Bleching, nausea, post-nasal drip

Hi, I'm a 25 year old male currently suffering with month long post-nasal drip, aswell as indigestion (usually belching after eating, and intermittent nausea which is sometimes worse at night).

At first, i had a dry cough for about one week that slowly began to produce yellow phlegm in my throat after eating. Eventually my nose became congested and I noticed a lot of Post-nasal drip at nightime and throughout the day--especially after eating (at one point I was constantly spitting yellow mucus from my throat). I was put on a ten day dose of amoxicillin which was ineffective, so my doctor decided to put me on APO-FLUTICASONE, which cleared my nose but didn't help the mucus buildup in my throat. I decided to try spicy food and garlic to combat the phlegm but it did not help, and gave me burning indigestion. I continued using the nasal corticosteroid for the rest of the week which seemed to reduce the phlegm, but I noticed that i would get indigestion after eating followed by excessive belching and nausea at night.

Now I have reduced the nasal spray but the indigestion has continued for about 2.5 weeks and i seem to get nauseated at night--usually temporarily relieved by burping. I was prescribed Proton Pump Inhibitor which I have been taking for 5 days now, and am on a very basic diet for 1.5 weeks but the belching and nighttime mild nausea has not subsided.


I was tested for H. Pylori via blood test but results came back negative. I was wondering if there is any connection between the post-nasal drip, the nasal corticosteroid, the amoxicillin and my digestion problem?

[Ratnakar Kini, MD]

Hi,
No, there is no connection between post-nasal drip, nasal c orticosteroid, amoxicillin and digestive problem.
You are having symptoms of GERD.It can be confirmed with 24 hours pH monitoring test.Continue taking PPI.