cases of chronic sinusitis, surgery to open the blocked sinuses may be required.
• Allergies are managed by avoiding the causes. Antihistamines and decongestants, cromolyn and steroid (cortisone type) nasal sprays, and other forms of steroids may offer relief. Immunotherapy, either by shots or sublingual (under the tongue drops) may also be helpful. However, some older, sedating antihistamines may dry and thicken post-nasal secretions even more, newer non-sedating antihistamines, available by prescription only, do not have this effect. Decongestants can aggravate high blood pressure, heart, and thyroid disease. Steroid sprays may be used safely under medical supervision. Oral and injectable steroids rarely produce serious complications in short-term use. Because significant side-effects can occur, steroids must be monitored carefully when used for more than one week.
• Gastro esophageal reflux is treated by elevating the head of the bed six to eight inches, avoiding foods and beverages for two to three hours before bedtime, and eliminating alcohol and caffeine from the daily diet. Antacids such as Maalox, Mylanta, Gaviscon, and drugs that block stomach acid production such as Zantac, Tagamet, or Pepcid may be prescribed. If these are not successful, stronger medications can be prescribed.